79 



made at end of Twenty-fourth Year. 



I. Colour of eyes 



State whether dark blue, blue ; grey, dark grey : brown grey (green, light hazel) ; 

 brown, dark brown (black). 



2. Colour of hair 



State whether fair brown (flaxen), light brown, brown, dark brown ; fair r«d (golden, sandy), 

 red, dark red (chestnut, auburn), jet black. 



3. Chest girth round nipples 



(Measured with the arms down after counting ten.) 



4. Strength of pull 



5. Acuteness of Vision * : — 



Note the greatest distance at which No. I. is read in inches. 



„ „ „ No. II. is read in feet 



Colour vision* 



6. Hearing. Greatest distance in feet and inches at which a watch can be heard. 



Right ear 

 Left ear. . . 



By 



yousselt. 



By Companions about the same Agb as Yourself, who are not Rela- 

 tives, AND WHO ARE NOT ESPECIALLY DuLL OK QOICK OF HEARING. 



7. Any noticeable dulness or acuteness of smell, taste, or touch 



8. State of teeth. 



♦ See Appeadix for Tests. 



