Have you ever....?


[] smoked.
[] consumed alcohol.
[x] slept in the same bed with someone of the opposite sex. (My brother)
[x] slept in the same bed with someone of the same sex. (When I was little)
[] kissed someone of the same sex.
[] had sex.
[x] had someone in your room other than family. ( I have friends)
[] watched porn.
[] bought porn.
[] tried drugs.

TOTAL: 3

[x] taken painkillers. (I get hurt a lot)
[] taken someone else's prescription medicine.
[x] lied to your parents.
[x] lied to a friend.
[] snuck out of the house.
[] done something illegal.
[x] felt hurt.
[x] hurt someone.
[] wished someone to die.
[] seen someone die.

TOTAL: 8

[] missed curfew.
[] stayed out all night.
[] eaten a carton of ice cream by yourself.
[] been to a therapist.
[] received a ticket.
[] been to rehab.
[] dyed your hair.
[] been in an accident.
[] been to a club.
[x] been to a bar (A few times with my Mom)

TOTAL: 9

[] been to a wild party.
[] been to a Mardi Gras parade.
[] drank more than three alcoholic beverages in a night.
[] had a spring break in Florida.
[] sniffed anything
[] wore black nail polish
[] wore arm bands.
[] wore t-shirts with band names.
[] listened to rap.
[] owned a 50 Cent CD.

TOTAL: 9

[] dressed gothic.
[] dressed girly.
[] dressed punk.
[] dressed grunge.
[] stole something.
[] been too drunk to remember anything.
[] blacked out.
[x] fainted.
[] had a crush on a neighbor.

TOTAL: 10

[x] had a crush on a friend.
[] been to a concert.
[] dry-humped someone.
[] been called a slut.
[] called someone a slut.
[] installed speakers in your car.
[] broken a mirror.
[] showered at someone of the opposites sex's house.
[] brushed your teeth with someone else's toothbrush.

TOTAL: 11

[] considered Ludacris your favorite rapper.
[x] seen an R-rated movie in theater. (A few)
[] cruised the mall.
[] skipped school.
[x] had surgery. ( I broke my arm at the joint)
[x] had an injury. (Look above)
[x] gone to court. (ON a field trip)
[] walked out of a restaurant without paying/tipping.
[] caught something on fire.
[] lied about your age.

TOTAL: 15

[] owned/rented an apartment/house.
[] broke the law in the police's presence.
[] made out with someone who had a gf/bf.
[] got in trouble with the police.
[] talked to a stranger.
[] hugged a stranger.
[] kissed a stranger.
[] rode in the car with a stranger.
[] been harassed.
[] been verbally harassed.

TOTAL: 15

[] met face-to-face with someone you met online.
[] stayed online for 5+ hours straight.
[] talked on the phone for more than 4 hours straight.
[x] watched TV for 5 hours straight.
[x] been to a fair.
[] been called a bad influence.
[] drank and drove.
[] prank-called someone.
[] laid on a couch with someone of the opposite sex.
[] cheated on a test.

Total: 17

If You Have Less Than 10.. write [I'm a Goody Goody]
If You Have More Than 10.. write [I'm still a goody goody]
If You Have more Than 20..write [I'm average]
If You Have More Than 30..write [I'm a bad kid]
If You have more than 40..write [I'm a very bad influence]
If You Have more than 50..write [I'm a horrible person]
If You Have more than 60..write [I should be in jail]
If You Have more than 70..Write [I should be dead]