201

Blank No. Series II. Form B. 7

[in margin]23[in margin]
18 - Did conception occur by choice or accident?
a - wanted but not planned for especially
b - accident
19 - Habit of intercourse, average number of times per week?
per month? [deleted]1st 10 yrs.[deleted] per year?
1st 10 yrs. once per month or less
always about that because of depletion of husband. wife never [?]
of need for more frequent
20 - Was intercourse held during pregnancy? If so, how often?
b) had you any desire for it during this period?
"Husband had pyorrhea in recent years was too depleted
little intercourse for several years - wife felt forlorn
& spiritual lack but no physical need"
21 - At other times have you any desire for intercourse?
a) how often? b) at what time in relation to your menses

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