Required Fields =
*
*
Parent Name:
* *
Phone:
* E-mail:
* Students Name:
* Age:
* Child's Swim School
Level:
* Instructors Name:
* Click
The Circle That Best Describes Your
Satisfaction:
1 Not
Satisfied
2 Somewhat
Satisfied
3 Mostly
Satisfied
4 Very
Satisfied
* Was
The Instructor Sensitive To Your
Child's Needs, Concerns, And
*
Fears In The Water?
1 Not
Satisfied
2 Somewhat
Satisfied
3 Mostly
Satisfied
4 Very
Satisfied
* Did
The Instructor Have Good Rapport
And Communication With You -
* The
Parent?
1 Not
Satisfied
2 Somewhat
Satisfied
3 Mostly
Satisfied
4 Very
Satisfied
* Are
You Pleased With The Progress Your
Child Has Made In Lessons?
1 Not
Satisfied
2 Somewhat
Satisfied
3 Mostly
Satisfied
4 Very
Satisfied
* Did
The Instructor Greet Your Child
By Name... And With A Smile?
1 Not
Satisfied
2 Somewhat
Satisfied
3 Mostly
Satisfied
4 Very
Satisfied
* In
The Semi-private & Group Lessons:
Did The Instructor Give Each
*
Student Equal Time In Class?
1 Not
Satisfied
2 Somewhat
Satisfied
3 Mostly
Satisfied
4 Very
Satisfied
* Did
The Instructor Stop And Correct
Your Child On Skills To Help
*
Him/Her Improve Their Technique?
1 Not
Satisfied
2 Somewhat
Satisfied
3 Mostly
Satisfied
4 Very
Satisfied
* Did
The Instructor Look Enthusiastic
And Upbeat While Teaching?
1 Not
Satisfied
2 Somewhat
Satisfied
3 Mostly
Satisfied
4 Very
Satisfied
* Did
The Instructor Use Suitable Tactics
To Encourage Discipline And
*
Reinforce Or Encourage Good Behavior?
1 Not
Satisfied
2 Somewhat
Satisfied
3 Mostly
Satisfied
4 Very
Satisfied
* What
was your experience with the Office
personnel? Have
*
Suggestions For Improvement?
* Are
You Scheduling Lessons For The Next
Term?
Yes
No
* If
You Answered "No" To The
Question Above Please Explain Why:
*
Please
Select From List .....>>
Financial
Challenges
Time
& Scheduling Challenges
No
Further Interest In WSS
My
Child Has Learned Enough For Now
Moving
On To Higher Level Swim Programs
Other
* Additional
Comments On Lessons, Instructors,
And The Program: