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Blank No. 11 Series II. Form. B. 6.

12 - What knowledge of sexual physiology had you before marriage?
b) how did you obtain it?
a. - None to speak of. Nothing at all defiinite
in my mind.
b. - Miss Shepard's "Talks with Girls".
So innocent of the matter that until I was eighteen
I did not know the origin of babies.
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? 7 yrs. (Present date, July '94)
15 - Do you habitually sleep with your husband? b) what reason
for so doing or not? Yes, as I know no reason
for not doing so, and preferred company at
night.
16 - Number of conceptions?
Three.
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
chldren. f) give time of first menstruation after birth
of each child.
1. - Frances.
a. Feb. 12, 1888. B. - Girl. C. - Yes, though
she takes cold readily, and has had two short at-
tacks of pneumonia. d. - Very sensitive; feelings
easily hurt. Have always laid it to prenatal in-
fluence, as I was unnaturally and morbidly

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