| Sexual Encounters and Sexuality: |
| Are you Straight, Bi, or Gay?: | bi |
| (Other than and including sex...) |
| How many boys have you had experiences with?: | 4 |
| How many girls have you had experiences with?: | 3 |
| How many persons total?: | 7 |
| Where was your best encounter?: | In my bedroom |
| Where was your worst encounter?: | In an alleyway |
| How old were you when you had your first experience?: | 13 |
| Do you Masturbate?: | Yeah |
| (If so) How often?: | not often once every 2 weeks if that much |
| (If so) How old were you when you first started?: | 12 or 13 |
| Ever talked about it with a friend?: | yeah |
| (If so) Ever done it with a friend?: | no |
| Do you watch/look at porn?: | yeah |
| (If so) How often?: | randomly |
| (If so) What is your source?: | Videos |
| What is your opinion on porn?: | It's funny |
| Do you have any STDs?: | Nope |
| (If so) From who/where?: | |
| (For Girls) |
| (For Girls) Ever been to the Gynecologist?: | |
| (If so) How old were you when you first went?: | |
| (If so) Why did you first go?: | |
| (If so) Do you go regularly?: | |
| (If not) Why haven't you gone?: | |
| Do you use birth control?: | |
| How old were you when you first got your period?: | |
| Tampons or Pads?: | |
| Have you ever had an abotion?: | |
| Self Mutiation: |
| (Cutting) |
| Have you ever cut yourself?: | Yeah |
| For what reason?: | Bordom, depression, sex. |
| Did you stop or are you still doing it?: | stoped out of bordom and depression. |
| Why or Why not?: | Too many cuts on my body |
| Have you sought any professional help?: | No |
| Have you told your parents?: | Yes |
| (Suicide) |
| Have you ever had suicidal thoughts?: | Yes |
| Have you ever tried to commit suicide? How many times?: | Yes about 3 times |
| By what method?: | Asprin OD, jumping off my roof, and Drinking chemicals |
| Have you ever prevented anyone else from committing suicide?: | No |
| Have you sought any professional help?: | Yes |
| Have you told your parents?: | No |
| Have you written any suicide notes and given them to the intended person?: | No |
| Have you ever been caught?: | Yes |
| (Burning) |
| Have you ever burned yourself on purpose?: | Yes |
| Would you do it again?: | Yes |
| Did you stop or are you still doing it?: | Didn't stop but I don't do it any more. |
| Why or Why not?: | Because it stoped being fun. |
| (Eating Disorders) |
| Have you been diagnosed with an eating disorder?: | No |
| Do you display characteristics if you are not diagnosed?: | No |
| Have you ever not eaten for a day or longer?: | Yes |
| What is the longest you've gone without eating?: | 2 weeks |
| Have you ever taken diet pills?: | No |
| Have you ever been addicted to diet pills?: | No. |
| Are you still?: | |
| Have you ever binged and purged?: | No. |
| How old were you when you started to display charecteristics?: | |
| How old were you when you were diagnosed?: | |
| Have you sought professional help?: | |
| Have you told your parents?: | |
| Have you tried to stop?: | |
| Why or Why not?: | |
| (Drugs) |
| Have you ever done any drugs?: | Yes |
| What drugs have you done?: | Meth, acid, xTc, Coc, Herion, pot, angel dust, pcp, i think thats it? |
| Have you ever regreted it?: | Not a moment. |
| How old were you when you did your first drug?: | 14 or 15 |
| Have you stopped or are you still doing them?: | Stoped. |
| Why or Why not?: | Because some one I care about greatly really didn't like the fact that I did them, and for my own health benifits. |
| Have you sought professional help?: | No. |
| Have you told your parents?: | No. |
| Have you ever been caught?: | Yes. |
| Have you ever lost a friend because of drugs?: | No. |
| Are you clean now?: | Yes. |
| How long have you been clean?: | About 3 years. |
| Thanks for taking the time to do this survey. |
| It takes alot of bravery to answer these questions honestly. |