HAVE YOU BROKEN OR DISLOCATED:
[ ] Your arm
[ ] Your leg
[ ] You shoulder
[ ] Your hip
[ ] Your knee
[v] A finger(s)-I still have the dent-
[ ] Toes
[ ] Back
[ ] Had a hard time because of them
[ ] Had someone leave because of them.
Total: 1/2

HAVE YOU EVER:
[x] Had your heart broken
[ ] 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
Total: 9 1/2

[x] Lied to hurt someone
[x] Lied to protect someone
[x] Lied to a friend
[x] 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
[ ] Caused someone you love's death.
Total: 19 1/2

HOW MANY SCARS DO YOU HAVE? (Check off each one that applies)
[x] 1 or 2
[x] 5 or so
[x] 10 or so
[ ] 15 or so
[ ] at least 25
[ ] at least 40
[ ] 40-60
[ ] 60-80
[ ] 80-100
[ ] More then 100
Total: 21 1/2

HAVE YOU:
[x] Hit something out of anger
[x] Hit someone out of anger
[x] Hit something to cause yourself pain
[x] Hit something to cause yourself pain to distract from other pain
[x] Cut yourself once, to try
[x] 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: 29 1/2

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
[x] Used you
[x] Used you then ditched you
Total: 38 1/2

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
[v] Left someone for another person (in a sense, yes)
[x] Pushed someone away
[x] Pushed them away out of fear
[ ] Pushed them away out of anger
[x] Pushed them away 'for their own good'.
Total: 45

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
[x] For more then a year
[x] For more then 5 years (I guess it really was that long ago...)
[x] Fallen for someone who 'couldn't' return the feelings.
Total: 55

ARE YOU:
[x] Ever depressed
[x] For more then a week
[x] More then a month
[x] Miserable, consistantly
[x] Afraid of commitment
[x] Worried about the future
[x] Apathetic
[x] Nostalgic
[x] Broken (In your opinion)
[x] Unfixable (In your opinion)
Total: 65

DO YOU:
[x] Think about your past
[x] 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
[x] Obsess to escape
[x] Get lost in your imagination
[x] Fantasize about your life being different
[x] Truly wish it WAS different
Total: 75

Percent Damaged: 75%

25 more and I'll be really up a creek >.>