Cycling Science

Training camps

Health and rider questionnaire

Please complete this form at least four weeks before your camp starts. It helps us plan rides at the right level and keep you safe on the road. Everything you tell us is kept confidential, stored securely in the UK and seen only by the camp leaders.

1. Your details

1. Your details

2. Emergency contact

2. Emergency contact

3. Travel insurance

3. Travel insurance

Travel insurance that covers cycling, medical treatment, repatriation and cancellation is a condition of booking. If you have not arranged it yet, leave these blank and email the details to us before the camp.

4. Your riding

4. Your riding

Be honest here. It helps us group riders well and set the right pace on each ride; nobody is judged on the answers.

5. Health screening

5. Health screening

Please answer every question. Answering "yes" does not mean you cannot come. It means we may want to talk to you, and in some cases ask you to check with your doctor before the camp.

  1. 1. Has a doctor ever told you that you have a heart condition, or that you should only do physical activity under medical supervision?

  2. 2. Do you ever have chest pain, pressure or tightness, at rest or during exercise?

  3. 3. Have you ever fainted, blacked out or felt you were about to, during or just after exercise?

  4. 4. Do you have, or are you being treated for, high blood pressure?

  5. 5. Do you have an irregular heartbeat or palpitations, or a pacemaker or implanted defibrillator?

  6. 6. Do you have asthma or another breathing condition? If so, carry your inhaler on every ride.

  7. 7. Do you have diabetes?

  8. 8. Do you have epilepsy, or have you had a seizure?

  9. 9. Have you had a concussion or head injury in the last 12 months?

  10. 10. Do you have any bone, joint, muscle or back problem that could be made worse by several days of riding?

  11. 11. Have you had an operation, fracture or significant injury in the last 12 months?

  12. 12. Do you have any severe allergy (for example to insect stings, foods or medicines)? Do you carry an adrenaline auto-injector?

  13. 13. Do you take any regular medication, including blood thinners?

  14. 14. Are you pregnant, or have you given birth in the last 6 months?

  15. 15. Is there any other medical reason, or anything your doctor has told you, that could affect your safety or ability to ride?

6. Details of any "yes" answers

6. Details of any "yes" answers

Include the question number, the condition, when it was diagnosed or happened, how it is managed, and any medication (name and dose). Tell us if a doctor has cleared you for this type of riding.

7. Other information

7. Other information

8. Keeping in touch and photographs

8. Keeping in touch and photographs

9. Declaration

9. Declaration

Your health information is used only to plan your riding and keep you safe, is seen only by the camp leaders, and is deleted three months after your camp. Full details are in our camps privacy notice.