Aquatics Evaluation

 1. What is the age of the participant?
         
 0-2
 3-5
 6-8
 9-11
 12-14
 15-18
 adult
 
 2. Gender
         
 Male
 Female
 
 3. Type of aquatics class:
         
 Parent/Child 1 or 2
 Small Fry
 Preschool 1-3
 School-Age Level 1-2
 School-Age Level 3-4
 School-Age Level 5-6
 Water Safety Aide
 Junior Lifeguarding
 Lifeguard Program
 Aqua Exercise
 Log Rolling
 Teen to Adult
 Lap Swimming
 
 4. Instructor Name
         
    
 
 5. Which pool?
         
 Eagle Ridge Middle
 Metcalf Middle
 Nicollet Middle
 
 6. When did you take the class?
         
 Summer 2017
 Fall 2017
 Winter 2018
 Spring 2018
 
 7. In what city do you live and are you a part of the 191 School District?
         
    
 
 8. The locker rooms and shower conditions are:
         
 5 Excellent
 4 Very Good
 3 Good
 2 Satisfactory
 1 Poor
 
 9. The pool and deck condition is
         
 5 Excellent
 4 Very Good
 3 Good
 2 Satisfactory
 1 Poor
 
 10. The pool and facilities are open and available in a timely fashion
         
Strongly Disagree
Disagree
Neutral
Agree
Strongly agree
 
 11. The instructor communicates well with participants
         
Strongly Disagree
Disagree
Neutral
Agree
Strongly agree
 
 12. The class begins and ends promptly
         
Strongly Disagree
Disagree
Neutral
Agree
Strongly agree
 
 13. The instructor uses age appropriate activities
         
Strongly Disagree
Disagree
Neutral
Agree
Strongly agree
 
 14. What was your most valuable experience in this course
         
    
 
 15. What would you change to make this course better?
         
    
 
 16. Are there any new classes/programs/activities you would like us to bring to this community?
         
    
 
 17. How did you learn of the class(es) in which you are currently registered? Please check all that apply.
         
 Community Education Catalog
 Social Media
 E-Newsletter
 Friend/Co-worker
 Other
 
 18. Thank you for taking the time to complete this evaluation. We value your input. You may use this space for any additional comments you may have.