Pre Bike Fit Questionnaire

Pre Bike Fit Questionnaire
[bike fit lab]

Pre Bike 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 very soon!
Personal Details
Please upload a photograph of your bike (*the actual bike, not a manufacturer image):

Browse Files

Cancelof
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender

MaleFemaleOther
Height (cm)
Weight (kg)
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone
Goals
Which Bike Fit Service would you like? Cleats/Elemental/Bike Fit Pro/Follow-up Fit etc.
Your Short-Term riding goals (next 6 months)
Your Long-Term riding goals (next 2-5 years)
What is the main reason for this Bike Fit?
What is your ideal outcome for the Bike 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 HandsNumb FeetHotspots Under FootSaddle SorenessKnee PainBack PainNeck Ache
Please elaborate further about any cycling related injuries or illnesses you have had in the past or are currently suffering from:
Do you consider yourself to have a disability? If yes, please elaborate:
Have you had a bike fit before?

YESNO
If yes, please upload a copy of your latest bike fit below or list the details in the text box below:
Upload your last bike fit if available:

Browse Files

Cancelof
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

1 is Sporadic, 5 is Every week

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

YESYES
If yes, please specify which brand of shoe
Which pedal system and cleats do 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:

Pre Bike Fit Questionnaire

[bike fit lab]

Personal Details

Goals

History

Riding & Health