Swim School Level Questionnaire - School Age (ages 5 -6)

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

Child's age

2

Has your child had formal swimming lessons before?* This field is required.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

Is your child confident in the water and can they submerge?* This field is required.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 your child streamline float (face in) for at least 3m?* This field is required.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 your child streamline kick with the correct body and head position?* This field is required.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 questionPlease answer the next question.

10

Can your child float on their back with minimal/no assistance?* This field is required.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 your child coordinate paddling and kicking?* This field is required.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 your child swim 5m with co-ordinated arm circles and kicking?* This field is required.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 your child kick 5-10m on their back with their arms by their side?* This field is required.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 your child kick strongly on their back with their arms by their side and/or in a streamline position?* This field is required.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

Has your child been introduced to rolling to breathe on one side?* This field is required.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 your child swim 10m rolling to breathe every third stroke?* This field is required.This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

23

Starfish - Thank you for taking the time to fill out this form. Your child is best suited to our Starfish level.* This field is required.Please click the image to proceed to the next screen.

24

Beginner 2 - Thank you for taking the time to fill out this form. Your child is best suited to our Beginner 2 level.* This field is required.Please click the image to proceed to the next screen.

25

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

26

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