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Step 1
Swim Level Questions
Please complete the brief questionnaire below. Our swim staff will review and reach out with suggestions.
Email
a valid email
email
Phone
Childs First Name
Childs Last Name
Childs Age (at time of class)
Please check the skills that best describe your child.
My child is new Water Wonders Swim?
Yes
No
My child is able to separate from parent/care giver easily
Yes
No
My child is nervous when in the water
Yes
No
My child needs a flotation device when they cannot touch the bottom
Yes
No
My child will put face in the in the water
Yes
No
My child is very comfortable in the water.
Yes
No
My child will jump in the water (with assistance)
Yes
No
My child will jump in the water independently
Yes
No
My child naturally swims with their face in the water
Yes
No
My child can doggie paddle independently
Yes
No
My child can swims with horizonal legs.
Yes
No
My child swims consistently with flat body and legs parallel to the surface.
Yes
No
My child can swim independently (without flotation)
Oft
5ft
25ft
50ft
100ft
200ft
What best describes my childs anxiety when in the water? 0=none 10=extremely high
1 - No anxiety loves the water.
2 - Slightly nervous at first but them loves the water
3 - Nervous about the water, never seems to get comfortable, but will participate
4 - Very afraid of the water, will get into the water and/or close to the water.
5 - Terrified or extremely high anxiety about swimming
6 - I don't know, my child is new to swimming.
What best describes my childs arms when they are swimming
They do not use their arms at all, kicking only with their feet
They swim underwater (breaststroke type stroke)
They swim using dog paddle arms
They swim with freestyle arms, but it needs to be fine tuned
They swim using freestyle arms that really look like freestyle arms
I do not know
What best describes my child's breathing
They refuse to put their head underwater
When they breathe they bring their head directly out of the water and look ahead.
They breathe to one side
They breathe alternating side to side
What best describes my child's legs when they are swimming
They swim with their legs underneath them (like they are riding a bicycle)
Using bent legs and/or frog kick, they swim with their legs behind them.
The swim with straight legs behind them and with their legs parallel to the surface
If your child is a more advanced swimmer please describe their swim skills.
If your child attended Water Wonders Swim in the past, please indicate their level (if known)
Please use this space for any additional questions/comments
0
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Parents Name
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