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Height:
Select it 4'7" (140cm) or below 4'8" - 4'11" (141-150cm) 5'0" - 5'3" (151-160cm) 5'4" - 5'7" (161-170cm) 5'8" - 5'11" (171-180cm) 6'0" - 6'3" (181-190cm) 6'4" (191cm) or above
Weight:
Select it 99 lbs (44 Kgs) or less 100-109 Lbs (45-49 Kgs) 110-119 Lbs (50-54 Kgs) 120-129 Lbs (55-58 Kgs) 130-139 Lbs (59-63 Kgs) 140-149 Lbs (64-67 Kgs) 150-159 Lbs (68-72 Kgs) 160-169 Lbs (73-76 Kgs) 170-179 Lbs (77-81 Kgs) 180-189 Lbs (82-85 Kgs) 190-199 Lbs (86-90 Kgs) 200-209 Lbs (91-94 Kgs) 210-219 Lbs (95-99 Kgs) 220-229 Lbs (100-103 Kgs) 230-239 Lbs (104-108 Kgs) 240-249 Lbs (109-112 Kgs) 250-259 Lbs (113-117 Kgs) 260 Lbs (118 Kgs) or more
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HIV Status:
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Drink:
Select it Very often Often Rarely No No Answer Sober
Drugs:
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Smoker:
Select it No Rarely Often Very often No Answer Quit
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