Date of Hurtfulness: Time:
What caused the butthurt?
Someone II posted it Offensive picture on the internet
Was a tissue needed for the tears?
Will you be able to move past it?
Yes No Not sure
Reason for filing the Report (check all that apply):
I am an idiot. I'm better than everyone else.
am a crybaby. 'm a prude.
I am thin-skinned. It wasn't my joke.
am a little bitch. No one liked my selfies today.
I want my mommy! Life just isn't fair!
I felt picked on. Other (please explain below):