I’d like to receive:
a digital copy of the "Cycling and Health” Study
tips to fit my bicycle and make it more comfortable
a training program based on my personal profile
all the above 3 things
NOTHING

To receive any of the above,
please fill in the following questionnaire

Sex: Woman
Man

Weight (kg):

Height (cm):

Age: 10 or less
11-20
21-30
31-40
41-50
51-60
61-70
more than 70

Country:

1. Do yoy cycle? YESNO

1a. If yes, how often do you cycle?
More than once a WEEK
Once a WEEK or less
Once a MONTH or less

Example of Training Program for a 40 Years Old Man

Digital Copy of the "Cycling and Heath” Compendium

1b. Why do you cycle?
for COMMUTING to work or shopping (light exercise)
for LEISURE/SIGHTSEEING (moderate exercise)
for FITNESS (moderate training)
for SPORT (intense training, more than 30 minutes/day) km/year:

1c. Which type of bicycles do you ride?
Road
Mountain Bike
Trekking
City
Other

2. Do yoy feel any benefit from riding your bicycle?
NO, no benefits at all
NO, because I do not cycle enough or at all
Weight loss
Lower cholesterol levels
Healthy heart
Increased lung capacity
Less stiff or sore joints
Less back pain
Better level of fitness
Other...  if other what?

3. Would you like to know more about the health benefits of regular cycling?
YESNO

4. Do you think your bicycle is comfortable?
YESNO

5 How old is your bicycle?
5 years or less
6-10 years
11-20 years
more than 20 years

6. Did you ever fit your bicycle to make it comfortable?
YESNO

6a. if yes:
Changed saddle and/or handlebar height
Bought a new saddle
Bought new grips
Other... if other:

7. How important is a comfortable bicycle to enjoy cycling?
Very important
Important
So so
Not important

8. What is most important on a bicycle to enjoy cycling?
Good frame geometry
Good gears and shifting system
Comfortable saddle
Good handlebar
Comfortable grips
Good brakes
I don’t know
Other...  if other:

9. Which parts of your bicycle are not comfortable or not ergonomically designed?
Frame
Shifting levers
Saddle
Handlebar
Grips
Brake levers
I don’t know
Other...  if other:

10. Do you have any health related problems caused by cycling?

11. Additional Comments or Requests:

E-Mail:

Privacy: I herewith authorise the Center of Health of the German Sports Academy of Cologne and Selle Royal S.p.A. to store the data I have given through this website. The information will be treated according to the Italian law n.675/1996 and will be used primarily for the aims of the "Cycling and Health” research, and, secondly, for the release of further information on cycling by the Center of Health and Selle Royal. The data will not be given to third parties other than Selle Royal S.p.A. and the Center of Health.
I do not authorise the storage of the data I have given through this website for uses other than the specific aims of this questionnaire.