01.

Questionnaire for School accidents

1.Class:

2.Gender: Boy Girl

3.Have you ever had an accident in school? Yes No


4.If yes, how many times? 1-3 4-7 a lot more



5.When did you had the accident? ( you can choose both answers)
At the break time During the class


6.Where did you had the accident? ( you can choose more than one answer)
In the classroom In the corridors On the stairways In the schoolyard


In the gym In the basketball field On the green schoolyard field Somewhere else
Where; _________________


7. What was the cause of the accident? ( you can choose more than one answer)
Jostle Beating Running Other
What; _________________