APPEARANCE
[ ] I am shorter than 5'4.
[x] I think I'm ugly sometimes.
[ ] I have many scars.
[ ] I tan easily.
[x] I wish my hair was a different color.
[x] I have friends who have never seen my natural hair color.
[x] I have a tattoo.
[ ] I am self-conscious about my appearance.
[ ] I have/had braces.
[ ] I wear glasses.
[x] I would get plastic surgery if it were 100 safe, free of cost, and scar-free.
[x] I've been told I'm attractive by a complete stranger.
[x] I have more than 2 piercings.
[ ] I have piercings in places besides my ears.
[ ] I have freckles.

FAMILY
[x] I've sworn at my parents.
[x] I've run away from home.
[ ] I've been kicked out of the house.
[ ] My biological parents are together.
[ ] I have a sibling less than one year old.
[ ] I want to have kids someday.
[ ] I've had children.
[ ] I've lost a child.

EMBARRASSMENT
[x] I've slipped out a "lol" in a spoken conversation.
[x] Disney movies still make me cry.
[ ] I've peed from laughing.
[x] I've snorted while laughing.
[x] I've laughed so hard I've cried.
[ ] I've laughed till some kind of beverage came out of my nose.
[x] I've had my trousers rip in public.

RELATIONSHIPS
[x] I'm single
[ ] I'm in a relationship.
[ ] I'm engaged.
[ ] I'm married.
[x] I've gone on a blind date.
[ ] I've been the dumpee more than the dumper.
[x] I miss someone right now.
[ ] I have a fear of abandonment.
[ ] I've cheated in a relationship.
[ ] I've gotten divorced
[x] I've had feelings for someone who didn't have them back.
[x] 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
[x] I've had a crush on someone of the same sex.
[x] I've had a crush on a teacher.
[x] I am a cuddler.
[x] I've been kissed in the rain.
[x] I've hugged a stranger.
[ ] I have kissed a stranger.

HONESTY
[x] I've done something I promised someone else I wouldn't
[x] I've done something I promised myself I wouldn't.
[ ] I've snuck out of my house.
[x] I have lied to my parents about where I am.
[ ] I am keeping a secret from the world
[x] I've cheated while playing a game.
[ ] I've cheated on a test.
[ ] I've been suspended from school.

BAD TIMES
[x] I've consumed alcohol.
[x] I regularly drink.
[ ] I can't swallow pills.
[ ] I can swallow about 5 pills at a time no problem
[x] I have been diagnosed with clinical depression.
[x] I shut others out when I'm upset.
[ ] I take anti-depressants.
[ ] I'm anorexic or bulimic or have EDNOS.
[x] I've slept an entire day when I didn't need it.
[ ] I've hurt myself on purpose.
[ ] I'm addicted to self harm.
[ ] I've woken up crying.