The Study of Human Heredity. 11 



Appendix 1. 



Forms for written Description of the Chart 



A. 



Name No. 



Date 

 Source of information. 



a. name. b. relation to patient, c address. 

 The patient and his home. 



a. Description of the patient 



b. Neighborhood. — good, fair, bad. 



c. Housing. — tenement, separate house, number of rooms used, condition. 



d. Home treatment. — good, bad, fair, neglected. 



e. Number in the household. — adults, number normal, number defective; 



children, number normal, number defective; number of boarders. 



f. Financial condition. — good, moderate, poor, very poor. 



g. Education. — time in school, grade attended, reason for leaving. 



A description of the individuals on the chart, covering the points mentioned 

 in the text (pages 6 and 7), is written up under the following headings: 

 The patient's fraternity. 

 The patient's father and his fraternity, 

 The patient's father's parents and their fraternities. 

 The patient's mother and her fraternity. 

 The patient's mother's parents and their fraternities. 



B. 



Suggested in the case of extended pedigrees, particularly those made inde- 

 pendently of institutions. 



General statement relating to locality (exact position, topography, density 

 of population and, in rural localities, adaptability to agriculture), housing, 

 social condition, and origin. 



Order of personal descriptions. Begin with earliest generation, describe 

 father, mother and all their children. Take the oldest married child (at left 

 hand end of fraternity, describe his consort and their progeny. Next describe 

 their oldest married child, his or her consort and progeny and so on, to the 

 youngest generation. Then return to the next married sib of the next to the 

 youngest fraternity already described, and give an account of his consort and 

 their children, and so continue, working from left to right until all fraternities 

 have been described. For example, in Plate I the following order is followed: 

 I, 1, 2, 3, II 1, 2, 3, II (2), 7, III 1; II (3), 4, III 2, 3, 4, 5, 6, 7, 8, 1 4, 5, II (4) 5, 6. 



