60

Blank No. 6 8.

9. Did conception take place by choice or by accident? --

10. Habit of intercourse? average number of times per week?
per month? One to four times per year?

11. Was intercourse held during pregnancy? -- If so, a) how often? --

b) did you desire it during this period? --

12. At other times have you any desire for intercourse? Seldom.
a) how often? About once a month.

b) At what time in relation to your menses? Soon after.

13. Is intercourse agreeable to you or not? Generally agreeable.

Do you always have a venereal orgasm? Yes.

1. - When you do, a) effect immediately after None. (sleep

b) effect next day? None.

2. When you do not, a) effect immediately after --

b) effect the next day. --

-98-