18

No. 2 Series II FormB. 2.

(continued) 4 - Numbeer of children? Eleven number reaching maturity? eight

Your Paternal Grandmother: home in city or country? country

1 - age when married?

2 - occupations? housekeeping

3 - health? Excellent, great vigor and endurance

4 - age and cause of death? 79, cause = either Rheumatism or dropsy?

Your Mother: 1 - Nationality, if American of what descent? 1/2 Scotch 1/2 Penn. Dutch descent

2 - home in city or country before marriage? country - farm

b) home in city or country after marriage? country "

3 - Occupations before her marriage? housekeeping

b) after her marriage? housekeeping

4 - Note any prenatal influences before your birth

5 - her health previous to your birth? Rather delicate, without any definite disease.

b - after your birth? Same though gradually growing better in following years.

6 - Number of miscarriages? None

7 - Her age if living and present health? [deleted]if not, age at time of death and cause?[deleted] 53: health not very good; Rheumatism, various disorders, result of too easy a life, too little exercise, and unhygenic conditions of her own making in the last ten years; at 40, she was an unusually well woman, though not strong or robust.

8 - how was your mother's health affected by the climacteric (change of life). She had a tumor of a cancerous nature on her neck at that time, but otherwise was reasonably well, though irritable.

9 - name any diseases in her family.