Put an X in the boxes that apply to you.
[ ] I am 16+
[ ]I am 18+
[x] I am 21+
[] I am shorter than 5'4.
[x] I think I'm pretty cute.
[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.
[x] I have/I've had/will have braces.
[x] 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/Home Life
[x] I've sworn at my parents.
[] My biological parents are together.
[ ] I have a sibling less than one year old.
[]I want to have kids someday.
[ X] I've had children.
[ X] I've lost a child.

School/Work
[] I'm in school.
[x] I have a job.
[x] I've fallen asleep at work/school.
[x] I almost always do my homework.
[ ] I've missed a week or more of school.
[ ] I failed more than 1 class last year/semester
[ ] I've stolen something from my job.
[x] I've been fired.

Embarrassment
[ ] I've slipped out a "lol" in a spoken conversation.
[x] I've laughed so hard I've cried.
[ ]I've glued my hand to something
[x] I've laughed till some kind of beverage came out of my nose.
[] I've had my pants rip in public.

Health
[] I was born with a disease/impairment.
[x] I've gotten stitches/staples/glue
[x] I've broken a bone
[] I've had my tonsils removed.
[x] I've sat in a doctors office/emergency room with a friend/relative
[x] I've had my wisdom teeth removed.
[x] I had a serious surgery.
[x] I've had chicken pox.

Traveling
[x] I've driven over 200 miles in one day.
[x] I've been on a plane.
[x] I've been to Canada.
[ ] I've been to Mexico.
[ ] I've been to Niagara Falls.
[ ] I've been to Japan.
[XX ] I've Celebrated Mardi Gras in New Orleans.
[ ] I've been to Europe.
[ ] I've been to Africa.

Experiences
[x] I've gotten lost in a city.
[x] I've seen a shooting star.
[x] I've wished on a shooting star.
[x] 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 kicked a guy in the nuts
[x] I've been to a casino
[ ] I've been skydiving.
[ X] I've gone skinny dipping.
[x] I've played spin the bottle.
[] I've drank a whole gallon of milk or water in one hour.
[] I've crashed a car
[ ] I've been snowboarding
[] I've been in a play.
[x] I've caught a snowflake on my tongue.
[x] I've seen the Northern Lights.
[X] I've played a prank on someone.
[x] I've ridden in a taxi.
[] I've eaten Sushi.
[ ] I've been skiing

Relationships
[] I'm single
[ ] I'm in a relationship.
[ ] I'm engaged.
[ X] I'm married
[ X] I've gone on a blind date.
[] I've been the dumpee more than the dumper.
[ ] I miss someone right now.
[ ] I have a fear of abandonment.
[x] 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.
[x] I've told someone I didn't love them when I did.
[x] I've kept something from a past relationship.

Sexuality
[ ] 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.
[X ] I have kissed a stranger
[ X] I've been kissed under the stars

Honesty/Crime
[x] I've done something I promised someone else I wouldn't
[x] I've done something I promised myself I wouldn't.
[x] 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
[ X] I've cheated on a test
[x] I've run a red light.
[X ] I've been suspended from school.
[x] I've witnessed a crime.
[x] I've been in a fist fight.
[X ] I've been arrested.

Drugs/Alcohol
[x] I've consumed alcohol.
[ ] I regularly drink.
[ ] I've passed out from drinking.
[XX ] I have passed out drunk at least once in the past 6 months.(WELL NOT PASS OUT, BUT BEEN DRUNK!!!
[ ] I've smoked weed.
[ ] I've taken painkillers when I didn't need them.
[ ] I've eaten shrooms.
[ ] I've popped E.
[ ] I've inhaled Nitrous.
[ ] I've done hard drugs.
[ ] I have cough drops when I'm not sick.
[ ] I can't swallow pills.
[ ] I can swallow about 5 pills at a time no problem.
[ ] I have been diagnosed with clinical depression.
[ ] I take anti-depressants.
[ ] I'm anorexic or bulimic.
[x] I've slept an entire day when I didn't need it.
[ ] I'm addicted to self harm.
[] I've woken up crying.

Materialism
[ X] I own over 5 rap CDs.
[ ] I own an iPod or MP3 player
[ ] I have an unhealthy obsession with anime/manga.
[ ] I own multiple designer purses, costing over $100 a piece.
[ X] I own something from Hot Topic.
[ ] I own something from Pac Sun.
[ ] I collect comic books
[x] I own something from The Gap
[x] I own something I got on e-bay
[ ] I own something from Abercrombie.

Random
[x]I can sing well.
[ ] I've stolen a tray from a fast food restaurant.
[x] I open up to others easily.
[x] I watch the news.
[ ] I don't kill bugs.
[x] I am a morning person.
[ ] I paid for my cell phone ring tone.
[ ] I'm a snob about grammar.
[]I am a sports fanatic.
[X ] I twirl my hair
[ ] I have "x"s in my screen name
[x ] I love being neat
[ ] I love Spam
[] I've copied more than 30 CD's in a day
[x] I bake well
[x] My favorite color is either white, yellow, pink, red or blue
[x] I've worn pajamas to school.
[x] I know how to shoot a gun.
[ ] I am guilty of tYpInG lIkE tHiS.
[x] I laugh at things most people wouldn't find funny.
[x] I eat fast food weekly.
[ ] I am online 24/7, even as an away message
[X ] I've not turned anything in and still got an A in a certain class.
[x] I can't sleep if there is a spider in the room.
[xx] I am really ticklish.
[x] I love white chocolate
[] I bite my nails.
[x] I play video games.
[x] I'm good at remembering faces.
[X ] I'm good at remembering names
[X ] I have no idea what I want to do for the rest of my life
[X ] All of those are answered honestly

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