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* 1. School name

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* 2. Date of Session:

Date

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* 3. Check one box for each question.

  Strongly agree Agree Disagree Strongly disagree
I know more about the actions bystanders can take to help keep people safer.
I know more about why people might or might not take action in unsafe situations.
I know more about ways to safely take action in unhealthy situations.

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* 4. Name one thing that bystanders can do to help keep people safer.

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* 5. Name one reason people might step-in in unsafe situations.

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* 6. Name one reason people might not step-in in unsafe situations.

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* 7. Name two ways bystanders can safely step in to help people in unsafe or unhealthy situations.

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