5. Present occupation, ____
6. Years of service in present occupation, ____
7. Years of service with present employer, ____
8. Number of previous employers (domestic occupations), ____
9. Whole number of years engaged in domestic occupations, ____
10. Present wages received, per week, $____; per month, $____
11. Highest wages received from previous employers, per week, $____; per month, $____
12. Lowest wages received from previous employers, per week, $____; per month, $____
13. Have you ever had any regular employment other than housework? ____
14. Name such kinds of employment, ____