Bike Fit Questionnaire

Please consider how your body feels when you are riding the bike that you are wanting the fit for and include any relevant injuries. It is useful to know in time, not miles, when you experience these issues as I see big variances in people’s average speed. Also, it might be worth noting if the symptoms come on more when climbing, descending or at higher power if relevant.

    Your Name

    Your Email

    Your Weight

    Your Date of Birth

    Your Occupation

    What percentage of your day do you spend sitting?

    Have you had a bike fit before?

    If Yes who with/where

    How long have you been riding bikes?

    Do you undertake stretching?

    Are you able to reach and control the brakes effectively?

    What kind of bikes do you own?

    What pedal system do you use? Which cleats?

    On the Road - How much time do you spend in the drops. Why not more or less?

    On the Road - How much time do you spend on the hoods, are you fully into them or do you hold back on the corner of the extension?

    On the Road - How much time do you spend on the tops or flat section?

    Why do you want a fit? What are your main goals or aspirations for this bike fitting and cycling in general?

    How often and how much time do you spend cycling?

    Have you participated in any other sports in the past or do you currently participate in other sports or activities?

    Have you had any injuries, screws or plates, or health issues in the past or do you currently have any injuries or health issues that are relevant to this bike fitting and exercising? Diabetes, asthma, cardiac issues, blood pressure etc

    Please can you confirm that you are fit and safe to exercise and do so at your own risk?

    Please can you supply your emergency contact details.
    Name

    Relationship

    Phone Number

    Where did you hear about Fit My Bike?

    Are you OK for me to take and show videos / pictures of you on my Social Media and Website pages?

    Body Scan for Discomfort

    Toes - e.g. Numbness, cold (even in warm weather)

    Arch - e.g. Plantar Fasciitis, Cramping

    Forefoot - e.g. pressure along the edges (inside or outside), hotspots

    Ankle

    Calves & Shins - e.g. Cramping

    Knee If issues whereabouts - e.g. Front or back inside or outside

    Upper Leg - e.g. Quads, glutes, hamstrings any cramping

    Hip

    Seat / Saddle - e.g. Penile numbness, perineum discomfort, sitbone ache, chafing

    Lower Back

    Upper Back - e.g. Between shoulder blades

    Shoulders

    Neck - e.g. Craning to see up the road

    Triceps / Elbow - e.g. Carrying a lot of weight or tension, arms locked

    Wrist

    Hand / Palm - e.g. Numbness, soreness, cold hands in warm weather

    Fingers - e.g. Numbness, Particular fingers or all of them

    Other