Sessional_Paper_1887-1888 — Page 400

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Appendix B.

Form of questions circulated amongst each Residents.

1. What is your name?

2.-What is your present address?

3. How long have you resided there?

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4.-Give your address or addresses for the last ten years.

5.-Give your medical history as regards fever for the last four years.

6.-State the number of Europeans in your household.

7.-Answer the first five questions for each member of your family.

8.-State what deaths have occurred in your family in Hongkong, and, if any, from

what cause.

9. Has any one of your family left Hongkong during the last five years on account

of sickness, and if so from what sickness?

10.

11.

Do you consider your present or past abode and neighbourhood unhealthy, and if

so from what cause?

How many Chinese servants do you employ or did you employ when resident

at

?

12. Have any of your Chinese servants had fever during the last four years, and if so how many and during what months and have any left on that account, and not returned?

13.--Do you know if any of your Chinese servants have died of fever contracted while

in your employ, and if so how many?

14.-Have you any difficulty in procuring Chinese servants at particular periods of the

year, and if so for what reason ?

FOR LANDLORDS.

15. How long have you owned a house or houses in Hongkong?

16.-Are any of the houses unoccupied? and if so, have they been lately unoccupied,

and for what period?

17.-- What cause was assigned by the last tenant for giving it up?

18.-Who were your tenants during the last four years?

19. Have you received any complaints from your tenants, and if so, of what nature

were they?

20.—Make any remarks that may occur to you bearing on the prevalence of fever in the

Western District.

1. Name.

Appendix C.

Form of questions put to Witnesses.

2.- Had you fever during 1887?

3. How often and at what dates?

4.-Were the attacks all of the same character?

5.-Describe an attack, specifying the presence or absence of Rigor, Pyrexia, Diapho-

resis, Periodicity and Duration.

6. Had you diarrhoea during the fever?

7.--Had you an eruption during the fever, and of what nature?

8. Had you fever prior to 1887, and if so of what nature and when?

9.--Where were you residing then?

10. Since your first attack in 1887, have you resided elsewhere than in the house in which you first acquired the fever, and if so where and had you an attack or attacks of fever there?

Repeat the questions applying them to individuals of the household.