Alfac Child questionnaire (long version)

Fill in the blue boxes yourself

Last name

First name

Are you 8 years or older?
Circle yes or no

Yes / No

The grey boxes will be filled in by your teacher

School

Class

Country

Yes / No

Year

Month

Day

Birth date

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Date of completing the questionnaire

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Assigned code
Country Adult's city of birth Month of birth of adult Last 4 digits of phone number Child code (A,B,C)

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Wait for the assessor's signal to open the question bundle
Assigned code*
Country Adult's city of birth Month of birth of adult Last 4 digits of phone number Child code (A,B,C)

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*repetition of the code so that the front page can be detached from the questionnaire

PART 1 - MOTIVATION

MOTIVATION 1, 2, 3, 4, 5, 6

For each of the sentences below, circle the smiley that best describes you.
For each of the sentences below, circle the smiley that best describes you.
Not true at all Not true Sometimes true True Totally true
1. In the swimming pool I like to be active or to play
2. I understand the benefits of being active or to play in the swimming pool

PART 2 - CONFIDENCE

CONFIDENCE 1 & 2

For each of the sentences below, circle the smiley that best describes you.
I feel confident when I'm going to the swimming pool.
Not true at all Not true Sometimes true True Totally true
I feel confident when being in deep water of a swimming pool without any help (e.g., buoyancy aid, assistance from another person, etc.).
Not true at all Not true Sometimes true True Totally true

PART 3 - PERCEIVED AQUATIC SKILLS

PERCEIVED ENTRY 1

You can see a possible way to enter the water
Climb down a ladder, let go of it and float free in the deep water for 3 seconds
Circle YES or NO
Have you ever done this YES NO
Do you think you can do this ? YES NO

PART 4 - PERCEIVED AQUATIC SKILLS

PERCEIVED ENTRY 1

You can see a possible way to enter the water
Climb down a ladder, let go of it and float free in the deep water for 3 seconds
Circle YES or NO
Have you ever done this task ? YES NO
Circle the smiley that best describe you
How good do you think you can do this task ?
Not good at all Not so good So so (not good, not bad) Good Very good I don't dare
X