15

Blank No. / 2.

9. Did conception occur by choice or by accident? Accident

10. Habit of intercourse? Average number of times per week?
per month? Two or three times. per year? Before conception, once
or at most twice per month

11. Was intercourse held during pregnancy? No. If so, a) how often?
b) did you desire it at this period? Ocassionally during first months,
not at all during last half - or more.

12. At other times have you any desire for intercourse? Yes.
a) How often? Once or twice a month.
b) At what time relative to your menses? Immediately after.
Ocassionally just before - and rarely at some other times.
Except in 1st case, it is scarcely ever except when there
is some outside exciting cause

13. Is intercourse agreeable to you or not. Usually.
Do you always have a venereal orgasm? No.
1. - when you do, a) effect immediately afterward
b) effect next day

2. - When you do not, effect immediately after?
b) effect next day?

Blank No. / 2.

9. Did conception occur by choice or by accident? (handwritten) Accident

10. Habit of intercourse? Average number of times per week?
per month? (handwritten) Two or three times before conception (typed) per year (handwritten) Before conception ____

11. Was intercourse held during pregnancy? (handwritten) no (typed) (if so, a) how often?
b) did you desire it at this period? (handwritten) Ocassionally during first months, not at all during last half - or more.

12. At other times have you any desire for intercourse? (handwritten) Yes (typed)
a) how often (handwritten) Once or twice a month.

b) At what times relative to your menses? (handwritten) Immediately after. Ocassionally just before - and rarely at some other times. [Dr?]

13. Is intercourse agreeable to you or not. (handwritten) Usually.

Do you always have a venereal orgasm? (handwritten) No.

1. - When you do, a) effect immediately afterward

b) effect next day

2. - When you do not, effect immediately after?

b) effect next day?