(11) Underline interest in sport: Practically none. Slight. Extensive.
(12) Underline interest in music: Practically none. Slight. Extensive.
(13) Underline interest in other art (designate): Practically none. Slight. Extensive.
(14) Underline interest in religion: Practically none. Slight. Extensive.
(15) Underline applicable schooling: Less than 8 years. High school. Liberal arts college. Postgraduate. Professional school.
(16) If liberal arts course, favorite subjects in order of preference....
(17) Number—if any—of foreign languages ever spoken with considerable ability..... Number studied for translation.....
(18) What—if any—mental diseases suffered...............................
(19) A dipsomaniac..... Other drug addiction.....
(20) What rather serious (excluding the practically universal) bodily diseases suffered...................... ..................................................... Particularly underline applicable: Venereal warts. Syphilis. Gonorrhea. Locality (initial) of last three...