Directions: The following questions deal with water safety. Circle the response option, which best describes how you feel about the question. Please answer all of the questions honestly. All responses are confidential. Note: If you have more than one child enrolled in the program, please answer the questions based on the youngest child who is participating. Part 1 1. Very Unlikely Unlikely Likely Very Likely How likely are you to watch/supervise the child you care for with a lifeguard on duty? VU UL L VL How likely is it that the child you care for would drown, if he or she does not learn how to swim? VU UL UL VL How likely are you to take the child you care for swimming at a place with no lifeguard on duty? VU UL UL VL How likely is it that the child you care for would get hurt or injured with a lifeguard on duty? VU UL UL VL How likely is it that the child you care for would drown if left unsupervised, near or in the water? VU UL UL VL 2. Very Unlikely Unlikely Likely Very Likely Without my supervision, the child I care for could drown when near or in the water. VU UL L VL Without swim lessons, the child I care for could drown when near or in the water. VU UL L VL Without a lifeguard on duty, the child I care for could drown when near or in the water. VU UL L VL A non-swimmer may slip under the water unnoticed and drown in a matter of seconds. VU UL L VL If someone was drowning and I did not call for help, the person could die. VU UL L VL 3. Strongly Disagree Disagree Agree Strongly Agree I would feel good about myself if I was able to help someone who was drowning. SD D A SA I would feel relieved if the child I care for knew how to swim. SD D A SA I would feel reassured if there was a lifeguard on duty at the place we go swimming. SD D A SA I would feel better if I knew how to rescue someone who was drowning. SD D A SA I would feel better if I knew how to prevent the child I care for from drowningdowning. SD D A SA 4. Strongly Disagree Disagree Agree Strongly Agree Not knowing what to do during a water related emergency could result in a drowningdowning. SD D A SA Not having a lifeguard on duty could result in a drowning. SD D A SA Not having a supervised place to practice swimming could result in a drowning. SD D A SA Not receiving swim lessons could result in a drowning. SD D A SA Not having access to rescue equipment could result in a drowning. SD D A SA 5. Strongly Disagree Disagree Agree Strongly Agree I am confident that I can prevent the child I care for from drowningdowning. SD D A SA I am confident the child I care for can swim. SD D A SA I am confident that I can adequately watch/ supervise the child I care for in and around the water. SD D A SA I am confident that I can enroll or reenroll the child I care for into swim lessons. SD D A SA I am confident that if I saw someone drowning, I would know what to do. SD D A SA 6. True False Unsure Lakes are safer to swim in than pools. T F U To help someone who.