1. What is the applicant’s exact height in his bare feet? (The physician must himself measure and weigh the applicant.)
2. What is the applicant’s exact weight in his ordinary clothing, without overcoat or hat?
3. Did you yourself weigh and measure the applicant?
4. What is the condition of the applicant’s sight? (If possible, the test should be made with Snelen’s cards, and expressed in twentieths.)
If the applicant has any defect of sight in either eye, describe fully.
Is the defect in sight corrected by the use of glasses?
5. What is the condition of the applicant’s hearing? (State the distance, in feet, at which he can hear the ticking of a closed watch held in the open hand, testing each ear with the other plugged.)
If he has any defect of hearing of either ear describe fully.
6. What is the condition of the applicant’s speech? If he has any defect of speech describe fully.
7. What is the condition of the applicant’s limbs?