i6i 



made at end of Seventy-fifth Year. 



J. Colour of eyes 



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

 brown, dark brown (black). 



2. Colour of hair 



Slate whether fair brown (fl.-vxen), h'ght brown, brswn, dajik brown ; fair red (golden, sandy), 

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



3. Chest girth round nipples 



(Measured with the arms down after counting ten.) 



4. Strength ot 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. 



:y. V 



* See Appendi.\ for Tests. 



