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Have you ever self-harmed (cuts,scratches etc)
Yes,a lot
Yes,sometimes
No,never
What is your sexuality?
Straight (heterosexual)
Bisexual
Gay/lesbian
Other
Unsure
Pansexual
Other
Please Specify:
Have you or someone you know ever been depressed?
Have you ever had suicidal thoughts?
Yes
No
Have you been bullied in anyway and did it cause you to harm yourself?
Yes,but never hurt myself
Yes,i also hurt myself
No,never
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