1. Have we kissed?:
2. Do you want to?:
3. What would you like our relationship to be?:
4. Have we dated?:
5. Did you like it?:
6. Do you want to date?:
7. Are we close friends?:
8. Would you be here if I needed you?:
9. Are you attracted to me?:
10. Mentally, sexually, or both?:
11. Do you love me?:

Appearance
Do you like my- score 1-10

12. Face?:
13. Eyes?:
14. Lips?:
15. Body?:
17. Legs?:
18. Clothes?:
19. Ass?:
20. Hands?:
21. Hair?:

Do think I'm- score 1-10

22. Sexy?:
23. Pretty?
24. Hot?:
25. Cute?:

Personality
Do you think I'm- score 1-10

26. Crazy?:
27. Nice?:
28. Fun to be around?:
29. Funny?:
30. Annoying?:

Would you...

32. Spend a weekend with me?:
33. Alone?:
34. Hook up with me?:
36. Care if I ran away?:
37. Care if I died?:
38. Miss me if I left?:
39. Hang out with me?:
00. Take care of me if I could not take care of myself?:

What would you do if...

40. I kissed you?:
41. You found out I was missing?:
42. You found out I was in the hospital?:
43. You found out I was dead?:
44. I cried?:
45. I asked you for help?:
46. I told you I loved you?:
47. I told you I hated you?:

In the last week have you...

51. Wanted to see me?:
52. Talked to me?:
53. Wanted to tell me you loved me?:
54. Wanted to spend alone time with me?:
55. Wanted to get to know me better?:
56. Thought about me?:
57. Missed me?:
58. Wanted me?:
59. Seen me?:

Have I...

61. Kissed you?
62. Hugged you?
63. Told you I loved you?:
64. Made you happy?:
65. Made you sad?:
66. Made you angry?:
67. Made you feel better if you were upset?:

Are you...

68. Happy you know me?:
69. Will you repost this so I can fill it out for you if you want me to?