Starfish Training Questionnaire (Pre-Lesson)

Form filled out Date and time

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Assessing Relaxation and the Submersion Progression

Things to look for during Assessing Relaxation and the Submersion Progression::

Arms and legs are relaxed, no nervous kicking or tense grabbing of the instructor
Student is able to complete the Submersion Progression with no tension and with continuous bubbles in each stage
Student is able to sit happily on the bottom of the pool with instructor assistance

How comfortable are you assessing Relaxation and teaching the Submersion Progression?

How comfortable are you correcting Relaxation and teaching the Submersion Progression?

Please note which skills listed above you would like more training on.*

Additional Comments or Questions:

Things to look for during Belly Glides to Instructor, Frog Jump or 2 Hand Safety Touch to the Wall:

Student’s head is down and their eyes are facing the bottom of the pool
Student’s arm are stretched out in front of their body
Student’s body is horizontal with relaxed legs, no nervous kicks
Student is able to glide independently from the step to the instructor with bubbles

How comfortable are you teaching Belly Glides to Instructor, Frog Jump or 2 Hand Safety Touch to the Wall?

How comfortable are you correcting Belly Glides to Instructor, Frog Jump or 2 Hand Safety Touch to the Wall?

Please note which skills listed above you would like more training on.*

Additional Comments or Questions:

Things to look for during Back Work (Floats, Rolls, Back Kicks):

Student’s head is back, ears submerged, and neck is relaxed
Student is able to speak and breathe while floating on their back
Student is able to float on their back for 5 seconds independently
Student is able to kick independently on their back, from the step to the instructor
Student is able to kick independently on their belly, from the instructor to the wall
Student is able to roll from their front to back independently
Student’s body is horizontal, there is no break in the body position
Student’s arms are relaxed (some movement is okay as long as it’s not panicky)
Student’s kicks are continuous, legs are straight

How comfortable are you teaching Back Work (Floats, Rolls, Back Kicks)?

How comfortable are you correcting Back Work (Floats, Rolls, Back Kicks)?

Please note which skills listed above you would like more training on.*

Additional Comments or Questions:

Things to look out for during Turnaround Survival Jumps (“What do you do if you fall in the pool?”):

Student does not have goggles on
Student is assisted from the seated position if they are tense
Student must be independent from the seated position before standing up
From a standing position, student can independently jump into the water (out and away from the wall)
Student is able to turn around and get back to the wall after they have jumped in

How comfortable are you teaching Turnaround Survival Jumps (“What do you do if you fall in the pool?”)?

How comfortable are you correcting Turnaround Survival Jumps (“What do you do if you fall in the pool?”)?

Please note which skills listed above you would like more training on.*

Additional Comments or Questions: