People and things to die for.

Circle all that apply (but DO NOT check all and then go out and load the gun).

LOVER PROBLEMS
Unfaithful
Lousy
Possessed
Unavailable

PET PROBLEMS
Unfaithful
Lousy
Possessed
Carpet (damp)

CHILDREN PROBLEMS
Lousy
Possessed
Illegitimate
Screaming

BREAKDOWNS
Societal
Nervous
Automobile
Mental
Physical

NO PROBLEMS
No life
No money
No girlfriend/boyfriend
No marketable skill
No hope
No A/C
No T.V.
No IQ
No T.P.

THREE-LETTERED
DUI
PMS
IRS
REM
HRS
PDF
DEA

TWO-LETTERED
B.O.
VD
BS
ID (fake, discovered)

VARIOUS COLLAPSES
Financial
Physical
Lung (left or right)
House or Building
Bridge Level (above you)
Dam
Stock Market
Highway

PHYSICAL PROBLEMS
Chronic cellulite
Acne
Boils
Brain
Hangnails
Hemorrhoids
Warts (including hairy)
Incontinence (khakis)
Ingrown toenails
Indigestion
Constipation
Diarrhea (in public)
Broken nail(s)
Gas (internal)
Gas (external)
Pink eye
Red eye
Lip blisters
Breasts too large
Breasts too small
No breasts
Underweight/Overweight
Overweight (next seat)
Homely
Smelly (general/specific)

MISCELLANEOUS
Pressed meat products
Tight shoes
Toilet overflow
Jail sentence
(and the inmates like you)
Jail sentence
( and the inmates don't)
Employment
Unemployment
Filthy public restrooms
Spam (email or canned)

PEOPLE
Parent(s)
Friends (or lack of)
Neighbor(s)
Teacher(s)
Student(s)
Attorney(s)
Boss (or supervisor)
Car Salesmen
Dentist
Employees (one or all)
Neighbors (one or all)
Stockbroker
Yacht broker
Entire Brokerage House
Committee (any)
Parole officer
Collections Agent
Bail Bondsman IN-LAW PROBLEMS
Visiting
Moving in
Never leave

BAD PROBLEMS
Bad clams
Bad dates

PHOBIAS AND FEARS
Acrophobia
Claustrophobia
Hydrophobia
Agoraphobia

SITUATIONS/CONDITIONS
Marriage/Divorce
Blind date
(is your sister or brother)
Blind date
(is aunt, uncle, grandparent)
Alimony
Child Support
Bankruptcy
Recession
Depression
Failed exam
Failed in life
Celibacy (involuntary)
Traffic jam

LOST THINGS
Tan
Mind
Job
Keys
Remote
Feeling (any extremity)
Love

YUCKY THINGS
Spiders
Snakes
Vermin
Worms
Certain people
Diapers (full)
Boogers (under counters)

LEAKY THINGS
Pens
Ceiling
Diaper
Faucet
Tire(s)
Radiator
Depends

If none of the above apply, or you have more, WRITE IN below:

1.
2.
3.
4.
5.
6.
7.
8.
9.

Use another piece of paper if necessary.