10. Is her hearing perfect?

11. Has she sound teeth, and if not, have they been properly attended to by a Dentist lately?

12. Has she shown any tendency to Rheumatism, Anaemia, Tuberculosis, or other illness?

13. When?

14. What?

15. Has she ever had influenza?

16. Does she suffer from headaches?

17. Any form of fits?

18. Heart disease or varicose veins?

19. Is she subject to any functional disturbance?