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No. 12 Series II. Form B. 7

18 - Did conception occur by choice or accident? By accident, but
with the thought of its feasibility

19 - Habit of intercourse, average number of times per week?
per month? Once or twice. per year?

20 - Was intercourse held during pregnancy? If so, how often?
b) had you any desire for it during this period? Possibly once;
I don't remember; I did not notice any appreciable effect upon
myself as to desire.

21 - At other times have you any desire for intercourse? Yes.
a) how often? b) at what time in relation to your mense
I think rather more before and after menstruation.

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