First Name
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Last Name
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Phone
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Email
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What is your current age?
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Have you been diagnosed with osteoarthritis of the knee?
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Yes
No
On a scale of 0 to 10 with zero being no pain and 10 being the most severe pain you can imagineā¦ what would you rate your knee pain over the last week in general for your most painful knee?
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Current Height?:
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Current Weight?
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Do you currently use a knee brace?
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Yes
No
Are you currently enrolled in another ongoing research trial?:
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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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