Appearance
[x] I have/had piercings
besides the ears.
[] I want piercings besides the ears.
[x] I have many scars.
[ ] I tan easily.
[ ] I wish my hair was a different color.
[ ] I have friends who have never seen my natural hair color.
[ ] I have a tattoo.
[] I can be self-conscious about my appearance.
[x] I have/had braces.
[x] I have more than two piercings.
Embarrassment
[x] Disney movies still
make me cry.
[] I’ve laughed so hard I’ve cried.
[x] I’ve glued my hand to something.
[] I’ve laughed until some kind of beverage came out of my nose.
[] I’ve had my pants rip in public.
[x] I’ve touched something sharp/hot/etc to see if it would hurt.
Health
[x] I’ve gotten stitches.
[] I’ve broken a bone.
[x] I’ve had my tonsils removed.
[] I’ve had my wisdom teeth removed.
[x] I’ve had serious surgery.
Travel
[ ] I’ve been to Florida.
[x] I’ve driven/ridden over 200 miles in one day.
[x] I’ve been on a plane.
[ ] I’ve been to Canada.
[ ] I’ve been to Cuba.
[x] I’ve been to Niagara Falls.
[ ] I’ve been to Ottawa.
[ ] I’ve been to the Caribbean.
[x] I’ve been to Europe. (I live there)
Experiences
[x] I’ve gotten lost in my
city.
[] I’ve seen a shooting star.
[] I’ve wished on a shooting star.
[ ] I’ve seen a meteor shower.
[x] I’ve gone out in public in my pajamas.
[x] I’ve pushed all the buttons on an elevator.
[x] I’ve slapped someone.
[x] I’ve kissed someone underwater.
[ ] I’ve gone skinny-dipping.
[] I’ve chugged something.
[ ] I’ve crashed a car / been in a car crash.
[x] I’ve been skiing.
[] I’ve been in a musical.
[ ] I’ve auditioned for something.
[] I’ve been on stage.
[x] I’ve caught a snowflake on my tongue.
[ ] I’ve sat on a rooftop at night.
[ ] I’ve pranked someone.
[x] I’ve ridden in a taxi.
Honesty
/ Crime
[ ] I’ve been arrested.
[x] I’ve been threatened to be arrested.
[x] I’ve broken a law.
[x] I’ve done something I promised someone I wouldn’t.
[x] I’ve done something I promised myself I wouldn’t.
[ ] I’ve snuck out.
[] I’ve lied about my whereabouts.
[x] I’ve cheated while playing a game.
[ ] I’ve been in a fist fight.
Death
[x] I’m afraid of dying.
[] I hate funerals.
[x] I’ve seen someone/something die.
[x] Someone close to me has attempted/committed suicide.
[ ] I’ve written a eulogy for myself.
Random
[ ] I can sing well.
[] I’ve stolen a tray from a fast food restaurant.
[] open up to others easily.
[x] I watch the news.
[x] I don’t kill bugs / don’t like to kill them.
[ ] I sing in the shower.
[x] I’m a morning person.
[x] I’m a sports fanatic.
[x] I twirl my hair.
[x] I care about grammar.
[ ] I love spam.
[ ] I’ve copied more than 30 CDs in a day.
[x] I bake well
[] My favorite color is either white, yellow, pink, blue, red, black, purple,
or orange.
[ ] I would wear pajamas to school.
[ ] I am guilty of tYpInG lIkE tHiS.
[] I laugh at my own jokes.
[ ] I eat fast food weekly.
[x] I’ve not turned anything in and still got an A in a certain class.
[x] I can’t sleep if there’s a spider in the room.
[x] I’m really ticklish.
[] I like white chocolate.
[] I bite my nails.
[x] I’m good at remembering faces.
[x ] I’m good at remembering names.
[x ] I’m good at remembering dates.
[x] I have no idea what I want to do for the rest of my life.
[] All my answers were and will be totally honest.
People
[] call me fat.
[x] say I’m skinny.
[x] say I’m ugly.
[x] say I’m pretty.
[x] spread rumors about me.
[ x] force me to eat.
[] say I eat too much.
[x] say I eat too little.
[x] don’t know I have an eating disorder.
Eating
[x] I’ve lost
weight.
[x] I’ve gained weight.
[ ] I’m at my thinnest.
[] I’m at my biggest.
[x ] I’ve lost weight and kept it off.
[] I’ve lost weight but gained it back.
[x] My weight affects my mood.
[ ] I weigh myself daily.
[x] I’m jealous of everyone skinnier than me.
[x] I feel happy when I’m hungry.
[x] I get depressed after eating.
[x] I diet.
[ ] I’m vegan/vegetarian.
[x] I’ve skipped a meal.
[] I’ve thrown food away.
[] I’ve spat food out.
[] I’ve taken diet pills.
[x] I’ve used laxatives.
[x] I’ve purged.
[x] I exercise.
[ ] I exercise so I can eat.
[ ] I work out daily.
[x] I’ve fainted from exhaustion.
Family
[] I’ve sworn at my
parents.
[x] I’ve planned to run away from home before.
[x ] I’ve run away from home.
[x] My biological parents are together.
[] I want kids.
[ ] I’ve lost a child.
Relationships
[x] I’m single.
[ ] I’m in a relationship.
[ ] I’m engaged.
[ ] I’m married.
[ ] I’m a swinger.
[ ] I’ve gone on a blind date.
[] I’ve hooked up with someone in little or no notice.
[x] I miss someone right now.
[] I have a fear of abandonment.
[ ] I’ve physically cheated in a relationship.
[ ] I’ve mentally cheated in a relationship.
[ ] I’ve gotten divorced.
[x] I’ve had feelings for someone who didn’t have them back.
[x ] Someone has had feelings for me when I didn’t have them back.
[] I’ve told someone I loved them when I didn’t.
[ ] I’ve told someone I didn’t love them when I did.
[ ] I’ve kept something from a past relationship.
Sexuality
[] I’ve had a crush on
someone of the same sex.
[ ] I’ve had a crush on a teacher.
[x] I’m a cuddler.
[] I’ve been kissed in the rain.
[] I’ve hugged a stranger.
[x ] I’ve kissed a stranger.
Bad
times
[x] I’ve consumed alcohol.
[ ] I regularly drink.
[] I can’t swallow pills.
[ ] I can swallow numerous pills at a time without difficulty.
[x] I’ve been diagnosed with clinical depression at some point.
[x ] I have/had anxiety problems.
[] I shut others out when I’m upset.
[x ] I don’t have anyone to talk to when I’m upset.
[ x] I take anti-depressants.
[] I’ve slept an entire day before.
[x] I’ve hurt myself on purpose before.
[x] I am / have been addicted to self-harm.
[] I’ve woken up crying.
[x] I’ve cried myself to sleep. | 
I don't want my life anymore. 
