First Name
*
Last Name
*
Phone
*
Email
*
What is your current age?
*
Have you been diagnosed with osteoarthritis of the knee?
*
Yes
No
On a scale of 0 to 10 with zero being no pain and 10 being the most severe pain you can imagine… what would you rate your knee pain over the last week in general for your most painful knee?
*
Current Height?:
*
Current Weight?
*
Do you currently use a knee brace?
*
Yes
No
Are you currently enrolled in another ongoing research trial?:
*
Yes
No
Are you currently using any of the following medications: Captopril, Drospirenone, Enalapril, Eplerenone, Lisinopril, Lithium, Losartan, Potassium Chloride, Potassium Salts, Potassium-Sparing Diuretics, Spironolactone, Eliquis, Opioids?
Yes
No
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