278

Blank No. 33 Series II. Form B. 7

18 - Did conception occur by choice or accident?

19 - Habit of intercourse, average number of times per week? once
per month? per year?

20 - Was intercourse held during pregnancy? If so, how often?
b) had you any desire for it during this period?

21 - At other times have you any desire for intercourse? Yes
a) how often? b) what time in relation to your mens
Desire is not regular, but often
[deleted]a few days before menstruation.[deleted]
[inserted]a few days before menstruation[inserted]

-525-