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Name (Optional):______________________

Age: ___ Sex: ___

The researchers would like to conduct a survey


regarding the measurement your waistline. Thank you.

What is the measurement (cm) of your waistline?


________

Signature: ___________
Name (Optional):______________________
Age: ___ Sex: ___

The researchers would like to conduct a survey


regarding the measurement your waistline. Thank you.

What is the measurement (cm) of your waistline?


________

Signature: ___________
Name (Optional):______________________
Age: ___ Sex: ___

The researchers would like to conduct a survey


regarding the measurement your waistline. Thank you.

What is the measurement (cm) of your waistline?


________

Signature: ___________
Name (Optional):______________________
Age: ___ Sex: ___

The researchers would like to conduct a survey


regarding the measurement your waistline. Thank you.

What is the measurement (cm) of your waistline?


________

Signature: ___________
Name (Optional):______________________
Age: ___ Sex: ___

The researchers would like to conduct a survey


regarding the measurement your waistline. Thank you.

What is the measurement (cm) of your waistline?


________

Signature: ___________

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