Adult Swim - Goals Questionnaire - Gold Medal Swim School

Name(Required)

First Last

What is your swimming experience?

No experience at all in the water

I am still a beginner but have spent time in the water

I can swim basic strokes and am somewhat comfortable, looking to improve

I am an experienced swimmer and can swim longer distances, looking for technical corrections

Additional comments:

What are your swimming goals?(Required)

Learn basic swimming skills and become comfortable in the water.

Improve technique and build overall fitness.

Swim recreationally for relaxation and enjoyment.

Train for endurance, speed, or competitive swimming (US Masters)

Other

Additional comments:

What is your learning style?(Required)

I learn best through visual demonstrations and examples.

I prefer verbal step-by-step instructions and explanations.

I learn by practicing and getting hands on experience.

I benefit most from a mix of visual, verbal, and practical learning.

Other

Additional comments:

What are you worried about learning to swim?(Required)

Feeling uncomfortable, anxious, or scared in the water.

Difficulty learning proper breathing or technique.

Fear of deep water or not being able to float.

Building enough confidence and stamina to swim long distances.

Other

Additional comments:

Do you have any questions before your first class?

Yes

Additional comments:

Adult Swim – Goals Questionnaire