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

1. [x] taken painkillers. 
2. [ ] taken someone else's prescription medicine.
3. [x] lied to your parents.
4. [x] lied to a friend.
5. [] snuck out of the house.
6. [x] done something illegal.
7. [x] felt hurt.
8. [x] hurt someone.
9. [x] wished someone to die.
10. [x] seen someone die.
TOTAL: 13

1. [x] missed curfew.
2. [x] stayed out all night.
3. [x] eaten a carton of ice cream by yourself.
4. [x] been to a therapist.
5. [ ] been to rehab
6. [x] dyed your hair.
7. [ ] received a ticket.
8. [x] been in an accident.
9. [x] been to a club.
10. [x] been to a bar
TOTAL: 20

1. [x] been to a wild party. 
2. [ ] been to a Mardi Gras parade.
3. [ ] drank more than three alcoholic beverages in a night.
4. [ ] had a spring break in Florida. 
5. [x] sniffed anything
6. [x] wore black nail polish
7. [x] wore arm bands.
8. [x] wore t-shirts with band names.
9. [x] listened to rap.
10. [ ] owned a 50 Cent CD.
TOTAL: 26

1. [x] dressed gothic.
2. [x] dressed girly. 
3. [x] dressed punk.
4. [x] dressed grunge.
5. [x] stole something.
6. [ ] been too drunk to remember anything.
7. [x] blacked out. 
8. [x] fainted.
9. [x] had a crush on a neighbor.
TOTAL: 34

1. [x] had a crush on a friend.
2. [ ] been to a concert.
3. [ ] been called a slut. 
4. [x] called someone a slut.
5. [ ] installed speakers in your car.
6. [x] broken a mirror.
7. [ ] showered at someone of the opposites sex's house. 
8. [x] brushed your teeth with someone else's toothbrush.
TOTAL: 38

1. [ ] consider/considered Ludacris your favorite rapper.
2. [x] seen an R-rated movie in theater.
3. [x] cruised the mall.
4. [x] skipped school.
5. [ ] had surgery.
6. [x] had an injury.
7. [ ] gone to court.
8. [ ] walked out of a restaurant without paying/tipping.
9. [x] caught something on fire.
10. [x] lied about your age. 
TOTAL: 44

1. [ ] owned/rented an apartment/house.
2. [x] broke the law in the police's presence.
3. [x] made out with someone who had a gf/bf
4. [x] got in trouble with the police.
5. [x] talked to a stranger. 
6. [x] hugged a stranger.
7. [ ] kissed a stranger.
8. [ ] rode in the car with a stranger.
9. [x] been harassed.
10. [x] been verbally harassed.
TOTAL: 51

1. [x] met face-to-face with someone you met online. 
2. [x] stayed online for 5+ hours straight.
3. [x] talked on the phone for more than 4 hours straight.
4. [x] watched TV for 5 hours straight.
5. [x] been to a fair.
6. [x] been called a bad influence.
7. [ ] drank and driven.
8. [x] prank-called someone.
9. [x] laid on a couch with someone of the opposite sex.
10. [x] cheated on a test.
TOTAL: 60

Grand Total: 60



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 very bad influence"
If you have more than 50, write "I'm a horrible person"
If you have more than 60, write "I should be in jail"
If you have more than 70, write "I should be dead"