I loathe when sites require you to set them up as it requires manually generating a series of N-length random strings (ex: eZDWzazuMw0ZzD4nKhxXXVN3) and saving the pair (question plus random text) as metadata associated with the account. Not exactly pulling teeth but it's pretty annoying to manually do that for 3-5 entries.
Even worse offenders are the sites that don't even let you enter a value in a text box but instead require you to pick from a drop down with a handful, say 10-15, of entries (cough United Airlines cough).
And the very worst offenders are the ones that, after successfully authenticating with your password, ask you for the answers to the secret questions every single time you log in (cough again United Airlines cough).