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