| Have you ever: |
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1) Self-harmed?
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2) Gotten into a real fight?
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3) Been too depressed to move out of your bed?
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4) Tried to commit suicide?
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5) Had to lie to everyone about how you felt?
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6) Watched an entire season of a TV show in one sitting?
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7) Talked yourself out of serious trouble?
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8) Accused someone of using you?
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9) Shoplifted?
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10) Gotten drunk/high?
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11) Been to a concert where your favourite artist was playing?
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12) Skipped doing homework to play a video game?
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| Right now, are you: |
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13) Suicidal?
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14) Bored?
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15) Avoiding someone?
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16) Avoiding some task?
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17) Depressed?
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18) Crying?
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19) Annoyed with a friend?
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20) Worried and confused about something important to you?
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| Do you: |
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21) Get depressed easily?
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22) Get jealous/envious easily?
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23) Feel like listening to music can take your mind off things?
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24) Worry about messing about your relationships a lot?
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25) Try hard in all your classes at school?
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26) Go out drinking?
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27) Smoke cigarettes?
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28) Smoke weed?
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29) Do any hard drugs?
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30) If you said yes to 28 but no to 29, why?
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31) Believe in God/belong to a religion of your own free will?
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32) Avoid people you care about because you feel you will only hurt them?
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33) Agree that self-harm numbs emotional pain?
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34) Believe people deserve second chances?
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36) Think things will get better?
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37) Feel afraid that you have done wrong and will eventually be punished?
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38) Judge people who think differently to you?
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| Preference in boyfriend/girlfriend: |
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39) Long hair or short hair?
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40) Nice smile or nice abs?
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42) Shy or open?
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43) Eyes or body?
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44) Religious or non-religious?
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45) Caring or non-restricting of you?
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47) Piercings or no piercings?
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48) Tattoos or no tattoos?
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49) Quiet stay-at-home type or party type?
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50) Has friends you get along with or has parents you get along with?
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| Would you: |
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51) Drink alcohol until you were drunk?
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52) Smoke weed?
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53) Smoke cigarettes?
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54) Get even with someone who betrayed you?
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55) Forgive a boyfriend/girlfriend who deeply hurt you?
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56) Attempt to kill yourself if everything fails you?
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57) Keep your faith no matter what?
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58) Join a band as a part-time activity?
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59) Feel sorry for someone who is being affected negatively from alcohol/drug abuse?
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60) Stand up for your beliefs if someone goes against them?
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61) Go vegetarian for a month to see what it's like?
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62) Fight someone who was harassing your friends/family?
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63) Edit photos of yourself before posting them online?
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64) Put up with friends who constantly hated against something you believed in/supported?
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66) Not like someone simply because your friend didn't like them?
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67) Lie to someone close to you because you don’t want them put up with your problems?
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68) Starve yourself so you fit some certain clothes?
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69) Get surgery on any part of you? If yes, then which part of you?
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70) Sleep naked? |
