Relationship to head of family? Sex?.. Age at nearest birthday?. 5 Conjugal condition? 2345673 9 II 12 13 14 15 16 Place of birth? . . . INQUIRIES. Length of residence in Philadelphia ? Length of residence in this house? Able to read? . . . Able to write? Months in school during last school year?. Graduate or attendant at any time of any higher school?. Attendant of any industrial school? Occupations since December 1, 1891? Present occupation? Place of work?. weekly?. 17 Average income from present occupation monthly? yearly? 18 Weeks unemployed at above occupation during last twelve mo Weeks employed at any other occupation during last twelve m Name of such other occupation?. 19 20 21 22 23 24 Average weekly earnings at such other occupation? Number of days sick during last twelve months? Nature of illness? Sound and healthy in mind, sight, hearing, speech, limbs and When and where have attempts been made to find other emple 26 Why was application refused? . . . 25