28.7.11

1. smoked. [x]
2. consumed alcohol. [x]
3. slept in the same bed with someone of the opposite sex.[x]
4. slept in the same bed with someone of the same sex.[x]
5. kissed someone of the same sex.[x]
6. had sex.[x]
7. had someone in your room other than family.[x]
8. watched porn.[x]
9. bought porn.[ ]
10. tried drugs.[x]
TOTAL: 9


1. taken painkillers. [x]
2. taken someone else’s prescription medicine. [ ]

3. lied to your parents. [x]
4.
lied to a friend. [x]
5. snuck out of the house.[x]

6. done something illegal.[x]
7. felt hurt.[x]
8.
hurt someone.[x]
9. wished someone to die.[ ]
10. seen someone die.[ ]
TOTAL so far: 16


1. missed curfew. [x]
2. stayed out all night. [x]
3. eaten a carton of ice cream by yourself [x]

4. been to a therapist.[ ]
5. been to rehab [ ]
6. dyed your hair. [ ]

7. received a ticket. [x]
8. been in an accident. [x]

9. been to a club. [x]
10. been to a bar [x]
TOTAL so far: 23


1. been to a wild party. [x]
2. been to a Mardi Gras parade. [ ]

3. drank more than three alcoholic beverages in a night. [x]
4. had a spring break in Florida. [ ]
5. sniffed anything [ ]
6. wore black nail polish [x]
7. wore arm bands. [x]

8. wore t-shirts with band names. [x]
9.
listened to rap.[x]
10. owned a 50 Cent CD.[ ]
TOTAL so far: 29


1. dressed gothic.[x]
2. dressed girly.[ ]
3. dressed punk.[ ]
4. dressed grunge.[x]

5. stole something.[x]
6. been too drunk to remember anything.[x]
7. blacked out.[x]

8. fainted.[ ]
9. had a crush on a neighbor.[x]
TOTAL so far: 35


1. had a crush on a friend.[x]
2.
been to a concert.[x]
3. dry-humped someone.[x]

4. been called a slut.[ ]
5.
called someone a slut.[x]
6. installed speakers in your car.[ ]

7. broken a mirror.[x]
8. showered at someone of the opposites sex’s house.[x]

9. brushed your teeth with someone else’s toothbrush.[x]
TOTAL so far: 42


1. consider/considered Ludacris your favorite rapper.[ ]
2. seen an R-rated movie in theater.[ ]

3. cruised the mall.[x]
4. skipped school.[x]
5. had surgery.[ ]

6. had an injury.[x]
7. gone to court.[ ]
8. walked out of a restaurant without paying/tipping.[x]
9. caught something on fire.[x]

10. lied about your age.[x]
TOTAL so far: 48


1. owned/rented an apartment/house.[ ]
2. broke the law in the police’s presence.[ ]
3. made out with someone who had a gf/bf [ ]
4. got in trouble with the police. [x]

5. talked to a stranger.[x]
6. hugged a stranger.[x]
7. kissed a stranger.[x]
8. rode in the car with a stranger.[ ]

9. been harassed.[x]
10. been verbally harassed.[x]
TOTAL so far: 54


1. met face-to-face with someone you met online.[x]
2. stayed online for 5+ hours straight.[x]
3. talked on the phone for more than 4 hours straight.[x]

4. watched TV for 5 hours straight.[x]
5. been to a fair.[ ]
6. been called a bad influence.[x]
7. drank and driven.[ ]

8. prank-called someone.[x]
9. laid on a couch with someone of the opposite sex.[x]

10. cheated on a test.[x]
TOTAL : 62


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 horrible person”
If you have more than 50, write “I’m a very bad influence”

If you have more than 60, write “I should be in jail”
If you have more than 70, write “I should be dead"

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