Bike Bio and Bike Fit: Pre-Assessment Form
  • Name*full name
    0
  • Email*a valid email address
    1
  • Date of Birth*
    2
  • What is your main reason for having a bike bio and fit?*
    3
  • What level and type of cyclist are you?*
    recreational
    professional
    4
  • Approximately what percentage of your time do you spend cycling in the hills versus the flat?*
    5
  • Approximately what percentage of your riding time do you spend on a Road Bike?*
    6
  • Mountain Bike?*
    7
  • Time trial bike?*
    8
  • Other bike?*
    9
  • What do you do for work and what does this involve?*
    10
  • How long do you sit per day?*
    11
  • What other physical activity do you do during the week? i.e. Boot Camp= 2 x 1hour per week, walk from bus to home 7 x 10 minute per week*
    12
  • Please list any current injuries*
    13
  • Please list any past injuries including the year of the injury and whether you suffer any ongoing symptoms due to the injury*
    14
  • Do you experience any symptoms whilst cycling? Please specify the type of symptom and the area: e.g. pins and needles in your hand, pain or tightness in your chest, unusual breathing difficulties*
    15
  • Please specify the type of cleat/pedal you cycle with*
    16
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