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Step One

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Information

Date
Instructor
Name of class
Class time
Participant Age
Participant Gender
1. Male
1. Female
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Evaluation

Evaluation
Dear Parent;

We kindly request that you take a few moments with your child to complete this survey of their class with the Derby Recreation Commission. Your response will provide us with valuable feedback that can be used to improve the quality of future programs. On the second page, simply read the questions to your child and have him/her color or circle the face that best represents their feelings.
Instructor Ability
Enthusiasm, patience, confidence
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Provided good demonstrations
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Kept class active during lesson
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Individual enthusiasm to your child
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Maintained safety and discipline
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Overall quality
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Class Organization
Class began and ended on time
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Size of class in relation to safety and individual attention
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Progress reports communicated your child’s ability and progress
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Overall organization
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Registration
Availability of class time
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Procedures were convenient
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Office staff friendly and helpful
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Facility
Pool and deck areas clean
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Adequate pool space
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Locker room areas clean
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
Adequate locker room space
1. Excellent
2. Good
3. Average
4. Fair
5. Poor
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Swim Lesson Evaluation

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