Swimming Ability Questionnaire Form
Please complete this form to help us understand your swimming ability and comfort level in the water.
Full Name
*
First Name
Last Name
Age
How would you describe your swimming ability?
*
Non-swimmer
Beginner (can float, limited swimming)
Intermediate (can swim short distances)
Advanced (confident swimmer, multiple strokes)
How comfortable are you in deep water?
*
Not comfortable
Somewhat comfortable
Very comfortable
Can you swim unaided for at least 25 meters (82 feet)?
*
Yes
No
Not sure
Which swimming strokes are you comfortable with? (Select all that apply)
Freestyle
Backstroke
Breaststroke
Butterfly
Other
How often do you swim?
Please Select
Never
Rarely (less than once a month)
Occasionally (1-3 times a month)
Regularly (once a week or more)
Have you ever taken formal swimming lessons?
Yes
No
Are you interested in improving your swimming skills?
Yes
No
Maybe
Additional comments or information (optional)
Submit
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