1. Smoked.

[ ]
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.

[ ]
7. Had someone in your room other than family.

[x]
8. Watched porn.

[ ]
9. Bought porn.

[ ]
10. Done drugs.

[ ]
TOTAL SO FAR: 5

1. Taken painkillers.

[x ]
2. Taken someone else's prescription medicine.

[x]
3. Lied to your parents.

[x ]
4. Lied to a friend.

[x]
5. Been to rehab.

[ ]
6. Done something illegal.

[ ]
7. Cut yourself.

[x]
8. Hurt someone.

[x]
9. Been to a club.

[ ]
10. Seen someone die.

[ ]
TOTAL SO FAR:11

1. Missed curfew.

[ ]
2. Stayed out all night.

[x]
3. Eaten a carton of ice cream by yourself.

[ ]
4. Been to a therapist.

[ ]
5. Snuck out of the house.

[ ]
6. Dyed your hair.

[x]
7. Received a ticket.

[ ]
8. Been in an accident.

[ ]
9. Wished someone to die.

[x]
10. Been to a bar.

[ ]
TOTAL SO FAR: 13

1. Been to a wild party.

[ ]
2. Been to a Mardi Gras parade.

[ ]
3. Drank more than four beers in a night.

[ ]
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: 17

1. Dressed Gothic.

[x ]
2. Dressed prep.

[x ]
3. Dressed punk.

[x ]
4. Dressed grunge.

[ ]
5. Stole something.

[x]
6. Been too drunk to remember anything.

[ ]
7. Blacked out.

[ ]
8. Fainted.

[ ]
9. Had a crush on a neighbor.

[x]
TOTAL SO FAR: 22

1. Snuck into someone else's room.

[ ]
2. Had a crush on your friend.

[x]
3. Been to a concert.

[ ]
4. Dry-humped someone.

[ ]
5. Been called a slut.

[x ]
6. Called someone a slut.

[x ]
7. Installed speakers in your car.

[ ]
8. Broken a mirror.

[x]
9. Showered at someone of the opposites sex's house.

[ ]
10. Brushed your teeth with someone elses toothbrush.

[ ]
TOTAL SO FAR: 26

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.

[ ]
10. Lied about your age.

[x ]
TOTAL SO FAR: 32


1. Owned/rented an apartment.

[ ]
2. Broke the law in the police's presence.

[ ]
3. Made out with someone who had a gf/bf.

[x]
4. Got in trouble with the police.

[ ]
5. Talked to a stranger.

[x ]
6. Hugged a stranger.

[x]
7. Kissed a stranger.

[ ]
8. Rode in the car with a stranger.

[ ]
9. Been harassed.

[ ]
10. Been verbally harassed.

[ ]
TOTAL SO FAR: 35

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.

[ ]
4. Watched TV for 5 hours straight.

[x]
5. Been to a fair.

[x]
6. Been called a bad influence.

[ ]
7. Drink and drive.

[ ]
8. Prank-called someone.

[ ]
9. Laid on a couch with someone of the opposite sex.

[x]
10. Cheated on a test.

[x]
TOTAL SO FAR: 41

-If You Have Less Then 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 [

]
-If You Have more than 50..write [I'm a horrible person.

]