Located @ the VELO Sports Center - 18400 S. Avalon Blvd. Carson Ca. 90746 / 949.478.2240
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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.
Seeking a Fit for:
Type of Bike Fit (You may select more than one):
Triathlon (must be a tri-specific bike)
Do you use clipless pedals?
Which pedal brand do you use? (if applicable)
Please list your brand and model of shoe:
Do you currently use cleat shims or insoles?
If yes to the above, please explain what you currently use and why:
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
Right Foot Tingling
Left Foot Tingling
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)
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)
Upper-Back Pain (Or lower-neck)
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)
HANDS - Do you currently epxerience any of the following?
Right Hand Numbness
Left Hand Numbness
Pressure or Pain (either hand)
OTHER ISSUES - Do you currently experience any of the following when you ride?
Headaches (During or After Ride)
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.
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.
What are your cycling goals, and what do you hope to get out of your fit session?
Have you ever been through a professional bike fit before?
If yes to the above, did your fit take care of the issues you had at that time?
Not at all
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