Adult Lessons: Pre-class Questionnaire
Please fill out this preliminary form so we may better understand your needs and target your specific goals.
Email address *
Name (first and last) *
What is the best number to reach you? *
Which Location do you prefer? *
What day works best for you? *
What time works best for you? *
1. Are you comfortable putting your face in the water? *
If YES, please continue to question 2. If NO, please skip to question 6.
2. Are you able to float on your back without assistance?
If YES, please continue to question 3. If NO, please skip to question 6.
Clear selection
3. Are you able to tread water (keep your head above the surface) in depths where you can't stand?
If YES, please continue to question 4. If NO, please skip to question 6.
Clear selection
4. Without a floatation device, can you swim a short distance without stopping or needing help?
Clear selection
5. Are you comfortable swimming the basics of any these strokes? Please click all that apply:
6. Please rank your swimming ability from 1 to 5: *
Fearful: cannot swim
Knowing all 4 strokes
7. Do you tend to do better with a personality that pushes and challenges you, or one that is more cosseted and supportive? *
8. What are your swimming goals? *
Required
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