.

LASP Swimming Program

LASP (La Connexional's Adult Swimming Program) is an individualized and accessible swimming program designed to help adults learn how to be safe in the water and how to swim.

LASP stands for La Connexional's Adult Swimming Program and is primarily designed to create an accessible and safe space for BIPOC folks to acquire swimming skills.
or press ENTER
1
What is your First name?
press Enter press Enter
This question is required
Not a valid answer
2
What is your Last name?
press Enter press Enter
This question is required
Not a valid answer
3
What is the email we can best reach you at?
press Enter press Enter
This question is required
Please enter valid email address
4
What is your phone number?
press Enter press Enter
This question is required

5
What is your gender orientation?
Optional
  • A Male
  • B Female
  • C Non-binary or gender fluid person
  • D Prefer not to say
  • E If none of the above describe you, please specify
or press ENTER or press ENTER
This question is required
Not a valid answer
6
What is your age?
Optional
  • A Under 18
  • B 18-25
  • C 26-35
  • D 36-45
  • E 46-55
  • F 55+
  • G Prefer not to say
or press ENTER or press ENTER
This question is required
Not a valid answer
7
What is your ethnicity? If you prefer not to say please skip the question or record N/A at the bottom
  • A Black/African/Carribbean
  • B East Asian (e.g, Chinese, Vietnamese, Filipino)
  • C South-Asian
  • D Hispanic/Latin-American
  • E First Nation, Métis or Inuit
  • F Middle Eastern
  • G Caucasian/European-descent
  • H N/A
  • I If none of the above describe you, please specify
or press ENTER or press ENTER
This question is required
Not a valid answer
8
What is the highest degree or level of education you have completed?
Optional
  • A Some High School
  • B High School
  • C Bachelor's Degree
  • D Master's Degree
  • E Ph.D. or higher
  • F Trade School
  • G Prefer not to say
  • H Other (Please specify)
or press ENTER or press ENTER
This question is required
Not a valid answer
10
How will this program have an impact in your life?
Feel free to submit a video, a voicenote or text. Whichever is easier or more accessible for you :)
or press Enter or press Enter
This question is required
Not a valid answer
11
What are your main reasons for signing up to this adult swimming program?
  • A Friends & Community
  • B Ability to safely enjoy water Activities & Sports (e.g., Kayaking, surfing, swimming, etc...)
  • C Being in water/Enjoying Nature
  • D Acquiring a lifelong skill
  • E Physical Health & Exercise
  • F Other
press Enter press Enter
This question is required
Not a valid answer
11
If you selected "other", please expand a bit more :)
Shift + Enter for line break
press Enter press Enter
This question is required
Not a valid answer
12
This FREE program will last 8 weeks between April 5th and May 26th. It will also require 1 hour of your time every week on Tuesday and Thursday evenings (between the times of 6 pm and 9 pm). Do you sincerely believe you can commit to this program?
Please keep in mind that being accepted into this program and not being able to commit to it will take away from another individual that may have been able to take advantage of the program :)
  • A Yes for sure!
  • B No
  • C Maybe
  • D I need more info to make sure I can commit
press Enter press Enter
This question is required
Not a valid answer
Thank you so much for finishing the first part of the sign up. Now we just have a few more demographic questions to help us better understand the needs for this program :)
or press Enter or press Enter
This question is required
Not a valid answer
14
Are you Married?
  • A Yes
  • B No
  • C Prefer not to say
  • D Other (Please specify)
or press ENTER or press ENTER
This question is required
Not a valid answer
15
How many children do you have?
  • A None
  • B 1
  • C 2-4
  • D More than 4
  • E Prefer not to say
or press ENTER or press ENTER
This question is required
Not a valid answer
16
What is your gross annual income?
  • A Less than $25,000
  • B $25,000 - $50,000
  • C $50,000 - $100,000
  • D $100,000 - $200,000
  • E More than $200,000
  • F Prefer not to say
or press ENTER or press ENTER
This question is required
Not a valid answer
17
What is your current employment status?
  • A Employed Full-Time (More than 35 hours a week)
  • B Employed Part-Time (Less than 35 hours a week)
  • C Freelancer/Self-Employed/Business-Owner
  • D Unemployed (Seeking opportunities)
  • E Unemployed (not currently looking for work)
  • F Retired
  • G Student
  • H Unable to work
  • I Prefer not to say
or press ENTER or press ENTER
This question is required
Not a valid answer
18
How many languages can you speak at a conversational level?
  • A English
  • B French
  • C Spanish
  • D Other (Please specify)
or press ENTER or press ENTER
This question is required
Not a valid answer
19
Do you strongly identify to any other nationality other than Canadian?
  • A Yes
  • B No
or press ENTER or press ENTER
This question is required
Not a valid answer
20
Which nationality?
or press ENTER or press ENTER

Not a valid answer

Thanks again for anonymously filling this survey! This information is going to help us so much with our future plannings! We are grateful for your time!

Special Thank You's to APIRG for all the work they do in our communities, to our Amina Matana, La Connexional's Program Lead and to our Resident instructor Leshan Masikonte for working and curating this program with us!
0% Completed
0% Completed
Powered By Qwary