Area 1:
Please provide positive answers.
Name:
Age:
Phone:
Height:
Do you Drive:
State You Live In:
School:
Grade:
May I Call You:
Single or Taken:
Would You Date Me:
Kiss On First Date:
Will You Send This Back To Me?:
Area 2:
What would you do if I...
I made a move on u:
I kissed you:
I lived next door to you:
I started smoking:
I asked you on a date:
I was hospitalized:
I ran away from home:
I got into a fight and you weren't there?
I asked u to have sex?
I asked u out?
Area 3:
What do you think about my...
Personality:
Eyes:
Hair:
Body:
Area 4:
Have you ever....
Lied to make me feel better?
Wanted to kiss me?
Wanted to kill me?
Broke my heart?
Kept something important from me?
Area 5:
"X" marks the spot
[ ]Kiss me..
[ ]Hug me..
[ ]Date me..
[ ]grab my ass..
[ ]Kill me..
[ ]fuck me ...
[ ]Love me..
[ ]Hate me..
[ ]Hold me..
[ ]Lie to me..
[ ]Hurt me..
[ ]Sing with me..
[ ]Dance with me..
[ ]Grind with me..
[ ]Cuddle with me..
[ ]Let me make a move on you..
[ ]Make a move on me..
[ ]Watch a movie with me..
[ ]Get me a B-day gift..
[ ]Let me borrow your car..
[ ]Be there for me..
[ ]Buy me a drink..
[ ]Bring me around your friends..
[ ]Give me a massage..
[ ]Drink kool-aid with me..
[ ]Take advantage of me..
[ ]Hangout with me...
[ ]Take care of me if I wasn't feeling good..
[ ]Hold hands with me..
[ ]Do something incredibly sweet for me..
[ ]tell me you love me
