Mad Cow Butt Hurt Report Form
Are you Butt Hurt? Tell us about it!
Name
*
First Name
Last Name
E-mail
Date the butt hurt occured
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Month
-
Day
Year
Date Picker Icon
Time of the butt hurt
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
How bad was the butthurt?
1
2
3
4
5
6
7
8
9
10
Mildly upset
ruined my life!
1 is Mildly upset, 10 is ruined my life!
Number of people involved
Please Describe the nature of the Butthurt
Blog Post
Chat Room
Forum
Random joke/cartoon/news article that you found
Message Board
Personal Message or IM
Poll or Survey
Facebook
My family
Other
Please tell us more about the nature of the butthurt
Please tell us how the butthurt affected you personally
Definitely Yes!
Somewhat yes
Somewhat No
Definitely No
Were tears involved?
Was there permanent mental scarring?
Was there loss of sleep?
Was there lost wages?
Were you forced to employ a coping mechanism, such as shutting off your computer of going outside?
Did you have to call any help lines?
Did you have seek the aide of a therapist?
Was there issues of carpel tunnel syndrome from you having to type out long ass butt hurt rebuttals?
Please tell us more about the person who caused the butthurt
They are a big mean poopy pants who should be banned from the internet forever or at least until they learn that I am right and superior and tehy are wrong and should bow down and worship me now!
They deserve to be hunted down like a dog and shot dead on their own front porch
They should be punished to the full extent of the law
They should be bound, gagged and dumped into a pile a cow dung
They think that they are so hot and so wonderful and they are really just a stupid, ugly, lazy cow
They are a whinny, smelly, stupid, coward
They should be just as accountable for their actions online as they are in the real world
I should have access to all their personal information so that I can sltalk them
Other
Did you Take any actions yourself regarding this butthurt?
I wrote a six thousand word response detailing the extent of my butthurt and emailed it to them or posted it on their profile
I made a fake account and trolled their sorry ass
I got all my friends together and we all trolled their sorry ass
I passed out all of their persaonl information to everyone on the web and wrote their name on bathroom walls with their phone number and told people to call them for a good time
I sent 200 pizza's to their house
I wrote a detailed letter to president Obama explaining the circumstances of the innident and asked him to deport them (even if they are from this counrty)
I posted on their family's FB account that they like to have sex with animals
I put a curse on them and am waiting for their hair to fall out
I realized that arguing online is a waste of time and found something better to do
Other
What exactly do you want US to do about it?
Yell at them for me
Delete their account
Call them dirty names
Spank them really hard
Ummm..idk
Hug me!
Other
Do you have any additional comments you would like to share?
Yes
Maybe
Not Sure
No
Was this form helpful?
Has your butthurt been resolved?
Has the person who butthurt you been dealt with?
Are you still able to use the internet?
Would you like your form shared on Mad Cow Groups?
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