1. Name used in most recent life:
   _____________________________

2. Gender in most recent life (circle):
                    m     f    other.

3. Species (if other than homo sapiens):
   ______________________________

4. Planet inhabited during last life (if other than Earth):
   _______________

5. Duration of last life (in Earth years):
   ______

6. Address at time of most recent demise:
   Street/P.O. Box______________________
   City____________________
   State/Province____________________
   Country________________________
   E-mail_______________________

7. Approximate Number of Orgasms During Most Recent Life:
   __________

8. Approximate Number of Homeless/Street Persons to Whom You Gave Money During Most Recent Life:
   __________

9. Approximate Number of Times You Were Heard to Curse Bill Gates During Most Recent Life:
   __________

10. Approximate Number of Pounds of Animal Flesh Consumed During Most Recent Life:
   _____________

11. Approximate Number of Creatures (marine, fowl, quadriped, biped) Whose Lives You Personally Ended During Most Recent Life:
   __________

12. Approximate Number of Times You Struck a Child During Most Recent Life:
   __________

13. Approximate Number of Hugs Given & Received During Most Recent Life:
   ___________

14. Approximate Number of Miles Driven in an SUV During Most Recent Life:
   ___________

15. Approximate Number of Times You Voted Republican During Most Recent Life:
   ____________

16. Approximate Number of Times You Voted Democratic During Most Recent Life:
   ____________

17. Approximate Number of Times You Had the Opprtunity to Vote and Didn’t During Most Recent Life:
   ____________

18. Approximate Number of Hours Spent Performing Music During Most Recent Life:
   ____________

19. Approximate Number of Hours Laughed During Most Recent Life:
   ____________

Go to Part II: Analogies >>