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Chandler
Surprise
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Seahorse Training Questionnaire
Seahorse Training Questionnaire
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Name
First
Last
Email
Pre or Post Lesson Questionnaire
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Please Select
Pre-Lesson
Post-Lesson
Air Regulation with Slow Bubble Bobs, Ring Retrieval and Underwater Kicks
Things to look for during Air Regulation with Slow Bubble Bobs, Ring Retrieval and Underwater Kicks:
Student can complete various underwater skills with multiple air exchange (air exchange includes only one breath at the surface and bubbles before surfacing)
Student can retrieve rings from the bottom independently and return to the wall solo
Student can swim down to the instructor at the bottom of the pool while blowing continuous bubbles
How comfortable are you teaching Air Regulation with Slow Bubble Bobs, Ring Retrieval and Underwater Kicks?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
How comfortable are you correcting Air Regulation with Slow Bubble Bobs, Ring Retrieval and Underwater 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:
Back Glides/Belly Glides & Back Kicks/Belly Kicks & Belly Kicks/Belly Kicks
Things to look for during Back Glides/Belly Glides & Back Kicks/Belly Kicks & Belly Kicks/Belly Kicks::
Student can glide on back and belly with a tall, straight body
Student can kick on both belly and back with a tall, straight body with head in line with the body
Student can kick on both belly and back with continuous small propulsive kicks
Student can maintain kicks while using proper air regulation
How comfortable are you teaching Back Glides/Belly Glides & Back Kicks/Belly Kicks & Belly Kicks/Belly Kicks?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
How comfortable are you correcting Back Glides/Belly Glides & Back Kicks/Belly Kicks & Belly Kicks/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 “Open the book/shut the book”
Things to look out for during Rotational Kicks across the pool “Open the book/shut the book”:
Student can roll from belly to back while kicking
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
Student can roll to back and belly with a 180 roll back (not a 360 roll)
How comfortable are you teaching Rotational Kicks across the pool “Open the book/shut the book”?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
How comfortable are you correcting Rotational Kicks across the pool “Open the book/shut the book”?
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:
Backstroke
Things to look out for during Backstroke:
Student can use Backstroke arms while maintaining a tall, straight body position
Student can use Backstroke arms while maintaining a small and continuous kick at the surface of the water
Student can use Backstroke arms while maintaining air regulation
How comfortable are you teaching Backstroke?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
How comfortable are you correcting 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:
Roll to Back Survival Jump
Things to look out for during Roll to Back Survival Jump:
Student can jump off the step, roll to back, and kick to safety (1 lap)
Student can complete the roll to back survival jump fully clothed and without goggles
How comfortable are you teaching Roll to Back Survival Jump?
Please Select
Not comfortable at all
Slightly comfortable
Completely comfortable
How comfortable are you correcting Roll to Back Survival Jump?
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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What is the student's age?
3 months to 2 years
2 years to 3 years
3 years to 12 years
13 years to 17 years
18+ years
Do you want to swim with the student?
Yes (recommended)
No
Can the student independently submerge and swim back to the side of the pool?
Yes
No
Can the student independently jump into the pool, float on their back, and kick to the side of the pool?
Yes
No
Can the student swim Backstroke?
Yes
No
Can the student swim Freestyle?
Yes
No
Can the student swim Butterfly?
Yes
No
Can the student swim Breaststroke?
Yes
No
Awesome! We recommend
BABY SWIM!
Age 3 months to 36 Months
No swimming experience is required
Parent/caregiver participation required
6 students/adults to 1 instructor
30-minute class, 1 x per week
LEARN MORE ABOUT BABY SWIM
Awesome! We recommend
STARFISH
!
Age 2 years to 12 years
No swimming experience is required
No Parent/caregiver participation
3:1 student to teacher ratio
30-minute class, 1 x per week
LEARN MORE ABOUT OUR STARFISH - LEARN TO SWIM PROGRAM
Awesome! We recommend
DOLPHIN
!
Age 2 years to 12 years
Seahorse graduate
4:1 student to teacher ratio
30-minute class, 1 x per week
LEARN MORE ABOUT OUR DOLPHIN - LEARN TO SWIM PROGRAM
Awesome! We recommend
SWIM TEAM
!
Competitive swim program
For ages 6 and up
Experienced coaches
Practice multiple times per week
LEARN MORE ABOUT OUR SWIM TEAM PROGRAM
Awesome! We recommend
ADULT
!
Age 13 years or older
No swimming experience is required
6:1 student to teacher ratio
60-minute class, 1 x per week
LEARN MORE ABOUT OUR ADULT SWIM PROGRAM
Awesome! We recommend
SWIM TEAM
or
ADULT
!
SWIM TEAM
Age 5 years to 17 years
Stingray Graduate
Must be able to accurately swim all four strokes: Butterfly, Backstroke, Breaststroke, and Freestyle
Indoor or Outdoor options
LEARN MORE ABOUT OUR SWIM TEAM PROGRAM
ADULT
Age 13 years or older
No swimming experience is required
6:1 student to teacher ratio
60-minute class, 1 x per week
LEARN MORE ABOUT OUR ADULT SWIM PROGRAM
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