Performance Lab Pre- Appointment Questionnaire
Rider Name *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Phone Number *
Email Address *
Which service are you booked in for? *
Required
Riding Style (tick all that apply)
Current bike(s)
Riding Discipline (tick all that apply)
How many hours/miles per week do you typically ride?
How many times per week do you ride?
Goals for this year- including events/races and/or health & fitness goals
Do you have any areas of discomfort while riding? (tick all that apply)
Do you have any other medical conditions which may be relevant?
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