PERSONAL REVELATION DISCLOSURE FORM - 1A
In the event of relationship advancement requiring additional personal revelation, this form can be used to alleviate the stress of putting the truth into painful words. Check all that apply or all that you are prepared to reveal at this juncture.
I'm gay. I was in the miltary. I was in a porn movie.
I'm bi. I'm still in the military. I still star in porn movies.
I'm celibate. I'm in another country's military. I'm a republican.
I'm a hermaphrodite. I'm a spy. I'm a libertarian.
I'm a fetishist. I'm a girl scout. I'm a white supremicist.
I'm a mascochist. I did time. I believe the X-Files is a documentary.
I'm a sadist. I'm on parole. I'm a tax evader.
I'm a virgin. I'm a scientologist. I'm a deadbeat parent.
I'm into beastiality. I'm a drug addict. I'm an alcoholic.
I'm into "water sports". I'm a recovering drug addict . I'm bulemic.
I'm into B&D (top). I have amnesia. I really like Barney.
I'm into B&D (bottom). I'm married. I'm my own evil twin.
I'm into B&D (whatever). I'm divorced. I collect beanie babies.
My genitalia is pierced. I'm engaged. I'm a drug dealer.
I'm a pornographer. I sleep with a gun under my pillow. I'm still stalking my ex.
I'm a member of NAMBLA. I'm a member of the NRA. I own stock in a tobacco company.
I have artificial body parts. I'm a member of a cult that doesn't think you're a human being. I think coffee is evil.
I squeeze the toothpaste tube from the top. I have been psychoanalyzed. I believe coffee making is a sacred ritual.
I keep my phone calls very short because my mother might call at any time. I am a psychoanalyst. I love all Microsoft products.
I never sleep. I flunked credit counseling. I have not read a book since I got out of high school.
I'm actually not the gender you think I am. I think Jerry Lewis is funny. I like the French.
I like to watch. My drinking problem is almost under control. I am French.
I like you to watch. I know all the words to Mr Rodgers' songs. I believe that bathing destroys crucial body oils.
I find unsafe sex very stimulating. I'm a devout vegetarian. I have a Rottweiler.
I sleep hanging from a hook. I hate my family. I have no friends.
I'm sterile. I'm epileptic. I'm a day-trader.
I'm pregnant. I'm receiving treatment for my psychopathic rages. I'm in therapy.
I'm still obsessed with my dead lover. I'm on medication. I maketh my living at the Renaissance Pleasure Faire.
I killed my last boyfriend/girlfriend. I'm on a LOT of medication. I'm in this country illegally..
I'm impotent. I'm off my medication. I really need a green card.
The doctor told me it wouldn't grow back, but we can get beyond that, can't we? Did you ever see Psycho? I made all my clothes.
I'm HIV positive. Did you ever read Oedipus Rex? I'm Catholic.
I've got a brain tumor. I'm a carnivore. I'm a recovering Catholic.
I've got herpes. Mmm, tofu. I'm a Hasidic jew.
I'm wearing a wig. I believe in reincarnation and you're looking awfully familiar. I refuse to speak English in the home.
I'm wearing a toupee. I belong to an ethnic group which is currently at war with yours in our homeland. I am a communist.
I'm going in for hair implants. That Garth Brooks, what a genius! I think Stalin really had the right idea.
I'm underage. That Rush Limbaugh, what a genius! I am a cartoonist.
I'm still in high school. That Al Sharpton, what a genius! I work in the game industry.
I'm a homophobe. I'm moving to Tobago tomorrow. The Bible is the literal truth.
I come from a close family. A VERY close family. I'm homeless. I'm burning my house and seeding the ground with salt tomorrow.
My entire body is shaved. I'm a hemophiliac. I'm a compulsive gambler.
God tells me what to do. I collect frogs. I'm a compulsive penny-pincher.
I'm an exhibitionist. I'm a member of the Russian nobility in hiding. I know more about you than you do.
I have a severe physical reaction to sunlight. I have a 24-hour web-cam in my bedroom. The voices in my head say I should kill you, but I think I can ignore them this time.
I don't believe in sex before marriage. I sleep fully clothed. I have amnesia.
I look better in your clothes than you do. I'm a kleptomaniac. I live in a house made of straw.