Pre-Fit Questionnaire

Foundation: Pre-Fit Questionnaire

Welcome to the Pre-Fit Questionnaire. Please take your time to answer these questions as fully and as honestly as possible. Your answers are essential to help prepare and understand you as a rider, your fit needs and goals, and ensure you receive the most accurate fitting solution available. Even the smallest, seemingly insignificant detail can be important. We look forward to working with you!
Personal Details
Please upload a picture of your bike / bikes *

Upload a File

Cancel of
Full Name *

Prefix First Name Last Name
Date of Birth *

- Month - Day Year
Gender *

Male Female Other
Height (cm) *
Weight (kg) *

Home address *

Bike Fit Location. If different from home address.

Phone Number *
E-mail *
Goals
Which fit service would you like? e.g. Standard, Full, Cleat Fitting etc. *
Your short-term (within next 6 months) riding goals *
Your long-term (within 2 - 5 years) riding goals *
What is the main reason for this fit? *
What is your ideal outcome for the fit? *
History
How long have you been cycling for? *
Have you or do you currently suffer from any of the following whilst riding? (check all that apply) *

Numb hands Numb feet Hotspots under foot Saddle soreness Knee pain Back pain Neck ache None
Please elaborate further about the cycling related injuries or illnesses you have had in the past or are currently suffering from
Have you ever had any other serious injury or operations? If yes, please elaborate *
Do you consider yourself to have a disability? If yes, please elaborate *
Have you had a bike fit before?

Yes No
If yes, please upload a copy of your latest bike fit below or list the details n the text box
Upload your last bike fit
Did the last bike fit you had meet your aims and expectations? If not, why not?
Riding & Health
What is the make and model of your current bike ? *
What size is your current bike? *
How long have you had this bike? *
Describe the type of riding you currently do on this bike - e.g. recreational, racing, sportive riding, triathlons, mountain biking. *
Approx how many times per week do you ride? *
On average, how long are you out and what distances do you cover on your regular rides? *

Rate how regularly & consistently you ride on a weekly basis *

	1	2	3	4	5
Sporadic						Every week

What other forms of exercise do you regularly partake in?
Do you currently wear clipless cycling shoes with cleats? *

Yes No
If yes, please specify which brand of shoes, cleats and pedals you use. *
How would you describe your current health and well being? *
How would you describe your current stress levels both physically and mentally? *
What's the most rewarding ride you've done? *
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

Foundation: Pre-Fit Questionnaire