How I held my breath for 17 minutes | David Blaine | TED

22,570,058 views ・ 2010-01-19

TED


Please double-click on the English subtitles below to play the video.

00:15
As a magician, I try to create images that make people stop and think.
0
15728
4603
00:21
I also try to challenge myself
1
21260
1976
00:23
to do things that doctors say are not possible.
2
23260
3976
00:27
I was buried alive in New York City in a coffin,
3
27862
4374
00:32
buried alive in a coffin in April, 1999, for a week.
4
32260
4853
00:37
I lived there with nothing but water.
5
37883
2500
00:41
And it ended up being so much fun
6
41422
2814
00:44
that I decided I could pursue doing more of these things.
7
44260
3976
00:48
The next one is I froze myself in a block of ice
8
48260
3432
00:51
for three days and three nights in New York City.
9
51716
2520
00:54
That one was way more difficult than I had expected.
10
54260
3697
00:59
The one after that, I stood on top of a hundred-foot pillar
11
59260
2976
01:02
for 36 hours.
12
62260
1976
01:04
I began to hallucinate so hard
13
64260
2499
01:06
that the buildings that were behind me started to look like big animal heads.
14
66783
3703
01:11
So, next I went to London.
15
71462
1774
01:13
In London I lived in a glass box for 44 days
16
73260
3976
01:17
with nothing but water.
17
77260
1976
01:19
It was, for me, one of the most difficult things I'd ever done,
18
79260
3000
01:22
but it was also the most beautiful.
19
82284
3083
01:26
There was so many skeptics, especially the press in London,
20
86260
2976
01:29
that they started flying cheeseburgers on helicopters around my box to tempt me.
21
89260
5976
01:35
(Laughter)
22
95260
1031
01:36
So, I felt very validated
23
96315
2921
01:39
when the New England Journal of Medicine actually used the research for science.
24
99260
4979
01:45
My next pursuit was I wanted to see how long I could go without breathing,
25
105680
3556
01:49
like how long I could survive with nothing, not even air.
26
109260
3417
01:53
I didn't realize that it would become the most amazing journey of my life.
27
113650
3834
02:00
As a young magician,
28
120260
1976
02:02
I was obsessed with Houdini and his underwater challenges.
29
122260
3976
02:06
So, I began, early on, competing against the other kids,
30
126260
2976
02:09
seeing how long I could stay underwater while they went up and down to breathe,
31
129260
3976
02:13
you know, five times, while I stayed under on one breath.
32
133260
2976
02:16
By the time I was a teenager,
33
136260
1976
02:18
I was able to hold my breath for three minutes and 30 seconds.
34
138260
2976
02:21
I would later find out that was Houdini's personal record.
35
141968
3151
02:27
In 1987 I heard of a story
36
147260
2976
02:30
about a boy that fell through ice and was trapped under a river.
37
150260
4976
02:36
He was underneath, not breathing for 45 minutes.
38
156090
5146
02:41
When the rescue workers came,
39
161260
1976
02:43
they resuscitated him and there was no brain damage.
40
163260
2976
02:46
His core temperature had dropped to 77 degrees.
41
166260
4303
02:51
As a magician, I think everything is possible.
42
171486
2750
02:54
And I think if something is done by one person,
43
174260
2191
02:56
it can be done by others.
44
176475
2489
02:58
I started to think,
45
178988
1382
03:00
if the boy could survive without breathing for that long,
46
180394
3708
03:04
there must be a way that I could do it.
47
184126
1864
03:06
So, I met with a top neurosurgeon.
48
186850
2386
03:09
And I asked him, how long is it possible to go without breathing,
49
189260
3214
03:12
like how long could I go without air?
50
192498
2380
03:14
And he said to me that anything over six minutes
51
194902
2334
03:17
you have a serious risk of hypoxic brain damage.
52
197260
4210
03:23
So, I took that as a challenge, basically.
53
203319
2791
03:26
(Laughter)
54
206134
1102
03:27
My first try, I figured that I could do something similar,
55
207260
6527
03:33
and I created a water tank,
56
213855
2381
03:36
and I filled it with ice and freezing cold water.
57
216260
3544
03:39
And I stayed inside of that water tank
58
219828
2408
03:42
hoping my core temperature would start to drop.
59
222260
2976
03:45
And I was shivering.
60
225260
1403
03:46
In my first attempt to hold my breath, I couldn't even last a minute.
61
226687
3493
03:50
So, I realized that was completely not going to work.
62
230204
2514
03:53
I went to talk to a doctor friend --
63
233983
2197
03:58
and I asked him, "How could I do that?"
64
238919
4317
04:03
"I want to hold my breath for a really long time. How could it be done?"
65
243260
3429
04:06
And he said, "David, you're a magician,
66
246713
2523
04:09
create the illusion of not breathing, it will be much easier."
67
249260
2976
04:12
(Laughter)
68
252260
2653
04:16
So, he came up with this idea of creating a rebreather,
69
256073
4163
04:20
with a CO2 scrubber,
70
260260
2621
04:22
which was basically a tube from Home Depot,
71
262905
4331
04:27
with a balloon duct-taped to it,
72
267260
2976
04:30
that he thought we could put inside of me,
73
270260
2976
04:33
and somehow be able to circulate the air and rebreathe
74
273260
3976
04:37
with this thing in me.
75
277260
1566
04:39
This is a little hard to watch.
76
279778
3458
04:43
But this is that attempt.
77
283260
2027
04:52
So, that clearly wasn't going to work.
78
292260
1976
04:54
(Laughter)
79
294260
3144
04:58
Then I actually started thinking about liquid breathing.
80
298260
3976
05:02
There is a chemical that's called perflubron.
81
302260
2976
05:05
And it's so high in oxygen levels that in theory you could breathe it.
82
305260
3976
05:09
So, I got my hands on that chemical,
83
309260
2976
05:12
filled the sink up with it, and stuck my face in the sink
84
312260
2976
05:15
and tried to breathe that in, which was really impossible.
85
315260
3976
05:19
It's basically like trying to breathe, as a doctor said,
86
319260
2976
05:22
while having an elephant standing on your chest.
87
322260
2286
05:24
So, that idea disappeared.
88
324570
2133
05:26
Then I started thinking,
89
326727
2246
05:28
would it be possible to hook up a heart/lung bypass machine
90
328997
4239
05:33
and have a surgery where it was a tube going into my artery,
91
333260
2976
05:36
and then appear to not breathe while they were oxygenating my blood?
92
336260
3503
05:40
Which was another insane idea, obviously.
93
340582
3189
05:44
Then I thought about the craziest idea of all the ideas:
94
344890
3509
05:49
to actually do it.
95
349787
1449
05:51
(Laughter)
96
351260
1047
05:52
To actually try to hold my breath past the point
97
352331
3412
05:55
that doctors would consider you brain dead.
98
355767
2931
06:01
So, I started researching into pearl divers.
99
361028
4208
06:05
You know, because they go down for four minutes on one breath.
100
365260
2976
06:08
And when I was researching pearl divers, I found the world of free-diving.
101
368260
3576
06:12
It was the most amazing thing that I ever discovered, pretty much.
102
372788
3952
06:17
There is many different aspects to free-diving.
103
377856
2380
06:20
There is depth records, where people go as deep as they can.
104
380260
3524
06:23
And then there is static apnea.
105
383808
1900
06:25
That's holding your breath as long as you can
106
385732
2504
06:28
in one place without moving.
107
388260
1976
06:30
That was the one that I studied.
108
390260
1976
06:32
The first thing that I learned is when you're holding your breath,
109
392260
3096
06:35
you should never move at all; that wastes energy.
110
395380
2856
06:38
And that depletes oxygen,
111
398260
2639
06:40
and it builds up CO2 in your blood.
112
400923
1839
06:42
So, I learned never to move.
113
402786
1868
06:44
And I learned how to slow my heart rate down.
114
404678
2558
06:47
I had to remain perfectly still and just relax
115
407260
2191
06:49
and think that I wasn't in my body, and just control that.
116
409475
3761
06:53
And then I learned how to purge.
117
413260
1976
06:55
Purging is basically hyperventilating.
118
415260
2453
06:57
You blow in and out --
119
417737
1192
06:58
(Breathing loudly)
120
418953
4283
07:03
You do that, you get lightheaded, you get tingling.
121
423260
2977
07:06
And you're really ridding your body of CO2.
122
426261
2305
07:08
So, when you hold your breath, it's infinitely easier.
123
428590
3253
07:12
Then I learned that you have to take a huge breath,
124
432676
3603
07:16
and just hold and relax and never let any air out,
125
436412
3824
07:20
and just hold and relax through all the pain.
126
440260
2495
07:23
Every morning, this is for months,
127
443260
2565
07:25
I would wake up and the first thing that I would do
128
445849
2840
07:28
is I would hold my breath
129
448713
2333
07:31
for, out of 52 minutes, I would hold my breath for 44 minutes.
130
451086
5150
07:36
So, basically what that means is I would purge,
131
456260
2191
07:38
I'd breathe really hard for a minute.
132
458475
1861
07:40
And I would hold, immediately after, for five and a half minutes.
133
460360
3269
07:43
Then I would breathe again for a minute, purging as hard as I can,
134
463653
3583
07:47
then immediately after that I would hold again for five and a half minutes.
135
467260
3577
07:50
I would repeat this process eight times in a row.
136
470861
2911
07:53
Out of 52 minutes, you're only breathing for eight minutes.
137
473796
3440
07:57
At the end of that you're completely fried, your brain.
138
477260
2976
08:00
You feel like you're walking around in a daze.
139
480260
2191
08:02
And you have these awful headaches.
140
482475
1761
08:04
Basically, I'm not the best person to talk to when I'm doing that stuff.
141
484260
3976
08:08
I started learning about the world-record holder.
142
488260
2334
08:10
His name is Tom Sietas.
143
490618
1618
08:12
And this guy is perfectly built for holding his breath.
144
492260
3976
08:16
He's six foot four. He's 160 pounds.
145
496260
3976
08:20
And his total lung capacity is twice the size of an average person.
146
500260
4976
08:25
I'm six foot one, and fat.
147
505260
2487
08:28
We'll say big-boned.
148
508837
1399
08:30
(Laughter)
149
510260
1976
08:32
I had to drop 50 pounds in three months.
150
512260
3976
08:36
So, everything that I put into my body, I considered as medicine.
151
516260
4510
08:40
Every bit of food was exactly what it was for its nutritional value.
152
520794
4442
08:45
I ate really small controlled portions throughout the day.
153
525260
3976
08:49
And I started to really adapt my body.
154
529260
4197
08:53
[Individual results may vary]
155
533481
2142
08:55
(Laughter)
156
535647
2589
08:58
The thinner I was, the longer I was able to hold my breath.
157
538260
3625
09:01
And by eating so well and training so hard,
158
541909
3327
09:05
my resting heart-rate dropped to 38 beats per minute.
159
545260
3500
09:08
Which is lower than most Olympic athletes.
160
548784
2204
09:12
In four months of training,
161
552301
1550
09:13
I was able to hold my breath for over seven minutes.
162
553875
2473
09:17
I wanted to try holding my breath everywhere.
163
557580
2656
09:20
I wanted to try it in the most extreme situations
164
560260
2334
09:22
to see if I could slow my heart rate down under duress.
165
562618
4295
09:26
(Laughter)
166
566937
2443
09:30
I decided that I was going to break the world record
167
570260
2976
09:33
live on prime-time television.
168
573260
2577
09:35
The world record was eight minutes and 58 seconds,
169
575861
3375
09:39
held by Tom Sietas, that guy with the whale lungs I told you about.
170
579260
3191
09:44
I assumed that I could put a water tank at Lincoln Center
171
584260
3413
09:47
and if I stayed there a week not eating,
172
587697
3539
09:51
I would get comfortable in that situation and I would slow my metabolism,
173
591260
3976
09:55
which I was sure would help me hold my breath
174
595260
2143
09:57
longer than I had been able to do it.
175
597427
1769
10:00
I was completely wrong.
176
600022
1532
10:02
I entered the sphere a week before the scheduled air date.
177
602696
3946
10:06
And I thought everything seemed to be on track.
178
606667
2722
10:10
Two days before my big breath-hold attempt, for the record,
179
610260
3976
10:14
the producers of my television special
180
614260
1976
10:16
thought that just watching somebody holding their breath, and almost drowning,
181
616260
5866
10:22
is too boring for television.
182
622150
2086
10:24
(Laughter)
183
624260
1976
10:26
So, I had to add handcuffs, while holding my breath, to escape from.
184
626260
5384
10:31
This was a critical mistake.
185
631668
1824
10:34
Because of the movement, I was wasting oxygen.
186
634668
3568
10:38
And by seven minutes I had gone into these awful convulsions.
187
638260
4242
10:44
By 7:08, I started to black out.
188
644260
3734
10:49
And by seven minutes and 30 seconds,
189
649260
2976
10:52
they had to pull my body out and bring me back.
190
652260
2432
11:00
I had failed on every level.
191
660260
1976
11:02
(Laughter)
192
662260
1976
11:04
So, naturally, the only way out of the slump that I could think of was,
193
664260
5878
11:10
I decided to call Oprah.
194
670219
2463
11:12
(Laughter)
195
672706
3437
11:16
I told her that I wanted to up the ante
196
676260
1976
11:18
and hold my breath longer than any human being ever had.
197
678260
3976
11:22
This was a different record.
198
682260
1758
11:24
This was a pure O2 static apnea record
199
684042
2510
11:26
that Guinness had set the world record at 13 minutes.
200
686576
3405
11:31
So, basically you breathe pure O2 first, oxygenating your body, flushing out CO2,
201
691528
5543
11:37
and you are able to hold much longer.
202
697095
2063
11:40
I realized that my real competition was the beaver.
203
700818
4426
11:45
(Laughter)
204
705268
2746
11:51
(Laughter ends)
205
711235
1001
11:52
In January of '08,
206
712260
1976
11:54
Oprah gave me four months to prepare and train.
207
714260
2617
11:57
So, I would sleep in a hypoxic tent every night.
208
717925
2968
12:00
A hypoxic tent is a tent that simulates altitude at 15,000 feet.
209
720917
4319
12:05
So, it's like base camp, Everest.
210
725260
2673
12:07
What that does is, you start building up the red bloodcell count in your body,
211
727957
5279
12:13
which helps you carry oxygen better.
212
733260
2238
12:16
Every morning, again, after getting out of that tent,
213
736521
3715
12:20
your brain is completely wiped out.
214
740260
2976
12:23
My first attempt on pure O2, I was able to go up to 15 minutes.
215
743260
3976
12:27
So, it was a pretty big success.
216
747899
2337
12:30
The neurosurgeon pulled me out of the water
217
750260
2048
12:32
because in his mind, at 15 minutes your brain is done, you're brain dead.
218
752332
4904
12:37
So, he pulled me up, and I was fine.
219
757260
2339
12:40
There was one person there that was definitely not impressed.
220
760863
3349
12:45
It was my ex-girlfriend.
221
765022
1624
12:46
While I was breaking the record underwater for the first time,
222
766670
3460
12:50
she was sifting through my Blackberry, checking all my messages.
223
770154
3082
12:53
(Laughter)
224
773260
2976
12:56
My brother had a picture of it. It is really --
225
776260
2519
12:58
(Laughter)
226
778803
1612
13:02
(Laughter ends)
227
782707
1001
13:03
I then announced that I was going to go for Sietas' record, publicly.
228
783732
4504
13:08
And what he did in response, is he went on Regis and Kelly,
229
788260
4396
13:13
and broke his old record.
230
793260
1977
13:15
Then his main competitor went out and broke his record.
231
795261
4276
13:19
So, he suddenly pushed the record up to 16 minutes and 32 seconds.
232
799561
4675
13:24
Which was three minutes longer than I had prepared.
233
804260
2853
13:27
It was longer than the record.
234
807137
1499
13:30
I wanted to get the Science Times to document this.
235
810260
3976
13:34
I wanted to get them to do a piece on it.
236
814260
1976
13:36
So, I did what any person
237
816838
3398
13:40
seriously pursuing scientific advancement would do.
238
820260
3689
13:43
I walked into the New York Times offices and did card tricks to everybody.
239
823973
4263
13:48
(Laughter)
240
828260
3936
13:52
So, I don't know if it was the magic or the lure of the Cayman Islands,
241
832260
3381
13:55
but John Tierney flew down
242
835665
1571
13:57
and did a piece on the seriousness of breath-holding.
243
837260
2976
14:00
While he was there, I tried to impress him, of course.
244
840260
2524
14:02
And I did a dive down to 160 feet,
245
842808
2428
14:05
which is basically the height of a 16 story building,
246
845260
4486
14:09
and as I was coming up, I blacked out underwater,
247
849770
2466
14:12
which is really dangerous; that's how you drown.
248
852260
2286
14:14
Luckily, Kirk had seen me and he swam over and pulled me up.
249
854570
4354
14:18
So, I started full focus.
250
858948
2288
14:21
I completely trained to get my breath-hold time up
251
861260
2976
14:24
for what I needed to do.
252
864260
1976
14:26
But there was no way to prepare for the live television aspect of it,
253
866260
3286
14:29
being on Oprah.
254
869570
1666
14:31
But in practice, I would do it face down, floating on the pool.
255
871260
4649
14:35
But for TV they wanted me to be upright so they could see my face, basically.
256
875933
5684
14:42
The other problem was the suit was so buoyant
257
882386
3850
14:46
that they had to strap my feet in to keep me from floating up.
258
886260
2976
14:49
So, I had to use my legs to hold my feet into the straps that were loose,
259
889260
3976
14:53
which was a real problem for me.
260
893260
2005
14:56
That made me extremely nervous, raising the heart rate.
261
896331
3905
15:00
Then, what they also did was,
262
900260
1976
15:02
which we never did before, is there was a heart-rate monitor.
263
902260
3419
15:05
And it was right next to the sphere.
264
905703
2533
15:08
So, every time my heart would beat, I'd hear the beep-beep-beep-beep,
265
908260
3239
15:11
you know, the ticking, really loud.
266
911523
2022
15:13
Which was making me more nervous.
267
913569
2144
15:15
And there was no way to slow my heart rate down.
268
915737
2687
15:20
Normally, I would start at 38 beats per minute,
269
920464
3772
15:24
and while holding my breath, it would drop to 12 beats per minute,
270
924260
3096
15:27
which is pretty unusual.
271
927380
1856
15:29
(Laughter)
272
929260
2381
15:35
This time it started at 120 beats, and it never went down.
273
935626
4771
15:41
I spent the first five minutes underwater
274
941618
2618
15:44
desperately trying to slow my heart rate down.
275
944260
2976
15:47
I was just sitting there thinking,
276
947260
1652
15:48
"I've got to slow this down. I'm going to fail."
277
948936
2688
15:51
And I was getting more nervous.
278
951648
1588
15:53
And the heart rate just kept going up and up,
279
953260
2143
15:55
all the way up to 150 beats.
280
955427
1886
16:00
Basically it's the same thing that created my downfall at Lincoln Center.
281
960247
3666
16:03
It was a waste of O2.
282
963937
1357
16:06
When I made it to the halfway mark, at eight minutes,
283
966260
2524
16:08
I was 100 percent certain
284
968808
2428
16:11
that I was not going to be able to make this.
285
971260
2143
16:13
There was no way for me to do it.
286
973427
2145
16:16
I figured, Oprah had dedicated an hour
287
976429
2807
16:19
to doing this breath-hold thing, if I had cracked early,
288
979260
2976
16:22
it would be a whole show about how depressed I am.
289
982260
2976
16:25
(Laughter)
290
985260
1976
16:27
So, I figured I'm better off just fighting and staying there until I black out,
291
987260
3976
16:31
at least then they can pull me out and take care of me and all that.
292
991260
3239
16:34
(Laughter)
293
994523
3109
16:38
I kept pushing to 10 minutes.
294
998260
2048
16:40
At 10 minutes you start getting all these really strong tingling sensations
295
1000332
3712
16:44
in your fingers and toes.
296
1004068
1580
16:45
And I knew that that was blood shunting,
297
1005672
1936
16:47
when the blood rushes away from your extremities
298
1007632
2494
16:50
to provide oxygen to your vital organs.
299
1010150
2121
16:55
At 11 minutes I started feeling throbbing sensations in my legs,
300
1015260
4611
16:59
and my lips started to feel really strange.
301
1019895
3341
17:03
At minute 12 I started to have ringing in my ears,
302
1023260
3976
17:07
and I started to feel my arm going numb.
303
1027260
2976
17:10
And I'm a hypochondriac, and I remember arm numb means heart attack.
304
1030260
3239
17:13
So, I started to really get really paranoid.
305
1033523
2713
17:17
Then at 13 minutes, maybe because of the hypochondria,
306
1037291
2911
17:20
I started feeling pains all over my chest.
307
1040226
4010
17:24
It was awful.
308
1044260
1053
17:25
(Laughter)
309
1045337
1001
17:26
At 14 minutes, I had these awful contractions,
310
1046362
3874
17:30
like this urge to breathe.
311
1050260
1976
17:32
(Laughter)
312
1052260
2642
17:38
(Laughter ends)
313
1058131
1000
17:40
At 15 minutes I was suffering major O2 deprivation to the heart.
314
1060260
4976
17:45
And I started having ischemia to the heart.
315
1065260
2976
17:48
My heartbeat would go from 120 to 50,
316
1068260
2825
17:51
to 150, to 40, to 20, to 150 again.
317
1071109
5127
17:56
It would skip a beat.
318
1076260
1976
17:58
It would start. It would stop. And I felt all this.
319
1078260
2400
18:00
And I was sure that I was going to have a heart attack.
320
1080684
2667
18:03
So, at 16 minutes what I did is I slid my feet out
321
1083375
2861
18:06
because I knew that if I did go out, if I did have a heart attack,
322
1086260
4564
18:10
they'd have to jump into the binding and take my feet out
323
1090848
2807
18:13
before pulling me up.
324
1093679
1143
18:14
I was really nervous.
325
1094846
1384
18:16
I let my feet out, and I started floating to the top.
326
1096254
2654
18:18
And I didn't take my head out.
327
1098932
1507
18:20
But I was just floating there waiting for my heart to stop,
328
1100463
2936
18:23
just waiting.
329
1103423
1000
18:24
They had doctors with the "Pst," you know, sitting there waiting.
330
1104447
3789
18:28
And then suddenly I hear screaming.
331
1108260
2543
18:30
And I think that there is some weird thing --
332
1110827
2110
18:32
that I had died or something had happened.
333
1112961
2275
18:35
And then I realized that I had made it to 16:32.
334
1115260
3976
18:39
So, with the energy of everybody that was there,
335
1119260
2976
18:42
I decided to keep pushing.
336
1122260
1976
18:44
And I went to 17 minutes and four seconds.
337
1124260
2446
18:46
(Applause)
338
1126730
3406
18:54
(Applause ends)
339
1134504
1732
18:56
As though that wasn't enough, what I did immediately after
340
1136260
2762
18:59
is I went to Quest Labs
341
1139046
1390
19:00
and had them take every blood sample that they could
342
1140460
2504
19:02
to test for everything and to see where my levels were,
343
1142988
2627
19:05
so the doctors could use it, once again.
344
1145639
1990
19:07
I also didn't want anybody to question it.
345
1147653
2016
19:09
I had the world record and I wanted to make sure it was legitimate.
346
1149693
3543
19:13
So, I get to New York City the next day,
347
1153260
2976
19:16
I'm walking out of the Apple store,
348
1156260
3239
19:19
and this kid walks up to me he's like, "Yo, D!"
349
1159523
2248
19:21
I'm like "Yeah?"
350
1161795
1441
19:23
He said, "If you really held your breath that long,
351
1163260
2976
19:26
why'd you come out of the water dry?"
352
1166260
1976
19:28
I was like "What?"
353
1168260
1976
19:30
(Laughter)
354
1170260
1976
19:32
And that's my life. So --
355
1172260
1976
19:34
(Laughter)
356
1174260
4132
19:39
As a magician, I try to show things to people
357
1179260
2096
19:41
that seem impossible.
358
1181380
1856
19:43
And I think magic,
359
1183260
1481
19:44
whether I'm holding my breath or shuffling a deck of cards,
360
1184765
3471
19:48
is pretty simple.
361
1188260
1976
19:50
It's practice, it's training, and it's -- (Sobs)
362
1190260
3582
19:54
It's practice, it's training and experimenting,
363
1194730
2792
19:57
(Sobs)
364
1197546
1271
19:58
while pushing through the pain to be the best that I can be.
365
1198841
3129
20:01
And that's what magic is to me, so, thank you.
366
1201994
3409
20:05
(Applause)
367
1205427
3507
About this website

This site will introduce you to YouTube videos that are useful for learning English. You will see English lessons taught by top-notch teachers from around the world. Double-click on the English subtitles displayed on each video page to play the video from there. The subtitles scroll in sync with the video playback. If you have any comments or requests, please contact us using this contact form.

https://forms.gle/WvT1wiN1qDtmnspy7