STÁTNÍ TAJEMNÍK U ŘÍŠSKÉHO PROTEKTORA V ČECHÁCH A NA MORAVĚ, PRAHA, inv. 2118, sig. 109-8/1 Page 189 · 189 of 131

THE SECRETARY TO THE RUSSIAN PROTECTOR IN THINGS AND IN MORAVA, PRAGUE, inv. 2118, sig. 109-8/1

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Page 189

English Translation

2-186 Appendix 8 to K 14 — 101 — 10, p, 5. Questionnaire for homosexuals. 1. Name: 2. Vórname: 3. Birthday and place of birth: 4. Unmarried born: 5. Warden commando: 6. Confession: 7. Sibling number: how many died: 8. How many male and female siblings: 9. How much child in the family: 10. Youngest child: 11. Single child: 12. Schooling: 1. Caregiver: 14. 15. Concentration Camps: 16. Penalties (crimes or offenses against Reichsgeseze, not aberrations) Number of penalties: 17. Type of last sentence: 18. Measure of punishment: 19. Reason of penalty: 20. Crime in the family: 21. Spiritual Abnormality in the Family: 22. Personal impression: Build 23. Weak (asthenic): 24. (Leptosome): 25. (Athletic, pycnic): 26. (Pycnian): 27. Strong, muscular (athletic): 28. Alcohol abuse: To be emphasized. 29. Nicotine abuse: 30. Drug abuse: 31.