Journals17
Newest
Interesting facts. and sleep deprived
8 min read
If you can't get through it, you're too scared about the truth.
Would you kiss the last person you kissed again?
yes.
Are you crushing on someone?
yes.
Have you ever liked someone so much that it hurt?
yes..
Have you ever made a boyfriend or girlfriend cry?
maybe, i don't remember.
Are you happier single or in a relationship?
either or. currently happy, in a relationship.
Have you ever told someone you loved them and didn't mean it?
yes.
Have you ever had your heart broken?
torn, crushed and scattered.
Have you ever broken someone's heart?
i hope not.
Talk to any of your exes?
yes.
If you could go back in time and change things, would you?
some things.
Think any of your exes feel the same?
i don't know.
Do you believe that you are a good boyfriend or girlfriend?
i'm affectionate and i stay faithful.. but i have terrible trust issues and depression is really hard to deal with while you're in a relationship.
Do you believe everyone deserves a second chance?
depends.
Do you want to get married?
yes.
Ever liked someone else's boyfriend or girlfriend?
yes.
Have you told anyone you'd marry them?
yes..
How many times have you really truly been in love?
i'm not sure.. i have yet to realize
Do you think you'll wind up with the person your dating now?
couldn't tell ya.
Would you spend the rest of your life with your current partner?
most likely. yes.
-------------------------
Have you ever:
1) Self harmed?
*holds up arms* yep.
2) Got into a real fight?
of course.
3) Been too depressed to move out of your bed?
yes..
4) Tried to commit suicide?
yes.
5) Had to lie to EVERYONE about how you felt?
"i'm fine."
6) Watched an entire season of a TV show in one sitting?
of course.
7) Talked yourself out of serious trouble?
yes.
8) Accused someone of using you?
yes. proven correct.
9) Shoplifted?
nope.
10) Gotten drunk/high?
of course.
11) Been to a concert where your favourite artist was playing?
yes.
12) Skipped doing homework to play a video game?
of course.
(Right now) Are you:
13) Suicidal?
well..
14) Bored?
no.
15) Avoiding someone?
yes..
16) Avoiding some task?
sleep.
17) Depressed?
oh yeah..
18) Crying?
was.
19) Annoyed with a friend?
big time.
20) Worried and confused about something important to you?
ooooh yes..
Do you:
21) Get depressed easily?
yes.
22) Get jealous/envious easily?
i guess.. not really.
23) Feel listening to music can take your mind off things?
yes.
24) Worry about messing about your relationships a lot?
yes..
25) Try hard in all your classes at school?
no.
26) Go out drinking?
yes.
27) Smoke cigarettes?
socially/occasionally
28) Smoke weed?
socially/occasionally
29) Do any hard drugs?
i have
30) If you said yes to 28 but no to 29, Why?
~
31) Believe in God/Belong to a religion of your own free will?
no.
32) Avoid people you care about because you feel you will only hurt them?
of course.
33) Agree that self harm numbs emotional pain?
in some cases. everyone's different and has a different story.
34) Believe people deserve second chances?
depends.
35) Agree with 'An eye for an eye, a tooth for a tooth'? (ignoring the religious relation to that saying)
..sure..
36) Think things will get better?
one day.
37) Feel afraid that you have done wrong and will eventually be punished?
yes.
38) (be honest) Do you judge people who think differently to you? (seriously, be honest)
honestly. no. never.
Preference in boyfriend/girlfriend:
39) Long hair OR short hair?
Boy: doesn't matter.
Girl: doesn't matter.
40) (For Girls one) nice smile OR nice abs?
smile.
41) (For Guys one) nice smile OR nice chest?
smile.
42) Shy OR open?
open, but not obnoxious.
43) Eyes OR body?
it doesn't matter.
44) Religious OR non-religious?
non religious.
45) Caring OR non-restricting of you?
caring.
46) Straight edge OR non-straight edge?
it doesn't matter.
47) Piercing OR no piercing?
preferably piercings, but it wouldn't matter.
48) Tattoos OR no tattoos?
preferably tattoos, but it still wouldn't matter.
49) Quiet stay-at-home type OR party type?
stay at home but party on occasion.
50) Has friends you get along with OR has parents you get along with?
friends.
Would you:
51) Drink alcohol until you were drunk?
yes.
52) Smoke weed?
yes.
53) Smoke cigarettes?
..yes..
54) Get even with someone who betrayed you?
it depends.
55) Forgive a boyfriend/girlfriend who deeply hurt you?
no.
56) Attempt to kill yourself if everything fails you?
who knows.. it's impossible to tell.
57) Keep your faith (any religious view) no matter what?
no.
58) Join a band as a part time activity?
yes, if i could play an instrument or sing/scream..
59) Feel sorry for someone who is being affected negatively from alcohol/drug abuse?
depends on their previous reasoning/situation.
60) Stand up for your beliefs if someone strongly goes against them?
yes. but not to start a debate/argument about it.
61) Go vegetarian for a month to see what is was like?
yes.
62) Fight someone who was harassing your friends/family?
of course.
63) Edit photos of yourself before posting them online?
sometimes. depends.
64) Put up with friends who constantly hated against something you believed in/supported?
no.
65) Be friends with someone who was nice to you, but is rude to other people?
maybe.
66) Not like someone simply because your friend(s) didn't like them?
usually, yes. but if my friends had an actual reason to be disliking them then i'd have to get to know the person then decide for myself.
67) Lie to someone close to you because you don't want them put up with your problems?
yes.
68) Starve yourself so you fit some certain clothes?
..yes
69) Get surgery on any part of you? If yes then which part of you?
no.
70) Sleep naked?
maybe.
You can only choose one:
71) Black or Orange?
black.
72) Metalcore OR Post-Hardcore?
not doing to choose.
73) Cellphone or Computer?
computer.
74) Chocolate milk OR Coke?
chocolate milk, duh.
75) Internet OR Friends?
not going to choose.
76) Apple OR PC?
apple. even though i have a pc.
77) TV Shows OR Movies?
shows.
78) Old bands OR new Bands?
old bands.
79) Pop-Punk OR Alternative Rock?
not going to choose.
80) Reading OR Listening to music?
listening to music.
81) Coke OR Pepsi? Define your reason for your choice.
coke. i just don't like pepsi..
82) Staying who you are OR changing yourself drastically?
i couldn't decide, there are defiantly some things i'd change drastically.
83) Breakdown OR Clean vocal bridge?
breakdown.
84) Jonny Craig OR Kellin Quinn? Define your reason for your choice.
kellin quinn.. because he's kellin quinn.
85) Ronnie OR Craig? Define your reason for your choice.
ronnie. craig fucked ronnie over in one of the worst ways possible. self explanatory.
86) Your life as a comedy OR Your life as a documentary?
documentary.
87) Go to outer space OR Go all around Europe?
europe..
88) Shoes OR Shirts?
shirts.
89) Chelsea Grin OR Suicide Silence?
both! c:
90) Drop out of school to get a job OR stay at school and finish your education?
..honestly, drop out to get a job..
91) So far have you told 90 truths? And for fuck sake be honest.
yes.
92) Are you quiet about your social life with your family?
ohhhh yes...
93) Do you want to travel when you are older?
yes.
94) Would you let go of people who mean the most to you to follow your dreams?
depends on which dream. but most-likely no..
95) Did you notice there are no sex related questions?
no..
96) Rather be the opposite gender?
Penises are weird. I like my breasts and vagina.
97) What will you name your son/daughter?
son: cody, mathias, oliver, shawn, austin.
daughter: shiloh, katherine, shaylee, ailene.
98) Do you get harassed more than most people do?
pretty much.
99) What band do you hate the most? Define your reason.
brokencyde because they sound like shit and they have literally not one meaningful song. not one.
100) What makes you a bad person in your mind?
a lot of things~
Would you kiss the last person you kissed again?
yes.
Are you crushing on someone?
yes.
Have you ever liked someone so much that it hurt?
yes..
Have you ever made a boyfriend or girlfriend cry?
maybe, i don't remember.
Are you happier single or in a relationship?
either or. currently happy, in a relationship.
Have you ever told someone you loved them and didn't mean it?
yes.
Have you ever had your heart broken?
torn, crushed and scattered.
Have you ever broken someone's heart?
i hope not.
Talk to any of your exes?
yes.
If you could go back in time and change things, would you?
some things.
Think any of your exes feel the same?
i don't know.
Do you believe that you are a good boyfriend or girlfriend?
i'm affectionate and i stay faithful.. but i have terrible trust issues and depression is really hard to deal with while you're in a relationship.
Do you believe everyone deserves a second chance?
depends.
Do you want to get married?
yes.
Ever liked someone else's boyfriend or girlfriend?
yes.
Have you told anyone you'd marry them?
yes..
How many times have you really truly been in love?
i'm not sure.. i have yet to realize
Do you think you'll wind up with the person your dating now?
couldn't tell ya.
Would you spend the rest of your life with your current partner?
most likely. yes.
-------------------------
Have you ever:
1) Self harmed?
*holds up arms* yep.
2) Got into a real fight?
of course.
3) Been too depressed to move out of your bed?
yes..
4) Tried to commit suicide?
yes.
5) Had to lie to EVERYONE about how you felt?
"i'm fine."
6) Watched an entire season of a TV show in one sitting?
of course.
7) Talked yourself out of serious trouble?
yes.
8) Accused someone of using you?
yes. proven correct.
9) Shoplifted?
nope.
10) Gotten drunk/high?
of course.
11) Been to a concert where your favourite artist was playing?
yes.
12) Skipped doing homework to play a video game?
of course.
(Right now) Are you:
13) Suicidal?
well..
14) Bored?
no.
15) Avoiding someone?
yes..
16) Avoiding some task?
sleep.
17) Depressed?
oh yeah..
18) Crying?
was.
19) Annoyed with a friend?
big time.
20) Worried and confused about something important to you?
ooooh yes..
Do you:
21) Get depressed easily?
yes.
22) Get jealous/envious easily?
i guess.. not really.
23) Feel listening to music can take your mind off things?
yes.
24) Worry about messing about your relationships a lot?
yes..
25) Try hard in all your classes at school?
no.
26) Go out drinking?
yes.
27) Smoke cigarettes?
socially/occasionally
28) Smoke weed?
socially/occasionally
29) Do any hard drugs?
i have
30) If you said yes to 28 but no to 29, Why?
~
31) Believe in God/Belong to a religion of your own free will?
no.
32) Avoid people you care about because you feel you will only hurt them?
of course.
33) Agree that self harm numbs emotional pain?
in some cases. everyone's different and has a different story.
34) Believe people deserve second chances?
depends.
35) Agree with 'An eye for an eye, a tooth for a tooth'? (ignoring the religious relation to that saying)
..sure..
36) Think things will get better?
one day.
37) Feel afraid that you have done wrong and will eventually be punished?
yes.
38) (be honest) Do you judge people who think differently to you? (seriously, be honest)
honestly. no. never.
Preference in boyfriend/girlfriend:
39) Long hair OR short hair?
Boy: doesn't matter.
Girl: doesn't matter.
40) (For Girls one) nice smile OR nice abs?
smile.
41) (For Guys one) nice smile OR nice chest?
smile.
42) Shy OR open?
open, but not obnoxious.
43) Eyes OR body?
it doesn't matter.
44) Religious OR non-religious?
non religious.
45) Caring OR non-restricting of you?
caring.
46) Straight edge OR non-straight edge?
it doesn't matter.
47) Piercing OR no piercing?
preferably piercings, but it wouldn't matter.
48) Tattoos OR no tattoos?
preferably tattoos, but it still wouldn't matter.
49) Quiet stay-at-home type OR party type?
stay at home but party on occasion.
50) Has friends you get along with OR has parents you get along with?
friends.
Would you:
51) Drink alcohol until you were drunk?
yes.
52) Smoke weed?
yes.
53) Smoke cigarettes?
..yes..
54) Get even with someone who betrayed you?
it depends.
55) Forgive a boyfriend/girlfriend who deeply hurt you?
no.
56) Attempt to kill yourself if everything fails you?
who knows.. it's impossible to tell.
57) Keep your faith (any religious view) no matter what?
no.
58) Join a band as a part time activity?
yes, if i could play an instrument or sing/scream..
59) Feel sorry for someone who is being affected negatively from alcohol/drug abuse?
depends on their previous reasoning/situation.
60) Stand up for your beliefs if someone strongly goes against them?
yes. but not to start a debate/argument about it.
61) Go vegetarian for a month to see what is was like?
yes.
62) Fight someone who was harassing your friends/family?
of course.
63) Edit photos of yourself before posting them online?
sometimes. depends.
64) Put up with friends who constantly hated against something you believed in/supported?
no.
65) Be friends with someone who was nice to you, but is rude to other people?
maybe.
66) Not like someone simply because your friend(s) didn't like them?
usually, yes. but if my friends had an actual reason to be disliking them then i'd have to get to know the person then decide for myself.
67) Lie to someone close to you because you don't want them put up with your problems?
yes.
68) Starve yourself so you fit some certain clothes?
..yes
69) Get surgery on any part of you? If yes then which part of you?
no.
70) Sleep naked?
maybe.
You can only choose one:
71) Black or Orange?
black.
72) Metalcore OR Post-Hardcore?
not doing to choose.
73) Cellphone or Computer?
computer.
74) Chocolate milk OR Coke?
chocolate milk, duh.
75) Internet OR Friends?
not going to choose.
76) Apple OR PC?
apple. even though i have a pc.
77) TV Shows OR Movies?
shows.
78) Old bands OR new Bands?
old bands.
79) Pop-Punk OR Alternative Rock?
not going to choose.
80) Reading OR Listening to music?
listening to music.
81) Coke OR Pepsi? Define your reason for your choice.
coke. i just don't like pepsi..
82) Staying who you are OR changing yourself drastically?
i couldn't decide, there are defiantly some things i'd change drastically.
83) Breakdown OR Clean vocal bridge?
breakdown.
84) Jonny Craig OR Kellin Quinn? Define your reason for your choice.
kellin quinn.. because he's kellin quinn.
85) Ronnie OR Craig? Define your reason for your choice.
ronnie. craig fucked ronnie over in one of the worst ways possible. self explanatory.
86) Your life as a comedy OR Your life as a documentary?
documentary.
87) Go to outer space OR Go all around Europe?
europe..
88) Shoes OR Shirts?
shirts.
89) Chelsea Grin OR Suicide Silence?
both! c:
90) Drop out of school to get a job OR stay at school and finish your education?
..honestly, drop out to get a job..
91) So far have you told 90 truths? And for fuck sake be honest.
yes.
92) Are you quiet about your social life with your family?
ohhhh yes...
93) Do you want to travel when you are older?
yes.
94) Would you let go of people who mean the most to you to follow your dreams?
depends on which dream. but most-likely no..
95) Did you notice there are no sex related questions?
no..
96) Rather be the opposite gender?
Penises are weird. I like my breasts and vagina.
97) What will you name your son/daughter?
son: cody, mathias, oliver, shawn, austin.
daughter: shiloh, katherine, shaylee, ailene.
98) Do you get harassed more than most people do?
pretty much.
99) What band do you hate the most? Define your reason.
brokencyde because they sound like shit and they have literally not one meaningful song. not one.
100) What makes you a bad person in your mind?
a lot of things~
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for..fun?
3 min read
Strike out everything you've done
Had Beer
xSmoked an entire cigarette
xDone drugs.
Writen on a bathroom wall.
Read a George Orwell book.
xHad a physical fight.
xUsed Twitter.
xListened to Lady Gaga
Been in a car accident.
xGotten suspended.
Gotten expelled.
Been allergic to something.
xGot a computer virus.
xTouched a real gun.
xHad a dog.
xHad a cat.
Been pregnant.
xCamped out
xSwam in the ocean.
xWore a bikini.
Driven a car
xBeen sent to the principal.
xEver liked someone.
xFailed a class.
xFailed a test.
Went to summer school.
xGot worse than a D
xGot A's and B's.
xRead an entire book.
Recorded my own music.
xHad an xbox.
Worn heels more than 3 days in a row.
xWore fishnets.
xWore skinny jeans.
xxxHated someone.
xxxxxBeen cheated on.
Cheated on someone.
Practiced Christianity/Catholicism.
xWorn makeup.
xLied to my parents about where I was going.
xHad surgery.
Had my license.
Been to college.
Graduated high school.
xAttempted suicide.
xxSelf harmed.
xWorn colored contacts.
Painted my nails black.
Broken someone's heart.
xHad my heart broken.
xxxxxxCried for an hour straight.
xxxxxxxxxxxxxxxxxxxxxxxxxxxLost something very valuable.
Got separated from one of my parents as a kid.
xBroke a bone.
Gotten stung by a bee
Eaten something bad/expired.
xxxxxxxxxxxxxThrew up from being so drunk.
xSaw someone throw up from being so drunk.
xDanced with someone of the same sex.
xOwned an ipod
xxxxxxDanced with someone of the opposite sex.
Owned an iphone.
xxFell for a best friend.
Stole a friend's significant other.
xWent far away from home for more than a week.
Moved out.
Ran away.
Had a job.
Been fired.
xLied to a friend.
xLied to a family member.
xHad a Facebook.
xPosted a video on Youtube.
Started a rumor about someone.
xTalked bad about someone.
Dropped out of school.
xDeliberately failed a test.
xLOLBeen skinny dipping.
Counted to a million.
xCounted to a thousand.
Ate rabbit meat.
Ate duck meat.
xHad fast food.
....xBeen to Church.
Been to Canada.
Been married.
Had a divorce.
xBroke a glass.
Hugged someone today.
xTexted someone today.
Received a phone call today.
Threw something out of the window.
xIgnored a text from someone on purpose.
xxxxxxWish you were somebody else
xxxxxxxxxxxxxxxxxxxxxxHad my feelings hurt by a friend and never told them.
xKissed someone
x
Been to a concert
xxxxxxxSeen your favorite band live
xxMet a celebrity
xMet your favorite band
xOwn more than 10 CD's
Had Beer
xSmoked an entire cigarette
xDone drugs.
Writen on a bathroom wall.
Read a George Orwell book.
xHad a physical fight.
xUsed Twitter.
xListened to Lady Gaga
Been in a car accident.
xGotten suspended.
Gotten expelled.
Been allergic to something.
xGot a computer virus.
xTouched a real gun.
xHad a dog.
xHad a cat.
Been pregnant.
xCamped out
xSwam in the ocean.
xWore a bikini.
Driven a car
xBeen sent to the principal.
xEver liked someone.
xFailed a class.
xFailed a test.
Went to summer school.
xGot worse than a D
xGot A's and B's.
xRead an entire book.
Recorded my own music.
xHad an xbox.
Worn heels more than 3 days in a row.
xWore fishnets.
xWore skinny jeans.
xxxHated someone.
xxxxxBeen cheated on.
Cheated on someone.
Practiced Christianity/Catholicism.
xWorn makeup.
xLied to my parents about where I was going.
xHad surgery.
Had my license.
Been to college.
Graduated high school.
xAttempted suicide.
xxSelf harmed.
xWorn colored contacts.
Painted my nails black.
Broken someone's heart.
xHad my heart broken.
xxxxxxCried for an hour straight.
xxxxxxxxxxxxxxxxxxxxxxxxxxxLost something very valuable.
Got separated from one of my parents as a kid.
xBroke a bone.
Gotten stung by a bee
Eaten something bad/expired.
xxxxxxxxxxxxxThrew up from being so drunk.
xSaw someone throw up from being so drunk.
xDanced with someone of the same sex.
xOwned an ipod
xxxxxxDanced with someone of the opposite sex.
Owned an iphone.
xxFell for a best friend.
Stole a friend's significant other.
xWent far away from home for more than a week.
Moved out.
Ran away.
Had a job.
Been fired.
xLied to a friend.
xLied to a family member.
xHad a Facebook.
xPosted a video on Youtube.
Started a rumor about someone.
xTalked bad about someone.
Dropped out of school.
xDeliberately failed a test.
xLOLBeen skinny dipping.
Counted to a million.
xCounted to a thousand.
Ate rabbit meat.
Ate duck meat.
xHad fast food.
....xBeen to Church.
Been to Canada.
Been married.
Had a divorce.
xBroke a glass.
Hugged someone today.
xTexted someone today.
Received a phone call today.
Threw something out of the window.
xIgnored a text from someone on purpose.
xxxxxxWish you were somebody else
xxxxxxxxxxxxxxxxxxxxxxHad my feelings hurt by a friend and never told them.
xKissed someone
x
Been to a concertxxxxxxxSeen your favorite band livexxMet a celebrity
xMet your favorite bandxOwn more than 10 CD's
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my birthday!
1 min read
so today's my birthday, and i already feel bad.. lol. evey time someone gives me ANY kind of "gift", i feel bad. like they shouldn't have gotten me anything... xD
but no, i got my nose pierced! and a new phone, and new dance paws.
sohappy nananana
but no, i got my nose pierced! and a new phone, and new dance paws.
sohappy nananana
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I am 55.5% happy.
2 min read
[ ] You have a boyfriend/girlfriend
[x] You have your own room.
[X] You own a cell phone.
[X] You have an ipod/ mp3 player.
[x] Your parents are still married.
[/] You have more than 2 best friends.
[x] There is a swimming pool in your backyard
T 0 T A L: 5.5
[X] You dress how you want to.
[ ] You hang out with friends more than once a week.
[X] There is a computer/ laptop in your room.
[ ] You have never been beaten up.
[ ] You never cry more than twice a month.
[X] You are allowed to listen to the music you want to.
[x] Your room is big enough for you.
[ ] People don't use you for something you have.
[x] You have been to a concert.
T 0 T A L:10.5
[x] You have over 50 friends on facebook.
[x]Your parents let you have a facebook.
[ ] You get allowance.
[ ] You collect something normal.
[ ] You look forward to going to school.
[ ] You don't wish you were someone else.
[x] You play a sport.
[ ] You do something after school.
T 0 T A L: 13.5
[ ] You own a car.
[ ] You usually don't fight with your parents.
[ ] You are happy with your appearance.
[ ] You aren't self-conscious at all.
[ ] You have never got a failing grade in your life.
[X] You have friends IRL.
T 0 T A L: 14.5
[ ] You know what is going on in the world.
[x] You care about so many people.
[lolno] You are happy with your life.
[ ] You know more than one language.
[X] You have a screen name.
[X] You own a pet.
[x] You know the words to 5 songs
[ ] You don't have any enemies.
[ ] You are a generally nice person.
T O T A L: 18.5
Now count your numbers and multiply by three.
Then title this journal "My life is __% Happy"
[x] You have your own room.
[X] You own a cell phone.
[X] You have an ipod/ mp3 player.
[x] Your parents are still married.
[/] You have more than 2 best friends.
[x] There is a swimming pool in your backyard
T 0 T A L: 5.5
[X] You dress how you want to.
[ ] You hang out with friends more than once a week.
[X] There is a computer/ laptop in your room.
[ ] You have never been beaten up.
[ ] You never cry more than twice a month.
[X] You are allowed to listen to the music you want to.
[x] Your room is big enough for you.
[ ] People don't use you for something you have.
[x] You have been to a concert.
T 0 T A L:10.5
[x] You have over 50 friends on facebook.
[x]Your parents let you have a facebook.
[ ] You get allowance.
[ ] You collect something normal.
[ ] You look forward to going to school.
[ ] You don't wish you were someone else.
[x] You play a sport.
[ ] You do something after school.
T 0 T A L: 13.5
[ ] You own a car.
[ ] You usually don't fight with your parents.
[ ] You are happy with your appearance.
[ ] You aren't self-conscious at all.
[ ] You have never got a failing grade in your life.
[X] You have friends IRL.
T 0 T A L: 14.5
[ ] You know what is going on in the world.
[x] You care about so many people.
[lolno] You are happy with your life.
[ ] You know more than one language.
[X] You have a screen name.
[X] You own a pet.
[x] You know the words to 5 songs
[ ] You don't have any enemies.
[ ] You are a generally nice person.
T O T A L: 18.5
Now count your numbers and multiply by three.
Then title this journal "My life is __% Happy"
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idk.
4 min read
1. How old were you when you started self-harming?
Younger than 4
4-5
6-7
8-9
10-11
12-13 X
14-15
16-17
18-19
20-21
Older than 21
2. How often do you self-harm
More than once a day
Once a day
Several times a week X
Two or more times a month
Once a week
Once a month
Several times in a year
Once a year
I have stopped
I am trying to stop XXXXXXX
3. What method of self-harm do/did you primarily use?
Cutting X
Burning X
Hair-pulling
Scratching
Interference with the healing of wounds X
Hitting or bruising X
Bone breaking
Cutting and Scratching
Cutting and Burning
A combination of several of these methods
4. If You Self Harm What Sexual Orientation Are You?
Straight Male
Straight Female X
Bi-Sexual Male
Bi-Sexual Female
Homosexual Male
Homosexual Female
Transgender Male
Transgender Female
Questioning Male
Questioning Female
Prefer not to answer
5. Which Of These, If Any, Were Something You Struggle With Along With Self-harm?
Anorexia
Bulimia
Anorexia and Bulimia
Suicidal Ideation
Various Psychiatric Disorders (i.e. Bi-polar,Borderline Personality, OCD, Panic, Anxiety, PTSD, Dissociative, Impulse Control Etc.) X
Learning Disabilities
A Mixture of the Above X
None of the Above
6. Do You Think That You (as An Individual) Need Professional Help To Stop Self-harming?
Yes, The Only Way I Could Stop Is With Professional Help
No, I Have Stopped On My Own
No, I Have Stopped On My Own Though I Still Struggle Often And Sometimes Mess Up
I Have No Desire To Stop And Therefore Don't Need Professional Help
Yes, I Have Stopped With Professional Help
I don't think I could ever stop with or without Professional help X
7. Are You Trying To Stop Self Harming?
No, And I Don't Want To Stop Ever.
No, But I Would Like To Be Able To Stop.
Yes, But I Am Not Doing Very Well. XX
I Have Stopped But I Still Mess Up Every Once In A While.
I Am Completely Self-harm Free.
8. Does Anyone Know About Your Self Harm?
No. No One Knows.
Some People May Have A Vague Idea Of Something
Yes, But Only My Closest Friend(s)
Yes. But Only My Closest Family Member(s)
Yes, Some Friend(s) And Family Member(s) Know X
Yes, All (or Most Of) My Friends Know
Yes, All (or Most Of) My Family Knows
Yes, Most Of The People In My Life Know
9. How many years have you been self-harming?
1 or less years
2 years X
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 or more years
10. If You Self-harm, Were You Abused Or Neglected (either As A Child Or Later In Life)?
No
Yes, I Was Emotionaly Abused X
Yes, I Was Physicaly Abused
Yes, I Was Sexualy Abused
Yes, I Was Emotionaly And Physicaly Abused
Yes, I Was Physicaly And S*xualy Abused
Yes, I Was Sexualy And Emotionaly Abused
Yes, I Was Emotionaly, Physicaly And Sexualy Abused
Yes, I Was Neglected
Yes, I Was Neglected As Well As Being Abused
11. Would you label yourself as emo?
Yes
No X
12. Do others label you as emo?
Yes X
No X
13. What would you or others label you as? (chose all that apply)
Please select all that apply.
Prep
Goth
Emo
Punk
Nerd
Poser
Skater
Jock
Scene
Gangster
Other
I don't do labels. X
There aren't really any labels that fit me.
14. What is your reaction when you see other people's self-harm scars/cuts/marks? (choose all that apply)
Please select all that apply.
I want to get to know them X
I wonder what they went through to feel that was a way out.
I want to get as far as possible from them so no one will find out about my own self-harm
I will acknowledge them as someone who shares something in common with me. X
I would never even acknowledge them
Fear
Interest X
Sadness X
Happiness
Don't really care
No reaction
Surprise
Relief
Younger than 4
4-5
6-7
8-9
10-11
12-13 X
14-15
16-17
18-19
20-21
Older than 21
2. How often do you self-harm
More than once a day
Once a day
Several times a week X
Two or more times a month
Once a week
Once a month
Several times in a year
Once a year
I have stopped
I am trying to stop XXXXXXX
3. What method of self-harm do/did you primarily use?
Cutting X
Burning X
Hair-pulling
Scratching
Interference with the healing of wounds X
Hitting or bruising X
Bone breaking
Cutting and Scratching
Cutting and Burning
A combination of several of these methods
4. If You Self Harm What Sexual Orientation Are You?
Straight Male
Straight Female X
Bi-Sexual Male
Bi-Sexual Female
Homosexual Male
Homosexual Female
Transgender Male
Transgender Female
Questioning Male
Questioning Female
Prefer not to answer
5. Which Of These, If Any, Were Something You Struggle With Along With Self-harm?
Anorexia
Bulimia
Anorexia and Bulimia
Suicidal Ideation
Various Psychiatric Disorders (i.e. Bi-polar,Borderline Personality, OCD, Panic, Anxiety, PTSD, Dissociative, Impulse Control Etc.) X
Learning Disabilities
A Mixture of the Above X
None of the Above
6. Do You Think That You (as An Individual) Need Professional Help To Stop Self-harming?
Yes, The Only Way I Could Stop Is With Professional Help
No, I Have Stopped On My Own
No, I Have Stopped On My Own Though I Still Struggle Often And Sometimes Mess Up
I Have No Desire To Stop And Therefore Don't Need Professional Help
Yes, I Have Stopped With Professional Help
I don't think I could ever stop with or without Professional help X
7. Are You Trying To Stop Self Harming?
No, And I Don't Want To Stop Ever.
No, But I Would Like To Be Able To Stop.
Yes, But I Am Not Doing Very Well. XX
I Have Stopped But I Still Mess Up Every Once In A While.
I Am Completely Self-harm Free.
8. Does Anyone Know About Your Self Harm?
No. No One Knows.
Some People May Have A Vague Idea Of Something
Yes, But Only My Closest Friend(s)
Yes. But Only My Closest Family Member(s)
Yes, Some Friend(s) And Family Member(s) Know X
Yes, All (or Most Of) My Friends Know
Yes, All (or Most Of) My Family Knows
Yes, Most Of The People In My Life Know
9. How many years have you been self-harming?
1 or less years
2 years X
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 or more years
10. If You Self-harm, Were You Abused Or Neglected (either As A Child Or Later In Life)?
No
Yes, I Was Emotionaly Abused X
Yes, I Was Physicaly Abused
Yes, I Was Sexualy Abused
Yes, I Was Emotionaly And Physicaly Abused
Yes, I Was Physicaly And S*xualy Abused
Yes, I Was Sexualy And Emotionaly Abused
Yes, I Was Emotionaly, Physicaly And Sexualy Abused
Yes, I Was Neglected
Yes, I Was Neglected As Well As Being Abused
11. Would you label yourself as emo?
Yes
No X
12. Do others label you as emo?
Yes X
No X
13. What would you or others label you as? (chose all that apply)
Please select all that apply.
Prep
Goth
Emo
Punk
Nerd
Poser
Skater
Jock
Scene
Gangster
Other
I don't do labels. X
There aren't really any labels that fit me.
14. What is your reaction when you see other people's self-harm scars/cuts/marks? (choose all that apply)
Please select all that apply.
I want to get to know them X
I wonder what they went through to feel that was a way out.
I want to get as far as possible from them so no one will find out about my own self-harm
I will acknowledge them as someone who shares something in common with me. X
I would never even acknowledge them
Fear
Interest X
Sadness X
Happiness
Don't really care
No reaction
Surprise
Relief
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