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Welcome to the Swim Lesson Feedback Survey
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17
Questions
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1
Swim Class Attended
A Water Discovery
B Water Exploration
1 Water Acclimation
2 Water Movement
3 Water Stamina
4 Stroke Development
5 Stroke Development
6 Stroke Mechanics
Specialty Swim Class
Private Swim Class
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2
Participant's Age
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3
Class Dates/Times
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4
How would you rate your satisfaction with the program?
Extremely satisfied
Moderately satisfied
Neutral
Slightly satisfied
Not satisfied at all
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5
Instructors knowledge and presentation of swim stage skills?
Extremely satisfied
Moderately satisfied
Neutral
Slightly satisfied
Not satisfied at all
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6
Instructor prepared and on time for class?
Extremely satisfied
Moderately satisfied
Neutral
Slightly satisfied
Not satisfied at all
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7
Instructors interaction with participant was pleasant and attentive?
Extremely satisfied
Moderately satisfied
Neutral
Slightly satisfied
Not satisfied at all
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8
Did the instructor communicate the mid-session review and answer questions?
Extremely satisfied
Moderately satisfied
Neutral
Slightly satisfied
Not satisfied at all
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9
Clean class area and safety practiced among the participants?
Extremely satisfied
Moderately satisfied
Neutral
Slightly satisfied
Not satisfied at all
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10
Are you satisfied with the values of respect, honestly, caring, responsibility and faith implemented in the program?
Extremely satisfied
Moderately satisfied
Neutral
Slightly satisfied
Not satisfied at all
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11
How likely would you be to recommend our Y swim program to a friend or family member?
Extremely satisfied
Moderately satisfied
Neutral
Slightly satisfied
Not satisfied at all
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12
If you could change one thing immediately, what would you change?
Extremely satisfied
Moderately satisfied
Neutral
Slightly satisfied
Not satisfied at all
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13
Do you have any suggestions or feedback? If yes, please leave them below
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14
Do you want to submit this survey anonymously?
Yes
No
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15
Parent's Name
First Name
Last Name
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16
Participants' Name
First Name
Last Name
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17
Phone Number
Please enter a valid phone number.
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18
Email
example@example.com
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