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Dolphin Training Questionnaire
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Form filled out Date and time
Name
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Last
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Pre- or Post- Lesson Questionnaire
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Pre-Lesson
Post-Lesson
Assessing Air Regulation with Relaxed Bubble Bobs and Underwater Kicks
Things to look for during Assessing Air Regulation with Relaxed Bubble Bobs and Underwater Kicks:
Student can quickly exhale underwater and take 1 breath at the surface multiple times independently before swimming back to the wall (Bubble Bobs)
Student can swim down and kick along the bottom of the pool while blowing bubbles and surface as necessary for a single breath at the surface
How comfortable are you teaching Relaxed Bubble Bobs and Underwater Swimming?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
How comfortable are you correcting Relaxed Bubble Bobs and Underwater Swimming?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
Please note which skills listed above you would like more training on.
*
Additional Comments or Questions:
Back Glide to the Instructor, Belly Glide to the Wall & Belly Kicks to the Instructor, Belly Kicks to the Wall
Things to look for during Back Glide to the Instructor, Belly Glide to the Wall & Belly Kicks to the Instructor, Belly Kicks to the Wall:
Student can glide on back and belly with a tall, straight body
Student can kick on the belly with a tall, straight body and head and line with the body
Student can kick on the belly with continuous small propulsive kicks
Student can maintain kicks while using proper air regulation
How comfortable are you teaching Back Glide/Belly Glide and Belly Kicks?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
How comfortable are you correcting Back Glide/Belly Glide and Belly Kicks?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
Please note which skills listed above you would like more training on.
*
Additional Comments or Questions:
Rotational Kicks Across the Pool
Things to look out for during Rotational Kicks Across the Pool:
Student can maintain kick and roll from belly to back with a tall, straight body, and head in line with the body
Student can roll from belly to back with bubbles before each roll, and only 1 breath at the surface
Student can roll to back and belly with a 180 roll back (not a 360 roll)
Student can roll from belly to back multiple times and for multiple laps
How comfortable are you teaching Rotational Kicks Across the Pool?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
How comfortable are you correcting Rotational Kicks Across the Pool?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
Please note which skills listed above you would like more training on.
*
Additional Comments or Questions:
Freestyle to the Instructor, Freestyle back to the Wall & Freestyle Across the Pool
Things to look out for during Freestyle to the Instructor, Freestyle back to the Wall & Freestyle Across the Pool:
Student can swim Freestyle with a tall, straight body, head is in line with the body
Student can swim Freestyle with a straight leg and continuous kicks
Student can swim Freestyle with exhalation (bubbles) and only 1 breath during each roll
Student can swim Freestyle with arms coming out of the water
Student can swim Freestyle with a 180 roll to back (no 360 roll)
How comfortable are you teaching Advanced Freestyle?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
How comfortable are you correcting Advanced Freestyle?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
Please note which skills listed above you would like more training on.
*
Additional Comments or Questions:
Advanced Backstroke
Things to look out for during Advanced Backstroke:
Student can swim Backstroke with a tall, straight body position
Student can swim Backstroke while maintaining a small and continuous kick at the surface of the water
Student maintains air regulation during Backstroke
Student uses a “Safety Blocker” arm while kicking into the wall
How comfortable are you teaching Advanced Backstroke?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
How comfortable are you correcting Advanced Backstroke?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
Please note which skills listed above you would like more training on.
*
Additional Comments or Questions:
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