Date

YYYY

Name

First Name

Last Name

Age

Height (in cm)

Cycling Experience (years)

Primary Discipline

Current bike model & size

Shoe Brand & Size

Cleat Type

Primary Goal

Average Weekly Training Hours

Do you experience any discomfort or pain while riding?

If yes, please specify

Have you had a previous bike fit? - on the current setup

Do you have any past injuries that affect your riding?