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nk No. 2 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? 3 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?
a) how often? b) At what time in relation to your menses?
more desire immediately after cessation of menses.

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