i don't know...

Age: 16

Height: 5’3”
Weight: 119 lbs
BMI: 20.7

Dress Size: 4/6 ? (i dont know for sure)
Highest Weight: 135 lbs
Lowest Weight: 108/105 lbs
Goal Weight: 100 lbs (or below!)

Favorite Diet Food: water

Favorite Binge Food: #$%^&*

Favorite Exercise: dancedancedancedance <3

Favorite Thinspo: legs, arms.

Where Do You Slip Up: in front of family

When Did It Start: the actual dieting, last fall, but i've known i'm fat since i was 10

Does Anyone Know: people have accused me, so that's usually when i binge to prove them... :\

Do You Want Help: don't need it!

How Many Calories Do You Consume A Day: 200-500.

What Do You See When You Look In The Mirror: love hands, thunder thighs, flabby arms. :( everything disproportional to the way it should be.

Are You In A Relationship: no

Are You The Fat Or Thin One Out Of Your Friends: i will be the thinnest one.

Are You Depressed: 99.2% of the time

Ever Tried To Commit Suicide: once, twice, who knows? i've given up.

Ever Been To A Psychologist: no, i'm considering becoming one though!

I AM -
[ ] anorexic
[ ] ednos
[ ] bulimic
[ ] living off diet pills
[ ] hungry
[x] thirsty
[ ] drinking something
[ ] Under 100lbs
[x] starving yourself
[x (starting tomorrow) ] participating in a fast

PEOPLE -
[x] ask if I’m anorexic/bulimic
[x] call me fat
[x] say I’m skinny
[ ] say I’m ugly
[x] say I’m pretty
[ ] spread rumors about me
[x] force me to eat
[x] say I eat too much
[x] wish I’d eat more
[x] don’t know I’m anorexic/bulimic/ednos

I WISH -
[xxx] I was THIN
[xxx] I had a better body
[x] I didn’t have to eat
[xxx] I could control myself
[xxx] I was under 110lbs
[x] I could avoid food
[x] I could hide what I am
[xxx] I wasn’t fat
[x] I was pretty
[ ] I could stop being ana/mia

I LOVE -
[x] feeling hungry
[x] seeing a difference when fasting
[x] shaking
[x] being weak
[x] losing weight
[ ] being anorexic/bulimic
[ ] green tea
[] diet pills
[x] being able to turn down food
[x] feeling good about myself

APPEARANCE
[x] I am shorter than 5’4.
[xxx] I think I’m ugly sometimes.
[ ] I have many scars.
[HAHA] I tan easily.
[x] I wish my hair was a different color.
[ ] I have friends who have never seen my natural hair color.
[ ] I have a tattoo.
[xxx] I am self-conscious about my appearance.
[x] I have/had braces.
[x] I wear glasses.
[ ] 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.
[] 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 (when i was 7 i think, hahahaha)] I’ve run away from home.
[ ] I’ve been kicked out of the house.
[x] 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.

EMBARRASSMENT
[ ] I’ve slipped out a “lol” in a spoken conversation.
[ ] Disney movies still make me cry.
[x] I’ve peed from laughing.
[x] I’ve snorted while laughing.
[x] I’ve laughed so hard I’ve cried.
[ ] I’ve glued my hand to something
[ ] I’ve laughed till some kind of beverage came out of my nose.
[ ] I’ve had my trousers rip in public.

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.
[ ] I’ve cheated in a relationship.
[ ] I’ve gotten divorced
[x] I’ve had feelings for someone who didn’t have them back.
[ ] I’ve told someone I loved them when I didn’t.
[ ] I’ve told someone I didn’t love them when I did.
[ ] I’ve kept something from a past relationship.

SEXUALITY
[ ] I’ve had a crush on someone of the same sex.
[ ] I’ve had a crush on a teacher.
[ ] I am a cuddler.
[ ] I’ve been kissed in the rain.
[x] I’ve hugged a stranger.
[ ] I have kissed a stranger.

HONESTY
[x] I’ve done something I promised someone else I wouldn’t
[x] I’ve done something I promised myself I wouldn’t.
[x] I’ve snuck out of my house.
[x] I have lied to my parents about where I am.
[x] I am keeping a secret from the world.
[x] I’ve cheated while playing a game.
[x] I’ve cheated on a test.
[ ] I’ve been suspended from school.

BAD TIMES
[x] I’ve consumed alcohol.
[x] I regularly drink.
[ ] I can’t swallow pills.
[xxxxx] I can swallow about 5 pills at a time no problem
[ ] I have been diagnosed with clinical depression.
[x] I shut others out when I’m upset.
[ ] I take anti-depressants.
[ ] 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.
[ ] I’m addicted to self harm.
[x] I’ve woken up 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
[ ] 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 thrive on compliments
[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
[ ] I’ve taken diet pills
[ ] I’ve used laxatives
[ ] 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 exercise to counteract eating
[x] I’ve fainted from exhaustion

I’ve done:
[ ] Weed
[ ] Cigarettes
[x] Alcohol
[ ] Diet pills
[xxx] Pain killers
[ ] Anti-depressants
[ ] Ecstasy
[ ] LSD
[ ] Mushrooms
[ ] Speed
[ ] Cocaine
[x] Other
[x] I keep my eating habits a secret
[x] I have a ED blog
[x] I look at thinspo
[x] I collect thinspo
[x] I condone pro-ana/mia sites
[x] I count calories
[x] I’ve had negative intake days
[x] I avoid food
[ ] I hate food
[x] I love food
[x] I want to be this way
[ ] I don’t want to be like this
[x] I wish I could have more control
[xx] Being thin is my top priority
[x] I don’t want to get better
[ ] I am in treatment
[xxxxxxx] I’m doing this for me
[x] I’m doing this for someone
[x] I’m doing this to prove myself.

found this on tumblr... i want to see other people fill this out. :)