A survey I stole from a journal entry of uppertorso.



How Damaged Are You?

HAVE YOU BROKEN OR DISLOCATED:
[ ] Your arm
[ ] Your leg
[ ] You shoulder
[ ] Your hip
[ ] Your knee
[ ] A finger(s)
[ ] Toes
[ ] Back
[ ] Had a hard time because of them
[ ] Had someone leave because of them.
Total: 0

HAVE YOU EVER:
[ ] Had your heart broken
[x] Had someone close to you die
[ ] Had to hurt someone you loved
[x] Wanted to hurt someone you loved
[ ] Hurt someone else for someone you loved
[x] Broken down
[x] Been betrayed
[ ] Betrayed someone
[x] Been afraid to ask for help
[ ] Asked for help, but was turned away

[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: 14

HOW MANY SCARS DO YOU HAVE? (Check off each one that applies)
[x] 1 or 2
[x] 5 or so
[x] 10 or so
[x] 15 or so
[ ] at least 25
[ ] at least 40
[ ] 40-60
[ ] 60-80
[ ] 80-100
[ ] More then 100
Total: 18

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: 26

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
[x] Left you for someone else
[x] Used you
[x] Used you then ditched you
Total: 36

HAVE YOU:
[x] Used someone
[ ] Used someone then ditched them
[x] Abandoned someone
[x] Turned your back on someone
[x] Turned your back on someone who was depending on you
[ ] Left someone for another person
[x] Pushed someone away
[x] Pushed them away out of fear
[x] Pushed them away out of anger
[ ] Pushed them away 'for their own good'.
Total: 43

HAVE YOU:
[x] Tried to change yourself for someone else
[x] Unsuccessfully
[ ] Had someone push you away
[ ] Because they thought it would be better for you
[ ] Fallen for someone who didn't return the feelings.
[x] Been jealous of someone
[ ] Pined over someone
[ ] For more then a year
[ ] For more then 5 years
[ ] Fallen for someone who 'couldn't' return the feelings.
Total: 46

ARE YOU:
[x] Ever depressed
[x] For more then a week
[x] More then a month
[ ] Miserable, consistently
[x] Afraid of commitment
[x] Worried about the future
[x] Apathetic
[x] Nostalgic
[x] Broken (In your opinion)
[ ] Unfixable (In your opinion)
Total: 54

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= 64% damaged.