124

Blank No. 14 Series II. Form B. 7

18- Did conception occur by choice or accident?
Both.
19 - Habit of intercourse? average number of times per week?
per month? two or three per year?
20 - Was intercourse held during pregnancy? If so, how often?
b) had you any desire for it during this period?
Yes. occasionally. Yes.
21 - At other times have you any desire for intercourse?
a) how often? b) at what times in relation to your menses?
Yes - occasionally through the month. no especial time.

-233-