Name/Title
Questionnaire, Doctors Office, For ChildrenEntry/Object ID
2020.1.89VScope and Content
Questionnaire for Children for Doctor B. Frank Scholl from the Library of Health,
Questionnaire reads;
Symptom Blank for children Date ____19
All letters free from observation. Any further symptoms can be written on back. Enclose two cent stamp and address. B. Frank Scholl, M.D. 1420 N. Seventeenth St., Phila., Pa.
Questions, Answers
Age, sex, indigestion or gas in the stomach, are the bowels constipated or is there diarrhea, what diseases since birth, what other symptoms are presents, give full particulars,
Write plainly Name__ Address__ Read carefully and follow instructions below. Always mail all symptoms Blanks and correspondence to B. Frank Scholl, M.D. 1420 North Seventeenth Street, Philadelphia, Pa.
Group of documents found in a box that belonged to Captain Charles Nelson and Family.Lexicon
Nomenclature 4.0
Nomenclature Primary Object Term
QuestionnaireNomenclature Sub-Class
Other DocumentsNomenclature Class
Documentary ObjectsNomenclature Category
Category 08: Communication ObjectsDimensions
Height
7-13/16 inLength
5-1/4 in