Knee Replacement Survey Participate in Knee Replacement Research Explore a research study of an investigational pain medication following a knee replacement. Complete this short survey to see if you qualify Please tell us about yourself so that we can find suitable study locations near you. All the information you complete will remain private. First Name Last Name Email Primary Phone Mobile Phone Address Apt. / Ste. City Zip Code We need this information calculate your body mass index (BMI). Height (Feet) Height (Inches) Weight (lbs) Date of Birth Gender Male Female Other Please choose the race and/or ethnicity that describes yourself. Choose all that apply: Hispanic or Latino American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other Prefer not to say Do you have knee pain? Yes No Have you been diagnosed with osteoarthritis of the knee by a doctor? Yes No Have you had any injections in your knee? Yes No Your privacy is important to us. Please confirm that you have reviewed our Privacy Policy and agree to the Terms of Use. Yes, I have reviewed the privacy policy and agree to terms of use Okay to receive text messages Send