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Blank No. 5 Series II. Form B. 7
2 weeks before birth of 2d baby the first little girl fell out of 2d story window great fright but labor did not come on. No harm to either & no apparent effect Great financial worry [??] of father's financial condition. News came day before birth & lonesome because husband had to be away so much
18 - Did conception occur by [deleted]choice[deleted] or accident? 12 days after menstrual period. no reason why it should not occur but not a deliberate choice. 3d choice
19 - Habit of intercourse, average number of times per week? per month? per year? 1915) gradual decrease in frequency - Now 1 per month or less.
20 - Was intercourse held during pregnancy? If so, how often?
b) had you any desire for it during this period? )1915 = [???] 2d) a) none for 2 months before bab's birth. perhaps once or twice a week
b) can regulate it by thinking about 1915 with later children - [deleted]no intercourse[deleted] gradual [??]
21 - At other times have you any desire for intercourse?
a) how often? b) at what time in relation to your mens more intense at times
(1915) never objectionable - selden would think more desire just before.
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Blank No. 5 Series II Form B. 8
22 - Is intercourse agreeable to you or not? fairly do you always have a venereal orgasm? no, generally - 1915 yes Probably orgasm even[?] frequently [?] [?].
1 - When you do? a) effect immediately afterwards?
b) effect next day?
2 - When you do not? a) effect immediately afterwards?
b) effect next day?
usually morning rather than night no effect in generally.
Usually sleeps better after it.
23 - What do you believe to be the true purpose of intercourse?
a - necessity to man? yes - relieves what would be a discomfort[?] to woman? Perhaps - would have hated to have omitted the experience.
husband temperate[?]
b - Pleasure? Yes - does not know why not.
c - Reproduction? Yes - Does not think she has had too many children.
d - What other reasons beside reproduction are sufficient to warrant intercourse? A close bond making marriage more stable. Can not imagine a new relation established with new people.
1915 d) Binds people together and holds family together - is a bond. Not only reason but a strong family.
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Blank No. 5 Series II Form B. 9
24 - Have you ever used any means to prevent conception? a) if so what? No withdrawal.
b) effect on your health?
25 - What, to you, would be an ideal habit? Anything which was conducive to general [???] living[?]. Not for reproduction only.
To vary with age, less desire in later years. [?] yrs - has not slept together. connecting rooms always has access to room once a moonth before period.
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Blank No. 6 6 Form B.
Date. Aug. 1892
1. Age when married? Thirty-one.
2. General health a) before marriage Poor. b) since marriage. Better.
3. what knowledge of sexual physiology had you before marriage? None.
4. 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.
5. number of years married? Four.
6. Do you habitually sleep with your husband? Have tried both.
7. Number of conceptions? -
8. Number of children? Note in connection with each , date of birth, sex, whether healthy or not; note any characteristic and the cause if you know it.
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Blank No. 6 8.
9. Did conception take place by choice or by accident? -
10. Habit of intercourse? average number of times per week? per month? One to four times per year?
11. Was intercourse held during pregnancy? -- If so, a) how often? -
b) did you desire it during this period? -
12. At other times have you any desire for intercourse? Seldom. a) how often? About once a month.
b) At what time in relation to your menses? Soon after.
13. Is intercourse agreeable to you or not? Generally agreeable.
Do you always have a venereal orgasm? Yes.
1. - When you do, a) effect immediately after None. (sleep
b) effect next day? None.
2. When you do not, a) effect immediately after -
b) effect the next day. -
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