Is there anything else you can tell us that will help the instructor and swim buddy communicate effectively with him/her?
Please describe any techniques that you use at home or school (i.e. key phrases, visual cues, hand cues, time out, stickers, charts, etc.).
Are there any triggers we should know about or specific calming/de-escalating techniques?
Are there any behavioral issues we should be aware of (i.e. hitting, biting, etc.)?
If so, how should we respond to this behavior in the pool?
How does your child learn most effectively?
Check all that apply:
___ Verbal Directions
___ Demonstration
___ Physical Manipulation
___ Other: _________________
Please describe your child’s participation style.
Check all that apply:
___ Actively engages in activity/tasks
___ Staff needs to model how to be involved
___ Very Hesitant when introduced to new activity/tasks
___ Prefers to observe, stay on periphery
___ Generally refuses to participate
___ Open to trying new activities
Please describe your child’s ability to follow directions.
Check all that apply:
___ Can follow simple verbal direction with no prompting
___ Can follow multiple verbal directions
___ Can follow simple verbal directions with visual demonstrations
___ Needs occasional verbal or physical redirection
___ Needs constant verbal or physical redirection to complete
activity
Please type an X for the answer that best describes your child.
Consistently makes choices
Easily transitions from activity to activity
Requires visual aid to participate
Maintains self-control in a group setting
Is able to work through frustrations
Accepts responsibility for behavior
Initiates and maintains social conversations
Interacts with others in a large group
Respects personal space of others
