Adapted Aquatics-Assessment

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To ensure that swimming goals and expectations are being met by our participants and our instructors. Please take a few minutes to fill out this questionnaire in regards to where you believe your participant's swim level is currently at. Thank you!

Participant Name *

Please select the swimming skills that you believe your participant understands:

Submerg

Back Float

Front float

Tread Water

Dive

Breaststroke

Butterfly

Front Crawl

Back Crowl

Jump off the side

Jump off the diving block

Please select the swimming skills that you have seen your participant accomplish:

Submerg

Back Float

Front float

Tread Water

Dive

Breaststroke

Butterfly

Front Crawl

Back Crowl

Jump off the side

Jump off the diving block

Are you concerned at all for your participant(s) overall safety around water?

Yes

Clear selection

Any specific goals for your participant with this upcoming session of Adapted Aquatics?

Submit

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