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Emotional Rice Purity Test

Name:
Check things you have experienced or currently experience
Had an uncomfortable sexual encounter
Been diagnosed with depression
Been diagnosed with anxiety
Been diagnosed with ADHD
Been diagnosed with Bipolar disorder
Been diagnosed with PTSD
Been physically abused by a family member
Been physically abused by a significant other
Been choked out by a family member
Been verbally abused by a family member
Been verbally abused by a significant other
Been kicked out of your house
Abused alcohol
Abused drugs
Been intoxicated in an inappropriate setting
Lost contact with an immediate family member
Had an immediate family member who was an addict
Formed an inappropriate emotional attachment to someone
Been emotionally neglected by a family member
Been grounded or punished by a family member
Participated in self sabotage
Participated in sexual activities at a young age
Developed unhealthy coping mechanisms
Self harmed
Witnessed domestic abused
Had a parent try and commit suicide
Attempted suicide
Been on anti anxiety or anti depressants
Been threatened with serious injury
Been sexually assaulted
Been raped
Experienced excessive numbness
Experienced excessive irritability or anger
Had an immediate family member go to jail or prison
Have/had an eating disorder
Have had an immediate family member steal from another family member
Been betrayed by someone you confided in
Had feelings of low self worth
Have had symptoms of OCD
Hear people that aren't there
See people that aren't actually there
Have had trouble distinguishing reality
Had a breakdown in public
Have had uncontrollable breakdowns
Uncontrollable mood shifts
Frequent thoughts of harming others
Feel unwanted
Had immediate family comment on your weight
Resent a parent
Make up scenarios where you could be kidnapped/murdered etc.
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