Welcome to the Pre-Fit Questionnaire. If you have made an appointment to be fit, please take a few moments to answer the questions below. Your answers will help us better understand your fit needs and goals, and are essential for us to prepare for your session.

First Name

Invalid Input
Last Name

Invalid Input
Email

Invalid Input
Gender
MaleFemale
Invalid Input
Age

Invalid Input
Seeking a Fit for:
New BikeExisting Bike
Invalid Input
Type of Bike Fit (You may select more than one):
RoadTriathlonMountain
Invalid Input
Do you use clipless pedals?
YesNo
Invalid Input
Which pedal brand do you use? (if applicable)
Select oneLookSpeedplayShimanoTimeOther
Invalid Input
Please list your brand and model of shoe:

Invalid Input
Do you currently use cleat shims or insoles?
YesNo
Invalid Input
If yes to the above, please explain what you currently use and why:

Invalid Input

PHYSICAL ASSESSMENT - Below you will find several choices regarding any complaints of pain, discomfort, &/or numbness you may be currently experiencing with your bike fit. Choose as many of the options as you wish, and feel free to add any additional symptoms, complaints, or explanations in the area provided. It's important that we know exactly what you are experiencing when you ride, so don't hesitate to select even the slightest of problems.

FEET - Do you currently experience any of the following?
Right Foot/Toe Numbness
Left Foot/Toe Numbness
Right Foot Pain
Left Foot Pain
Hot Feet
Right Foot Tingling
Left Foot Tingling

Invalid Input
KNEES - Do you currently experience any of the following?
Front Knee Pain (Right Knee)
Front Knee Pain (Left Knee)
Rear Knee Pain (Right Knee)
Rear Knee Pain (Left Knee)

Invalid Input

Knee issues can be very complicated, and their causation is not always apparent; therefore, it is essential that we have as much information as possible. Please further explain any of the issues checked above, as well as any additional knee complaints, in the "Additional Physical Issues" section below.

BACK - Do you currently experience any of the following?
Lower Back Pain (Right Side)
Lower Back Pain (Left Side)
Mid-Back Pain
Upper-Back Pain (Or lower-neck)

Invalid Input
SADDLE - Do you currently experience any of the following?
Saddle Pain (front of the saddle)
Saddle Pain (Rear of the saddle)
Pain from either side of the saddle
Pressure (front of the saddle)
Numbness (front of the saddle)

Invalid Input
HANDS - Do you currently epxerience any of the following?
Right Hand Numbness
Left Hand Numbness
Pressure or Pain (either hand)

Invalid Input
OTHER ISSUES - Do you currently experience any of the following when you ride?
Headaches (During or After Ride)
Hamstring Pain
Calf Pain
Achilles Pain
Hip Pain

Invalid Input
ADDITIONAL PHYSICAL ISSUES - Please list and explain any additional issues you are experiencing. Previous injuries &/or relevant surgeries should be listed. You can also utilize this space if you need to further explain any of your answers above.

Invalid Input

TRAINING AND GOALS:

Approximately how many hours a week do you ride? Triathletes, please list the total number of hours per week you devote to training including swim, bike & run.

Invalid Input
What are your cycling goals, and what do you hope to get out of your fit session?

Invalid Input
Have you ever been through a professional bike fit before?
Yes
No

Invalid Input
If yes to the above, did your fit take care of the issues you had at that time?
Yes
No
Somewhat
Not at all

Invalid Input
This form is not complete without first clicking the Submit button!