Pre-Fitting Report
RIDER
DATE
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
BIKE
Fitter
Please Select
Colin Tanner
Jonathan Blyer
Greg Close
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Cycling Style
Please Select
Casual
Serious
Competitive
Pro
Typical Hours Per Week
Please Select
0-5
5-10
11-15
15+
Cycling Discomfort
Rows
Discomfort
Hands
Pain-free
Twinge
Minor Issue
Major Issue
Feet
Pain-free
Twinge
Minor Issue
Major Issue
Saddle
Pain-free
Twinge
Minor Issue
Major Issue
Lower Back
Pain-free
Twinge
Minor Issue
Major Issue
Upper Back
Pain-free
Twinge
Minor Issue
Major Issue
Knees
Pain-free
Twinge
Minor Issue
Major Issue
Shoulders/Arms
Pain-free
Twinge
Minor Issue
Major Issue
Neck
Pain-free
Twinge
Minor Issue
Major Issue
Hips
Pain-free
Twinge
Minor Issue
Major Issue
Other
Pain-free
Twinge
Minor Issue
Major Issue
Flexibility
Rows
Left
Right
Hamstring Flexibility
A
B
C
D
F
A
B
C
D
F
Glute Flexibility
A
B
C
D
F
A
B
C
D
F
Hip Internal Rotation
A
B
C
D
F
A
B
C
D
F
Hip External Rotation
A
B
C
D
F
A
B
C
D
F
Quad Flexibility
A
B
C
D
F
A
B
C
D
F
Hip Flexor Flexibility
A
B
C
D
F
A
B
C
D
F
ITB Flexibility
A
B
C
D
F
A
B
C
D
F
Forefoot Varus/Valgus
Rows
Forefoot
Left
Significant Valgus
Moderate Valgus
Mild Valgus
Normal
Mild Varus
Moderate Valgus
Significant Valgus
Right
Significant Valgus
Moderate Valgus
Mild Valgus
Normal
Mild Varus
Moderate Valgus
Significant Valgus
Single Legged Squat
Rows
Hip Stability
Foot Stability
Left
A
B
C
D
F
A
B
C
D
F
Right
A
B
C
D
F
A
B
C
D
F
Gait Analysis (Feet)
Rows
Foot Angulation
Left
Normal
Out-toeing
In-toeing
Right
Normal
Out-toeing
In-toeing
Gait Analysis (Knees)
Rows
Knee Angulation
Left
Normal
Varus (Bow Legged)
Valgus (Knock-kneed)
Right
Normal
Varus (Bow Legged)
Valgus (Knock-kneed)
Gait Observations
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Fit Geo
Rows
Initial
Saddle Height
Saddle Setback
Saddle Height @80mm From Nose
Saddle Tilt
HX
HY
SX
SY
Handlebar to Grip
Saddle Nose to Grip
Handlebar width
Crank Length
Effective Saddle Angle
Equipment
Rows
Final
Saddle Make
Saddle Model
Handlebar Make/model
Shift Hoods
Shift Hood Position
Pedals
Shoes
Cleat Shims
Footbeds
Standover height
Notes
Left Cleat
Right Cleat
BB to Grip
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