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* Indicates required question
name & age
*
Your answer
how are you doing, really ?
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not the best
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10
the greatest
what's one you love doing ?
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Your answer
did you eat today ? (even if it was little)
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yes
no
did you drink anything today ?
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yes
no
eh kinda
what grade are you in ?
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Your answer
how is your sleeping ?
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good
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4
5
not great
what can i do to help you, if we are not together ?
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Your answer
have you been avoiding others ?
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yes
no
a little
would you like to text me ?
*
yes
no
if so, leave ur number here (only i will see it)
*
Your answer
what did you do today ?
*
Your answer
have you ever thought it would be better without you here ?
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yes
no
Other:
have you ever thought about sh ?
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yes
no
some
Other:
how was your day ?
*
terrible
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5
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9
10
wonderful
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