1. smoked.[x]
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.[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.[x]
9. bought porn.[ ]
10. tried drugs.[ ]
TOTAL: 6

1. taken painkillers.[ ]
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. felt hurt.[ ]
8. hurt someone.[ ]
9. wished someone to die.[x]
10. seen someone die.[
TOTAL: 10

1. missed curfew.[ ]
2. stayed out all night.[x]
3. eaten a carton of ice cream by yourself.[ ]
4. been to a therapist.[x]
5. been to rehab[ ]
6. dyed your hair.[x]
7. received a ticket.[ ]
8. been in an accident.[ ]
9. been to a club.[ ]
10. been to a bar[ ]
TOTAL: 13

1. 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. sniffed anything. [x]
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: 18

1. dressed gothic.[ ]
2. dressed girly.[ ]
3. dressed punk.[ ]
4. dressed grunge.[ ]
5. stole something.[x]
6. been too drunk to remember anything.[ ]
7. blacked out.[ ]
8. fainted.[x]
9. had a crush on a neighbor.[ ]
TOTAL: 20

1. had a crush on a guy friend.[x]
2. been to a concert.[x]
3. dry-humped someone.[x]
4. been called a slut.[ ]
5. called someone a slut.[x]
6. installed speakers in your car.[ ]
7. broken a mirror.[]
8. showered at someone of the opposites sex's house[]
9. brushed your teeth with someone else's toothbrush.[x]
TOTAL: 25

1. consider/considered Ludacris your favorite rapper.[]
2. seen an R-rated movie in theater.[x]
3. cruised the mall.[x]
4. skipped school.[]
5. had surgery.[]
6. had an injury.[]
7. gone to court.[]
8. walked out of a restaurant without paying/tipping.[]
9. caught something on fire.[x]
10. lied about your age.[x]
TOTAL: 29

1. owned/rented an apartment/house.[]
2. broke the law in the police's presence.[]
3. made out with someone who had a gf/bf[]
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 harassed.[x]
10. been verbally harassed.[]
TOTAL: 31

1. met face-to-face with someone you met online.[]
2. stayed online for 5+ hours straight.[x]
3. talked on the phone for more than 4 hours straight.[x]
4. watched TV for 5 hours straight.[x]
5. been to a fair.[x]
6. been called a bad influence.[x]
7. drank and driven.[]
8. prank-called someone.[x]
9. laid on a couch with someone of the opposite sex.[x]
10. cheated on a test.[]
TOTAL: 37

Grand Total: 37

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"