Please complete prior to coming in to give me useful information to prepare for your fit session.
How did you find out about BikeFitr?
Friend or Family
Salt Lake Tri Club
Have you had a bike fit before?
Bike Fit Objective
New bike set up - establish an ideal position
General check up and refinement
Relieve Discomfort or Pain
Improve Riding Performance: power and efficiency
To replicate the fit of another bike I ride
Cleat Fit only
Saddle Fit only
Aero Fit only
Comments regarding your bike fit objective, or present bike fit and riding experience.
Any injuries or surgeries of relevance to your riding position and comfort? Any history of broken bones, sprained ankles, whiplash, back problems?
Are you currently seeing a health practitioner for any sports related issues?
Can you tell me a bit more?
Do you have a known and medically confirmed leg length discrepancy?
Left or right leg, and tibia or femur?
Have you ever suffered a concussion?
Do you have any hearing loss?
Left, right or both?
Areas of concern or discomfort (check all that apply):
Perineum or genitalia
Shoulders / Neck
Hands, Wrists or Elbows
Please expand on any of the above:
Casual / occasional
Fitness / regular
Organised / Charity Event participant
Years of cycling?
Cycling hours per week, average?
Frequency per week?
Any specific cycling goals?
Other regular physical activities eg running, gym?
Any recent changes in:
Riding duration or intensity
Cycling equipment E.g. new cleats or saddle
Physical condition (for better or worse)
Work or home stress levels
Type of Bike
Tri / Time Trial
Touring or Commuting
How long have you had this bike?
Anything else of note?
You may be filmed or photographed during the fit session.
Do you grant permission to have your image posted on my social media pages?
It depends...let's discuss first.
Thank you for completing the questionnaire. Please click SUBMIT
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