antijcopometiic (JDbseiUatiuns 



made at end of Sixtieth Year,^ 



I. Colour of eyes 



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

 brown, dork brown (black). 



2. Colour of hair 



State whether fair brown (flaxen), light brown, brown, dark bruwn ; fair red (golden, sandy), 

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



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. 



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



8. State of teeth. 



♦ See Appeudix lor Tests. 



