If you have 00-10 ... write [I'm a goody-goody]
If you have 11-20 ... write [I'm still a goody-goody]
If you have 21-30 ... write [I'm average]
If you have 31-40 ... write [I'm a bad kid]
If you have 41-50 ... write [I'm a very bad influence]
If you have 51-60 ... write [I'm a horrible person]
If you have 61-70 ... write [I should be in jail]
If you have 71-80 ... write [I should be dead]
If you have 81-90 ... write [I got a ticket to Hell]
HAVE YOU...
[x] 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
[ ] Kissed someone of the same sex
[ ] Had sex
[x] Had someone in your room other than family
[x] Watched porn
[ ] Bought porn
[ ] Tried drugs
TOTAL SO FAR: 5
[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
[ ] Wished someone to die
[ ] Seen someone die
TOTAL SO FAR: 11
[ ] Missed curfew
[ ] Stayed out all night.
[x] Eaten a carton of ice cream by yourself
[x] Been to a therapist
[ ] Received a ticket
[ ] Been to rehab
[x] Dyed your hair
[ ] Been in an accident
[x] Been to a club
[ ] Been to a bar
TOTAL SO FAR: 15
[ ] Been to a wild party
[ ] Been to a Mardi Gras parade
[x] 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 SO FAR: 16
[ ] Dressed goth
[ ] 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 SO FAR: 17
[x] Had a crush on a friend
[ ] Been to a concert
[x] Been called a slut
[ ] Called someone a slut
[ ] Installed speakers in a car
[ ] Broken a mirror
[x] Showered at someone of the opposites sex's house
[ ] Brushed your teeth with someone else's toothbrush
TOTAL SO FAR: 20
[ ] Considered Ludacris your favorite rapper
[x] Seen an R-rated movie
[ ] Cruised the mall
[ ] Skipped school.
[x] Had surgery
[x] Had an injury
[ ] Gone to court
[ ] Walked out of a restaurant without paying/tipping
[ ] Lied about your age
TOTAL SO FAR: 23
[ ] Owned/rented an apartment/house
[ ] Broke the law in the police's presence
[ ] 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
[ ] Rode in the car with a stranger
[ ] Been harassed
[ ] Been verbally harassed
TOTAL SO FAR: 26
[ ] 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
[ ] Been called a bad influence
[ ] Drank and drove
[x] Prank-called someone
[x] Laid on a couch with someone of the opposite sex
[x] Cheated on a test
GRAND TOTAL: 32






