Instructor Assessment Form
Name
First Name
Last Name
Venue
Bellbowrie Pool
Bundamba Pool
Goodna Pool
Leichhardt Pool
Musgrave Pool
Rosewood Pool
Tenterfield Pool
Kilcoy Pool
Date
/
Day
/
Month
Year
Date Picker Icon
Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Score
% Score
Uniform
In uniform and presented correctly (1)
*
Mark 1
Notes
No Gum(1)
*
Mark 1
Notes
Sun Safe where required (1)
*
Mark 1
Notes
Please identify if teaching inside or outside
Timing
Start on time(1)
*
Mark 1
Notes
How late was the start?
Finish on time(1)
*
Mark 1
Notes
How far over did they go?
Communication
Explanation of Tasks ( 4 = Excellent, 3 = Very Good, 2= Average, 1= Poor, 0 = Terrible )
*
Mark 4
Notes
Please write feedback for the teacher
Limited interactions over lane rope (1)
*
Mark 1
Notes
Please provide feedback on this
Praising of children(4 = Excellent, 3 = Very Good, 2= Average, 1= Poor, 0 = Terrible )
*
Mark 4
Notes
Please provide feedback on this
Notes
Any other feedback
Class Flow
Class goal for active swimming times
*
Babies (20-25min)
Crocs (7-12min)
Octopus (10-15min)
Dolphins (15-20min)
Sharks (30+min)
Marlins (30-40min)
Babies Time (20-25min)
Enter in minutes spent
Crocs Time (7-12min)
Enter in minutes spent
OctopusTime (10-15min)
Enter in minutes spent
Dolphins Time (15-20min)
Enter in minutes spent
Sharks Time (30+min)
Enter in minutes spent
Marlins Time (30 - 40min)
Enter in minutes spent
Score - Please mark (1) if correct times are met
*
Following the lesson plan(4 = Excellent, 3 = Very Good, 2= Average, 1= Poor, 0 = Terrible)
*
Mark 4
Notes
Correction of strokes( 4 = Excellent, 3 = Very Good, 2= Average, 1= Poor, 0 = Terrible )
*
Mark 4
Notes
Assisting the children ( 4 = Excellent, 3 = Very Good, 2= Average, 1= Poor, 0 = Terrible )
*
Mark 4
Notes
Notes
Please provide any additional information here
Safety
If Croc/Oct - did the instructor turn their back on children
Yes/NO
Was the instructor aware of the behavioural needs of the children in the class
Please provide feedback here
Did any of the class require discipline. Was the instructors response appropriate
Please provide feedback here
Notes
Please provide any further feedback here
Any other feedback to the instructor
Submit
Should be Empty: