HURT FEELINGS REPORT

This given to me by a friend, on a bad day...such love...HA
you suck justin...bite me


Date:________________
Time of Hurtfulness:________________

Which ear were the words of hurtfulness spoken into: left or right or both?
Is there permanent feeling damage: yes or no
Did you need a tissue for the tears: yes or no
Reasons for filing this report: please circle yes or no

1. I am a pussy YES OR NO
2. I am thin skinned Yes or No
3. I am a whiner Yes or No
4. I am a homosexual Yes or No
5. I am a little bitch Yes or No
6. I am a cry baby Yes or No
7. I want my mommy Yes or No
8. I have woman like hormones Yes or No
9. I suffer from lacka nookie Yes or No
10. All of the above Yes or No


Name of the "Real Man" who hurt your sensitive little feelings:_______________


If you feel that you need someone to hug, go home to mommy and let her hug you and check your diaper. If you feel as though you need to speak to someone to soothe you, please call: 1-800-cry-baby or 1-888-sis-girl


Girly man or whiny bitch who filed this report:-______________
Signature of girly man or whiny bitch:________________
Real man or woman being reported: _____________________