Welcome to the Pre-Fit Questionnaire. Now that you have made your fitting appointment, please take a few additional moments to answer the questions below. Your answers are essential to helping us prepare and understand you as a rider, your fit needs and goals, and ensure you recieve the most accurate fitting solution available.  Please answer as honestly as possible, even the smallest, seemingly insignificant detail is important.  We look forward to working with you.  . 

* Required fields

Name *

E-mail Address *

Age? *

Gender? * Male Female

I am seeking a fit for? * Pre-purchase New bike Existing bike Custom bike

Type of bike being fit? * Road Triathlon Time Trial Mountain Track/ Fixed Cyclocross Other Follow-up Cleat/ Shoes

Bicycle Brand, Model, Year

Do you use clipless pedals? * Yes No

Which brand of pedal do you use? * Look/ Keo Speedplay(road) Speedplay(mtn) Shimano(road) Shimano(mtn) Time Crank Brothers Ritchey Other Flat/ Toeclips

Please list shoe information: Brand, Model, Size; if known

Do you use currently use cleat shims, wedges, specialty insoles or orthotics? * Yes No

In response to the previous question, please explain what you currently use and why.

RIGHT FOOT - Do you currently experience any of the following? Check all that apply.

Toe numbness

Pain

Tingling

Hot Foot

Arch pain

LEFT FOOT - Do you currently experience any of the following? Check all that apply.

Toe numbness

Pain

Tingling

Hot Foot

Arch pain

RIGHT KNEE - Do you currently experience pain in any of the following areas? Check all that apply.

Front

Rear

Outside

Inside

Above

Below

LEFT KNEE - Do you currently experience pain in any of the following areas? Check all that apply.

Front

Rear

Outside

Inside

Above

Below

BACK - Do you currently experience pain in any of the following areas? Check all that apply.

Lower Right

Lower Left

Mid

Upper

SADDLE - Do you currently experience any of the following? Check all that apply.

Pain, front of saddle

Pressure, front of saddle

Numbness, front of saddle

Pain, under sits bones

Chafing

Difficulty staying in one position

Feeling of sliding forward or backward

HANDS - Do you currently experience any of the following? Check all that apply.

Numbness, Right hand or palm

Pressure/ Pain, Right hand or palm

Tingling in Fingers, Right Hand

Numbness, Left hand or palm

Pressure/ Pain, Left hand or palm

Tingling in Fingers, Left Hand

Difficulty reaching brake/ shift lever

OTHER ISSUES - Do you currently experience any of the following? Check all that apply.

Headaches, during or shortly after rides

Hamstring pain, either leg.

Calf Pain, either leg.

Ankle/ Achilles pain, either leg.

Hip pain, either side.

Additional Physical Issues: Please list and explain any addiitional issues you are experiencing, including previous injuries &/or relevant surgeries.

Have you ever been through a professional bike fitting session before? * Yes No

When was your last professional bike fit? * Never Under 1 year 1-2 years More than 2 years

Approximately how many hours a week do you train on the bike? 0-1 1-5 5-7 7-10 10+ I live on my bike

How did you hear about Hypercat Bike Fit Services? * Web Search Referral Previous Client Hypercat Coach Advertisement/ Flyer Gift Certificate Clinic/ Race Expo Social Media Bike Shop/ Club Tri Shop/ Club Chiropractor/ Medical Professional Other

Hypercat Racing is a referral business and we wish to recognize those that sent you to us. Please provide us their name and business so we can thank them.

What club/s or team/s are you a member of ?

I have read and agree to the Privacy Policy *

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