Comprehensive Bicycle Fitting Intake Form Name(Required) First Last Email(Required) Phone(Required)Date of Birth(Required) MM slash DD slash YYYY Gender(Required) Male Female Other Height(Required)Weight(Required)Shoe sizeCycling Experience and GoalsYears of cycling experience:Primary type of cycling (check all that apply):(Required) Road Track Mountain Gravel Time trial Triathlon Indoor Commuting Racing Touring Recreational Other If other type of cycling, note hereAny other notes on the type of cycling you like?What are your goals or objectives for this bike fitting session?Do you have any discomfort when you ride? Please be specific…what areas and after how long on the bike?Weekly Cycling DetailsHours per weekDays per weekAverage ride distanceLongest ride in the past three monthsDo you have a cycling coach?Do you do structured cycling workouts on a regular basis. If yes, please describe.Do you do any type of weight or resistance training? Yes No If yes to resistance training, please describeDo you do any type of core or foundational training or yoga? Yes No If yes to core training, please describeRacing/Event Goals (if applicable)Upcoming events (and dates)Target events (and dates)Performance goalsCurrent Bicycle DetailsPrimary Bike Make/ModelFrame SizeYearFrame MaterialGroupsetCrank lengthStem length / angleHandlebar widthHandlebar dropPedal systemShoe brandSaddle modelCurrent saddle heightSaddle setbackLiability Waiver and ConsentConsent(Required) I understand that bicycle fitting involves physical assessment and adjustment of my cycling position. While proper bike fitting can help prevent injury and improve comfort, results may vary. I acknowledge that: The fitting process may temporarily cause discomfort; Adaptation to new positions may take time; Follow-up adjustments may be necessary; I will inform the fitter of any discomfort during the session; I have provided accurate information to the best of my knowledge and consent to the fitting process.
