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Blank No. 18 Series II. Form B. 6.

12 - What knowledge of sexual physiology had you before marriage?
b) how did you obtain it? A good general knowledge of
the position and functions of the organs - - gathered from
various medical books - - and a good deal of particular knowledge
from my experience with the life on the farm - - in seeing [??]
farm animals - during all processses of breeding - - Also from
very frank talks with my mother.
13 - Number of times married? once If more than once additional blanks
will be furnished you to answer the following questions separately
in regard to each marriage?
14 - Number of years married? fifteen
15 - Do you habitually sleep with your husband? b) what reasons
for so doing or not? - No - Because my husband is
nervous and restless and dislikes sleeping with anyone.
16 - Number of conceptions? None
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
children. f) give time of first menstruation after birth
of each child.

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