Endeavor Performance Athlete History Fit Form

Please supply answers to best of your knowledge and press the Submit button when finished.

Name:*

First

Last

Birth Date:

day

month

year

Email:*

Athlete Current Body Weight:

Experience Level Cycling:

Riding Style: (click any that apply)

Recreational

Serious Recreational

Triathlete

Competitive Cyclist

Percentage Riding With A Group:

100

Average Rides Per Week:

Average Times/Week Dedicated to Stretching:

Average Hours/Week :

Are you experiencing any pain while riding? Please be specific as to where on your body and when the discomfort occurs. Please include any post ride discomfort as well.

Do you have any previous injuries? (Please describe)

Athlete Health and Fitness Goals (please list):

Athlete Event/Race Goals (please list):

Bike Brand Make and Model:

Bike Model Year:

Approximate Bike Frame Size:

Pedal Make / Model:

Saddle Make / Model:

Shoe Brand / Model:

Shoe Size:

Number of Seasons Shoes Used:

Shoe insoles (list the brand if not the original shoe insole):

Please Provide Any Additional Information You Find Pertinent:

Please List Any Questions You Have:

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