(21) If dead, cause of death............................................
(22) What—if any—disease has run in the family of either parent.........
(23) What other blood relatives have shown sexual abnormality:
Definite relationship Nature of abnormality .................... ........................................... .................................................................... ....................................................................
(24) Are sexual organs normal..... Describe any abnormalities........... ........................................................................ ........................................................................
(25) Underline applicable fundamental or original instinct: Fellatio (active buccal). Passive buccal. Masturbation of other. Mutual onanism. Pædicatio (anal), indicating whether subject is active or passive, or both. Cunnilingus (corresponding to active fellatio in the male). Tribadism (corresponding to masturbation of other in the male).
(26) Approximate age when instinct first manifested itself in the feelings.....years. In actions.....years.
(27) Secondary or acquired methods of coitus............................ ........................................................................
(28) Is subject a psychical hermaphrodite (attracted toward both sexes)....
(29) Does coitus stimulate any erogenous center (i.e., afford a pleasurable titillation of any portion of the body) or is the satisfaction entirely or almost entirely mental ........