Class 1: PFD's and Cuties Survey

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Please answer the following questions to confirm completion of Swim Safe at Home Class 1. Incorrect answers have NO impact on receiving your life jacket and water safety resource bag after all 6 classes. *IF YOU HAVE MULTIPLE CHILDREN IN YOUR HOUSEHOLD WHO PARTICIPATED IN THE COURSE, PLEASE FILL OUT A SEPARATE FORM FOR EACH CHILD*

Participants First Name *

Participants Last Name *

Participants Age *

Caregiver First and Last Name

Contact Email Address *

What platform did you use to access this Swim Safe at Home class? *

Zoom

Facebook

Fort Worth Drowning Prevention Coalition Website

How Long is too long to turn your back on a child in the water? *

2 Minutes

2 Seconds

What does PFD stand for? *

Name 1 Coastguard Approved personal flotation device *

Does the cutie float without the rind? *

No, because it lost its life jacket

Yes, because without the rind it is less dense

I'm not sure

Can someone drown if they know how to swim? *

Yes, because even though learning to swim creates a layer of protection, anything can happen.

No, learning to swim is guarenteed to save your life.

I'm not sure

Name 2 places you should wear a life jacket. *

Is it important to make sure your life jacket fits properly? *

Yes! Each life jacket has a weight requirement

No. Any size life jacket works for any person

Will you take another FWDPC class? *

Yes

Your feedback is important to us! We'd love to hear more about your experience in our class, and any feedback to improve the course

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