Cross out what applies to you:
I think Iām ugly sometimes.
I wish my hair was a different color.
I have friends who have never seen my natural hair colour.
I would get plastic surgery if it were 100% safe, free of cost, and scar-free.
Iāve been told Iām attractive by a complete stranger.
I have more than 2 piercings.
I have piercing in places besides my ears.
Iāve been kicked out of the house.
I have a sibling less than six years old.
I want to have kids someday.
Iāve fallen asleep at work/school.
I almost always do/did my homework.
Iāve missed a week or more of school.
I failed more than 1 class last year.
Iāve slipped out a ālolā in a spoken conversation.
Disney movies still make me cry.
Iāve laughed so hard Iāve cried.
I think of stupid things to do.
I was born with a disease/impairment.
Iāve gotten stitches/staples.
Iāve had my tonsils removed.
Iāve sat in an emergency room with a friend.
Iāve gotten a ride with someone I donāt know.
Iāve wished on a shooting star.
Iāve seen a meteor shower.
Iāve gone out in public in my pajamas.
Iāve pushed all the buttons on an elevator.
Iāve gone skinny dipping.
Iāve drank a whole gallon of milk in one hour.
Iāve had dry rum shots.
Iāve caught a snowflake on my tongue.
Iāve seen the Northern lights.
Iāve sat on a roof top at night. Ā
Iāve played chicken fight.
Iāve played a prank on someone.
People have only liked me cause of my looks.
Iāve been used sometimes.
Iāve gone on a blind date.
Iāve used someone else.
Iāve broken someoneās heart.
I miss someone right now.
I knew someone who has committed suicide.
I have a fear of abandonment.
Iāve told someone I loved them when I didnāt.
Iāve told someone I didnāt love them when I did.
Iāve had a crush on a teacher.
Iāve kissed more than one girl.
Iāve been kissed in the rain.
Iāve hugged a stranger.
I have kissed a stranger.
Iāve done something I promised someone else I wouldnāt.
Iāve done something I promised myself I wouldnāt.
Iāve snuck out of my house.
I am keeping a secret from the world.
Iāve cheated on a test.
Iāve been suspended from school.Ā
Iāve witnessed a crime.
Iāve had people who wanted to bash me.
Iāve helped a friend who has passed out from alcohol.
I regularly smoke cigarettes.
Iāve tried smoking cigarettes.
Iāve taken painkillers when I didnāt need them.
I can swallow about 5 pills at a time no problem.
I have at one stage in my life been diagnosed with depression.
I have been diagnosed with one or more anxiety disorder.Ā
I shut others out when Iām depressed.
Iāve slept an entire day when I didnāt need it.
Iāve hurt myself on purpose.
I miss someone who I know isnāt coming back.
Iāve seen someone dying.
Someone close to me has committed suicide.
Iāve planned my own suicide.
Iāve attempted suicide.
Iāve written a eulogy for myself.
I own an iPod or MP3 player.
I regret some things Iāve done in my lifetime.