Swim School Level Questionnaire

1

Please provide us with your contact details* This field is required.Our Customer Care Team will only use your contact details to contact you about enrollment into swimming lessons.

First name

Last name

Email

Phone

2

Have you ever had formal swimming lessons before?If you're unsure of the answer please select no.

YESNO

3

Please watch the video and then click next to answer the question

4

Are you confident in the water and can you submerge?This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

5

Please watch the video and then click next to answer the question

6

Can you streamline float (face in) for at least 3m?This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

7

Please watch the video and then click next to answer the question

8

Can you streamline kick with the correct body and head position?This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

9

Please watch the video and then click next to answer the question

10

Can you float on your back with or without aid?This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

11

Please watch the video and then click next to answer the question

12

Can you coordinate paddling and kicking?This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

13

Please watch the video and then click next to answer the question

14

Can you swim 5m with co-ordinated arm circles and kicking?This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

15

Please watch the video and then click next to answer the question

16

Can you kick 5 - 10m on your back with your arms by your side?This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

17

Please watch the video and then click next to answer the question

18

Can you kick strongly on your back with arms by your side and/or in a streamline position?This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

19

Please watch the video and then click next to answer the question

20

Have you been introduced to rolling to breathe?This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

21

Please watch the video and then click next to answer the question

22

Can you swim 10m rolling to breathe every third stroke?This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

23

Please watch the video and then click next to answer the question

24

Can you swim freestyle with the correct technique? If yes, for what distance?* This field is required.This question relates to the previous video. If you're unsure of the answer please select no.

Between 10m - 12m

Between 12m - 20m

Between 20m - 25m

Between 25m - 50m

Between 50m - 100m

25

Please watch the video and then click next to answer the question

26

Can you swim backstroke with the correct technique? If yes, for what distance?* This field is required.This question relates to the previous video. If you're unsure of the answer please select no.

Between 0 - 12m

Between 12m - 20m

Between 20m - 25m

Between 25m - 50m

Between 50m - 100m

27

Adult Beginner - Thank you for taking the time to fill out this form. You're best suited to our Adult Beginner level.* This field is required.Please click the image to proceed to the next screen.

28

Adult Learner - Thank you for taking the time to fill out this form. You're best suited to our Adult Learner level.* This field is required.Please click the image to proceed to the next screen.

29

Adult Breather - Thank you for taking the time to fill out this form. You're best suited to our Adult Breather level.* This field is required.Please click the image to proceed to the next screen.

30

Adult Pre-Squad - Thank you for taking the time to fill out this form. You're best suited to our Adult Pre-Squad level.* This field is required.Please click the image to proceed to the next screen.