HAVE YOU BROKEN OR DISLOCATED:
[ ] Your arm
[ ] Your leg
[ ] You shoulder
[ ] Your hip
[ ] Your knee
[x] A finger(s) [...I think it was dislocated anyway. o.o]
[ ] Toes
[ ] Back
[ ] Had a hard time because of them
[ ] Had someone leave because of them.

Total: 1

HAVE YOU EVER:
[x] Had your heart broken
[x] Had someone close to you die
[x] Had to hurt someone you loved
[x] Wanted to hurt someone you loved
[x] Hurt someone else for someone you loved
[x] Broken down
[x] Been betrayed
[x] Betrayed someone
[x] Been afraid to ask for help
[x] Asked for help, but was turned away

[x] Lied to hurt someone
[x] Lied to protect someone
[x] Lied to a friend
[ ] Lied to a lover
[x] Lied to an enemy
[x] Felt unbelievably guilty
[x] Had that guilt trouble you for a long time
[x] Accidentally caused someone injury
[x] Caused someone you love injury [I was three years old! I swear I didn't mean to break her toe! T.T ]
[ ] Caused someone you love's death.
Total: 19

HOW MANY SCARS DO YOU HAVE? (Check off each one that applies)
[ ] 1 or 2
[x] 5 or so
[ ] 10 or so
[ ] 15 or so
[ ] at least 25
[ ] at least 40
[ ] 40-60
[ ] 60-80
[ ] 80-100
[ ] More then 100
Total: 20

HAVE YOU:
[x] Hit something out of anger
[ ] Hit someone out of anger
[ ] Hit something to cause yourself pain
[x] Hit something to cause yourself pain to distract from other pain
[ ] Cut yourself once, to try
[ ] Cut yourself more then once
[ ] Pierced anything to distract you
[ ] Pierced several things to distract you
[x] Closed yourself off with a series or book to distract yourself
[x] Closed yourself off for days on end to distract yourself.
Total: 24

HAS ANYONE:
[x] Laughed at you
[x] Abandoned you
[x] Turned their back on you
[x] Ignored you
[x] Stabbed you in the back
[x] Been two faced with you
[x] Intentionally hurt you
[ ] Left you for someone else
[ ] Used you
[ ] Used you then ditched you
Total: 31

HAVE YOU:
[x] Used someone
[ ] Used someone then ditched them
[ ] Abandoned someone
[x] Turned your back on someone
[x] Turned your back on someone who was depending on you
[ ] Left someone for another person
[x] Pushed someone away
[x] Pushed them away out of fear
[x] Pushed them away out of anger
[x] Pushed them away 'for their own good'.
Total: 39

HAVE YOU:
[x] Tried to change yourself for someone else
[x] Unsuccessfully
[x] Had someone push you away
[x] Because they thought it would be better for you
[x] Fallen for someone who didn't return the feelings.
[x] Been jealous of someone
[x] Pined over someone
[ ] For more then a year
[ ] For more then 5 years
[x] Fallen for someone who 'couldn't' return the feelings.
Total: 47

ARE YOU:
[x] Ever depressed
[ ] For more then a week
[ ] More then a month
[ ] Miserable, consistantly
[x] Afraid of commitment
[x] Worried about the future
[x] Apathetic
[x] Nostalgic
[x] Broken (In your opinion)
[ ] Unfixable (In your opinion)
Total: 53

DO YOU:
[x] Think about your past
[ ] Longingly
[x] Wish you could change something you've done
[x] Wish you could change something big you've done
[x] Obsess
[x] Obsess about people
[ ] Obsess to escape
[x] Get lost in your imagination
[x] Fantasize about your life being different
[ ] Truly wish it WAS different
Total: 60

Total= 60% damaged.