I am:

[x] anorexic

[x] ednos

[x] bulimic

[] living off laxative/diet pills

[x] feeling fat

[] hungry

[x] thirsty

[] drinking something

[x] Under 100lbs

[x] fasting/starving myself

People:

[x] have asked if I’m anorexic/bulimic

[x] have called me fat

[x] have said I’m skinny

[] have said I’m ugly

[x] have said I’m pretty

[x] spread rumors about me

[x] forced me to eat

[] say I eat too much

[x] wish I’d eat more

I wish:

[x] I was THIN

[x] I had a better body

[x] I didn’t have to eat

[x] I could control myself

[/] lower than 100lbs** I was under 100 lbs 

[x] I could avoid food

[x] I could hide what I am

[x] I wasn’t fat 

[x] I was pretty

I love:

[x] feeling hungry

[x] seeing a difference when fasting

[] shaking

[x] feeling airy

[x] losing weight

[] being anorexic/bulimic

[x] coffee

[] green tea

[x] diet pills

[x] being able to turn down food

[x] feeling good about myself

Appearance:

[] I am shorter than 5’4

[x] I think I’m ugly

[x] I have scars

[x] I wish my hair was a different colour

[] I have friends who have never seen my natural hair color

[] I have a tattoo

[x] I am self-conscious about my appearance

x] I have/had braces

[x] I wear glasses/contacts

[x] I would get plastic surgery if it were 100% safe, free of cost, and scar-free

[x] I’ve been told I’m attractive by a complete stranger

[x] I have more than 2 piercings

[] I have piercings in places besides my ears

[x] I have freckles

Family:

[x] I’ve sworn at my parents
[x] I’ve run away from home
[x] I’ve been kicked out of the house
[] My biological parents are together
[] I have a sibling less than one year old
[] I want to have kids someday
[]I’ve had children
[] I’ve lost a child/baby
[] I can’t have children

Relationships:

[x] I’m single

[] I’m in a relationship

[] I’m engaged

[] I’m married

[] I’ve gone on a blind date

[] I’ve been the dumpee more than the dumper

[x] I miss someone right now

[x] I have a fear of abandonment

[x] I’ve cheated in a relationship

[] I’ve gotten divorced

[x] I’ve had feelings for someone who didn’t have them back

[x] I’ve told someone I loved them when I didn’t

[] I’ve told someone I didn’t love them when I did

[x] I’ve kept something from a past relationship

[x] I’ve been ‘the other woman’

Sexuality:

[x] I’ve had a crush on someone of the same sex 

[x] I’ve had a crush on a teacher

[] I am a cuddler

[x] I’ve kissed in the rain

[x] I’ve hugged a stranger

[] I have kissed a stranger

Bad Times:

[x] I’ve consumed alcohol

[] I regularly drink

[] I can’t swallow pills

[x] I can swallow pills without water

[] I have been diagnosed with depression

[x] I shut others out when I’m upset

[] I take anti-depressants

[x] I’m anorexic or bulimic or have ednos

[x] I’ve slept an entire day when I didn’t need it

[x] I’ve hurt myself on purpose

[x] I’ve woken up crying

[x] I’ve fallen asleep crying

[x] I’ve lost weight

[x] I’ve gained weight

[x] My weight holds me back

[x] Weight consumes me

[] I’m at my thinnest

[x] I’m at my biggest

[x] I’ve lost weight and kept it off

[x] I’ve lost weight but gained it back

[x] My weight affects my mood

[] I weigh myself daily

[x] I am jealous of everyone smaller than me

[] I hate compliments

[] I want to tell people to “stop lying” when they compliment me

[x] I feel bigger than people who are my size

[x] I feel happy when I’m hungry

[x] I get depressed after I eat

[x] I’ve skipped a meal

[x] I’ve thrown food away

[x] I’ve spit food out

[x] I’ve fasted

[x] I’ve taken diet pills

[x] I’ve used laxatives

[x] I’ve purged

[x] I exercise

[x] I exercise so I can eat

[x]I work out secretly

[x] I work out daily

[x] I’ve fainted from exhaustion

I’ve done:

[x] Weed

[x] Cigarettes

[x] Alcohol

[] Caffeine pills

[] Diet pills

[x] Pain killers

[x] Sleeping pills

[x] Anti-depressants

[] Mood stabilizers

[] Anti-psychotics

[] Benzos

[] Ecstacy

[x] LSD

[] Mushrooms

[x] Speed

[x] Cocaine

[] Other

Habits:

[/] I keep my eating habits a secret 

[x] I look at thinspo

[x] I count calories 

[x] I’ve had negative intake days

[x] I avoid food

[x] I hate food

[] I love food

[] I want to be this way 

[x] I don’t want to be like this

[x] I wish I could have more control

[] losing weight is my top priority

[] I am in treatment

[x] I’m doing this for me

[x] I’m doing this for someone

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