| Question | Yes | No |
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| 1. Have you walked into a restaurant that you knew nothing about and ordered something that you have never tried before? | | |
| 2. Have you ever woken up in the middle of the night and just for the hell of it go for a walk outside? | | |
| 3. Have you ever loved someone so much that you just told them, throwing pride and manners to the wind? | | |
| 4. Have you ever spent hours just enjoying the company of a pet or an animal? | | |
| 5. Have you ever cried at movie that was not a Romance? | | |
| 6. Have you ever written or called-in to a show, newspaper, etc. to comment on something that really is close to your heart? | | |
| 7. Have you ever been outside and just felt the happiness of the world wash over you? | | |
| 8. Have you ever made a life-choice (occupation, class, friend, etc.) that you knew would be hard and unknown but did it anyway? | | |
| 9. Have you ever looked into someone's eyes and lost yourself? | | |
| 10. Have you ever finished a task (job, race, puzzle, book, etc.) and felt so good about it and no one else know cared and/or realized it? | | |
| 11. Have you ever looked at the stars and said, "Holy crap what am I?" | | |
| 12. Have you ever run outside when it started raining and laugh and let the rain soak you? | | |
| 13. Have you ever hopped in a car, not knowing where you were going, and just let the road lead you? | | |
| 14. Have you ever been so mad at someone that it possesses you, but you keep it inside and forgive that person? | | |
| 15. Have you ever been in a near-death situation and come out of it appreciating what and who you have in your life more than previous? | | |
| 16. Have you ever tried to reconnect with a long-lost friend on a whim? | | |
| 17. Have you ever been on a vacation and let EVERYTHING go for that time? | | |
| 18. Has a person or event ever moved you to action? | | |
| 19. Have you ever kissed and made-up? | | |
| 20. Have you ever made a quiz on-line just for the hell of it, and then realize that it was kind of fun? | | |
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