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

Cancel of
Full Name

First Name Last Name
Date of Birth

Month Day Year
Date Date Picker Icon
Gender

Male Female Other
Height (cm)
Weight (kg)

Home Address

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 Hands Numb Feet Hotspots Under Foot Saddle Soreness Knee Pain Back Pain Neck 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?

YES NO
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

Cancel of
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

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

[bike fit lab]