HAVE YOU EVER

[] smoked
[x] consumed alcohol
[x] slept in the same bed with someone of the opposite sex.
[x] slept in the same bed with someone of the same sex
[x] kissed someone of the same sex
[] had sex
[x] someone in your room other than family
[x]watched porn
[] bought porn
[] tried drugs

TOTAL: 6


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

TOTAL: 14


[x] missed curfew
[x] 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
[X] been in an accident
[] been to a club
[] been to a bar

TOTAL: 17


[x] 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
[x] wore black nail polish
[X] wore arm bands.
[x] wore t-shirts with band names
[x] listened to rap
[] owned a 50 Cent CD

TOTAL: 22

[X] dressed gothic
[] dressed girly
[x] dressed punk
[X] dressed grunge
[x] stole something
[] been too drunk to remember anything
[] blacked out
[] fainted
[x] had a crush on a neighbor (all my neighbors are family…

TOTAL: 27

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

TOTAL: 35

[] considered Ludacris your favorite rapper
[x] seen an R-rated movie in theater
[X] cruised the mall
[X] skipped school
[] had surgery
[X] had an injury
[] gone to court
[] walked out of a restaurant without paying/tipping
[X] caught something on fire
[x] lied about your age
TOTAL:41

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

TOTAL: 48


[] met face-to-face with someone you met online
[x] 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
[X] been called a bad influence
[] drank and drove
[x] prank-called someone
[x] laid on the couch with someone of the oppisite sex
[X] cheated on a test
TOTAL: 55



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]