| 1. How often do you avoid direct eye contact? |
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| 2. How often do you listen to sad music or songs that say that you're nothing? |
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| 3. How often do you wear dark colours? |
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| 4. How disgusting do you find your body? |
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| 5. How fat are you? |
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| 6. How often do you keep your mouth shut outside your home? |
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| 7. How often do you forget to do important things? |
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| 8. How bad is your fashion sense? |
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| 9. How bad are you at your work or in your studies? |
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| 10. How often do you feel yourself completely useless? |
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| 11. How close to the height average are you? |
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| 12. How often do feel like the world would have been a better place if you weren't around? |
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| 13. How hard is it for you to lose weight if you need to? |
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| 14. How often do you end up doing all work alone or with someone you don't know well or care about? |
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| 15. How often do you have random chest pain? |
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| 16. How envious of others around you are you? |
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| 17. How fast does your body hair grow? |
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| 18. How envious do you become when you see a couple together in public? |
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| 19. How often are you alone on your free time? |
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| 20. How severe stage fright do you have? |
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