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Blank No.33 Series II Form B. 6.

12- What knowledge of sexual physiology had you before marriage?
(b)how did you obtain it? Considerable, through books also some from my mother and other friends.

13- Number of times married. If more than once additional blanks will be furnished you to answer the following questions separately in regard to each marriage? Once
14- Number of years married? 1 year
15-Do you habitually sleep with your husband? (b) what reasons for so doing or not?
I do, because we enjoy it merely from the companionable stand point, and secondly because it has so far it has been inconvenient to arrange it otherwise.
16- Number of conceptions?None.

17- Number of children? State in connection with each (a)date of birth? (b)sex? (c)whether healthy or not? (d)note any characteristic and the cause. (e) note either immediate or after effect on your health of the birth of each of your children. (f)give time of first menstruation after birth of each child.