Text Size–+=

Can Swim – Family – Post Program Form

Thank you for participating in our Can Swim – Family swimming and water safety program on Friday 19^th January at the Pines 4.30pm-5.30pm.

As a part of the program, we ask each participant to complete the following Post-Program questions.

This will need to be completed by every family member participating and must be completed prior to the program beginning. This means we require you to ask these questions of each child participating separately and of course all adults participating in the program.

Data collection is a vital part of our program planning to assist and inform us in future programming. Data provided in surveys is invaluable.

Can Swim: Family - Post Program Questions

Participant Name(Required)

First Last

Participant Date of Birth(Required)

Do you know how to perform CPR?(Required)

Yes

Do you know how to rescue someone who is experiencing difficulty in the water?(Required)

Did the program meet your expectations?(Required)

What household items can be used for rescues?(Required)

Do you know how to put on a lifejacket?(Required)

Yes

At the beach, where would it be safe to swim?(Required)

If I am experiencing difficulty in the water, how will I get help?(Required)

If I see someone else experiencing difficulty in the water, what would I do?(Required)

On a scale of 1-10 (1 being lowest) how important is it for you to learn water safety skills?(Required)

If learning water safety skills is a priority, what activity do you do as a family to improve skills?(Required)

Quick Links

Acknowledgment of Country

Peninsula Leisure respectfully acknowledges the traditional owners, the Bunurong people, as the custodians of this land. We pay respect to all Aboriginal community Elders, past and present, who have resided in the area and have been an integral part of the history of the region.