=Personal History.= Acute diseases since childhood? Number of days lost in past year through illness? Notable increase or decrease of weight during the past year? =Present Condition.= Nutrition, color, and condition of skin? General appearance, as indicative of health? Dress: Habits of: 1 inch heels? =II.= =Heart and Circulatory System.= Temperature? Size of heart? Force of apex-beat? Murmurs? Blood-pressure: Maximal? Minimal? Pulse at rest? Horizontal? Vertical? After strength tests? Pulse, Character: Normal? Intermittent? Irregular? Unequal? Blood examination.— Absence of varicose veins and hemorrhoids? =III.= =Lungs and Chest Development.= Respiration: Frequency? Normal? Shallow? Deep? Auscultation? Adventitious sounds? Girth of chest: Repose? Forced insp’n? Forced exp’n? Ninth rib: Repose? Forced insp’n? Forced exp’n? Normal, in relation to height? Depth of chest: Repose? Forced insp’n? Forced exp’n? Lung capacity, measured by spirometer? Girth of waist? Nose: Normal? Obstructed? Throat: Normal? Catarrh? Tonsils: R.? L.? =IV.= =Digestive System.= Teeth: Good? Fair? Poor? Tongue: Clean? Coated? Pale? Breath? Functional derangement of stomach? ” ” ” intestines? ” ” ” liver? Normal size of liver and absence of tenderness? Normal size and position of stomach and intestines? Regularity of stools with normal color and consistence? Constipation? Diarrhea? Appendicitis? =V.= =The Kidneys.= Quantity of urine for twenty-four hours? Frequency of urination? Specific gravity and reaction? Indican? Albumin? Sugar? Casts? Position of kidneys? =VI.= =The Nervous System.= Tendency to headache? Character of ” Pain or tenderness of spinal cord? Number of hours that can now be spent in study daily? Tendency to nervous exhaustion? Character of sleep: Insomnia? Mental poise? =VII.= =Generative Organs.= Position and size of uterus? Inflammation of uterus? Position and size of ovaries? Inflammation of ovaries? Menstrual flow: Quantity? Frequency? Pain: Before? During flow? Length of time? Vaginal discharge?