🚀 go-pugleaf

if any teens happen to chance upon this before the below date, please fill it 
out and send it in.  thanx

Please fill out this form and return it to MQuiksilvr@aol.com or 
LilStar02@aol.com with the heading "Science Expo" before May 14th.  Thank you.

age group (pick one):
_ high school
_ middle school

country: __________
state (if in the US): ___

modem speed (pick one):
_ < 14.4
_ 14.4
_ 28.8
_ 33.6
_ 56.6
_ ISDN or higher

time spent online (pick one):
_ less than 1 hr/week
_ 1-3 hrs/week
_ 1 hr/day
_ 2 hrs/day
_ 3 or more hrs/day

favorite web-site type (rank 1 - 5, 1 being best, 5 being worst):
_ Music (i.e. Hanson Heaven, Nirvana, Celine Dion fan page, etc.)
_ Movies and TV (i.e. Titanic, Romeo and Juliet, ABC, etc.)
_ Shopping (i.e. AB-CD, Amazon, etc.)
_ Sports (i.e. Yankees, Sports Illustrated, etc.)
_ Other, please specify

sex:
_ female
_ male