If attending swimming lessons what level are you currently on?
Where do you have your swimming lessons?
Have you achieved any distance swimming badges please give details
What are your swimming goals please circle one fitness/competition/physio/other - If
other please give details
Do you have any medical issues that may affect your swimming i.E asthma, eczema, allergies etc y/n - if yes please provide details
Do you have any physical or learning difficulties y/n if yes please provide details