Put an [X] next to everything that you've done

If you have over 45 X's, you're a bad influence.


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

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 [ ]
7. cut yourself [ ]
8. hurt someone [x]
9. wished someone to die [ ]
10. seen someone die [ ]
TOTAL: 5

1. missed curfew [ ]
2. stayed out all night [ ]
3. eaten a carton of ice cream by yourself [ ]
4. been to a therapist [ ]
5. been to rehab [ ]
6. dyed your hair [ ]
7. received a ticket [ ]
8. been in an accident [x]
9. been to a club [ ]
10. been to a bar [x]
T0TAL: 2

1. been to a wild party [x]
2. seen the Mardi Gras [ ]
3. drank more than four beers in a night [x]
4. had a spring break in Florida [ ]
5. sniffed anything [ ]
6. wore black nail polish [ ]
7. wore arm band [ ]
8. wore t-shirts with band names [ ]
9. listen to rap [ ]
10. own a 50 Cent CD [ ]
TOTAL: 2

1. dressed gothic [ ]
2. dressed prep [x]
3. dressed punk [x]
4. dressed grunge [x]
5. stole something [ ]
6. been too drunk to remember anything [x]
7. blacked out [ ]
8. fainted [x]
9. had a crush on your neighbor [ ]
10. had someone sneak into your room [x]
TOTAL: 6

1. snuck into someone else's room [ ]
2. had a crush on your close friend [ ]
3. been to a concert [ ]
4. dry-humped someone [ ]
5. been called a slut [ ]
6. called someone a slut [x]
7. installed speakers in your car [ ]
8. broken a mirror [ ]
9. showered at someone house of the opposites sex [ ]
10. brushed your teeth with someone else's toothbrush [x]
TOTAL: 2

1. consider/considered Ludacris your favorite rapper [ ]
2. seen an R-rated movie in theater [x]
3. cruised the mall [x]
4. skipped school [x]
5. had surgery [x]
6. had an injury [x]
7. gone to court [ ]
8. walked out of a restaurant without paying [ ]
9. caught something on fire [ ]
10. lied about your age [x]
TOTAL:6

1. owned an apartment [ ]
2. broke the law in the police's presence [ ]
3. cheated with someone [ ]
4. got in trouble with the police [ ]
5. talked to a stranger [x]
6. hugged a stranger [ ]
7. kissed a stranger [ ]
8. rode in the car with a stranger [ ]
9. been harrassed [x]
10. been verbally harrassed [x]
TOTAL:3

1. met face-to-face with someone you met online [x]
2. stayed online for 12 hours straight [ ]
3. talked on the phone for more than 4 hours straight [x]
4. watched TV for 12 hours straight [ ]
5. been to a fair [x]
6. been called a bad influence [ ]
7. drink and drive [ ]
8. prank-called someone [x]
9. laid on a couch with someone of the opposite sex [x]
10. cheated on a test [x]
TOTAL:6

1. cheated on homework [x]
2. held hands with someone of the same sex [ ]
3. been pushed into a pool [x]
4. played pool [x]
5. watched 5 hours of MTV straight [ ]
6. had a crush on someone 5 years older than you [ ]
7. had a crush on someone younger than you [x]
8. worn eyeliner [ ]
9. skinny-dipped [ ]
10. laughed at a retarded person in a wheelchair [ ]
TOTAL:4

Total: 38 Good Influence?

Starting Time: 10:53 PM
Name: James

Sisters: 1
Brothers: 2
What are you wearing? My hoodie with squares kinda on it and my skinny jeans + my Jack the Pumkin King Gloves =]
Favorite Number: 8

Favorite Alcoholic drink: Bourbon & Cola
Favorite Month: November
Favorite Breakfast: Weetbix. What Kiwi kids are =]

***********Have You Ever*****************

Loved someone so much who made you cry? Yeah sadly

Broken a bone: Nope, not yet

Been in a police car? No way

Been on a boat? Sure have

Came close to dying: Kinda

Been in a hot tub: Yeah

Swam in the ocean: Yep

Fallen asleep in school: I sure have haha

Broken someone's heart: I sure hope not

Cried when someone died: Yeah.

Fell off your chair: Yeah I have. Ended up with a sore neck for the rest of the day.

Sat by the phone all night waiting for someone to call: Nope

Saved emails: Yeah

Been cheated on: I'm not sure
***********What is-****************

Your room like? Could do with a lil tidy up

What's right beside you? My Harmonica, glasses, remote

What is the last thing you ate? Ham and Potatoe

--------------------------Ever Had-----------------------------

Chicken pox: Yeah

Sore throat: Plenty

Stitches: Once or twice

Broken nose: Nope. Nearly though


-------------------Do You------------------------------------

Like picnics? Yeah, they can be fun

Like School? Kinda
------------------------Questions-------------------------------

Who was the last person you danced with? Nobody :\

Who makes you smile?: Somebody...

--------------------------Who-----------------------------------

Did you last yell at: My brother, he came in trying to tell me what to do.

Do you like filling these out? Well, it keeps the boredom away I guess

Do you like yourself? Kind of

-------------------Final Questions---------------------------

What are you listening to right now? Red Hot Chili Peppers - Desecration Smile

Hated someone in your family? Nope, not really

What car/truck do you wish to have? I don't know yet

Good singer: Around average

Diamond or Pearl: Diamond

Indoors or Outdoors: Indoors

----------------------------Today did you-----------------------

1. Talk to someone you like? Yep

Question 2. Where's question 2?

3. Get sick? Alot

4. Sing: Sometimes haha

5. Talked to an ex: Nope

6. Miss someone: I'm not sure

--------------------------Last person who-----------------------

7. Was in your bed (besides you): Nobody

8. You talked to on the phone? My Uncle John

9. Made you cry? Not sure

10. Went to the movies with? My mate I think

11. Went to the mall with you? Hayley

12. Been to Europe: Nope. Would like to go though

13. Been to Hawaii: Nope

14. Been to Russia: I'd like to

15. Been to the Bahamas Nope

18. Been to Mexico: Nah

19. Been to Canada: Nah but I'd like to go there too

20. Been to Africa: Nah

----------------Random-----------------------

21. Do you like someone at the moment: I believe I do

22. What books are you reading right now: None at the moment

23. Best feeling in the world: Love

24. Future kids names: I don't know yet

25. Do you sleep with a stuffed animal: I think he's long gone now

26. What's under your bed? A box

27. What do you think of hunters? They hunt too much

28. Like fishing? Only when you catch something haha

30. Favorite location? Rotarura isn't too bad

32. Who do you really hate? Nobody I think

33. Do you have a job? Nah not yet

35. Ever liked someone you thought you didn't have a chance with? Yep

37. Are you lonely right now: Yeah

Time Finished: 11:20 PM, gee took long enough

Copy and paste the below and fill it in.

What Would You Do If...
I said I liked you:
I hugged you:
I lived next door to you:
I started smoking:
I stole something:
I was hospitalized:
I ran away from home:
I committed suicide:

What Do You Think About My...
Personality:
Eyes:
Hair:
Body:

Would You...
Hook up with me?
Use me?
Mess with me?
Be my friend?
Keep a secret if I told you one?
Hold my hand?
Take a bullet for me?
Try and solve my problems?
Love me?
Date me?

Have You Ever...
Lied to make me feel better?
Wanted to kiss me?
Wanted to kill me?
Broke my heart?
Kept something important from me?