Questionnaire for Child Screenings

Questionnaire for Child Screenings
Posted on 09/22/2020

ATTENTION PARENTS OF 3, 4, and 5 YEAR OLDS WHO ARE NOT CURRENTLY ENROLLED IN SCHOOL


The Winneconne Community School District will be offering a screening for children who turned 3, 4, and 5 years old  before September 1, 2020 and are not currently enrolled in school.  

This is in place of the preschool screening that was canceled in March due to the school closure.


Our screening procedure is designed to provide parents with information about their child’s pre-academic readiness skills.  These skills include articulation, language, fine motor, gross motor, cognitive/readiness skills, as well as adaptive and social skills.


Due to the current need for social distancing and in order to follow recommended safety protocols, we are encouraging parents to only bring their children for in-person screening if they have concerns regarding their child’s development.  


In order to minimize the need for person-to-person contact, we are strongly encouraging parents to complete an online questionnaire. 


The information you provide will help to determine the need for an in-person screening appointment.  Please be sure to indicate on the questionnaire if you have any questions or concerns regarding your child’s development.  A staff member will then contact you to discuss scheduling an appointment for screening.  


Please complete the forms no later than October 9, 2020.  


Questionnaire for 3-4 Year Olds

Questionnaire for 4-5 Year Olds




ATTENTION PARENTS OF CURRENTLY ENROLLED 4K STUDENTS

The Winneconne Community School District will be offering a screening for children who are currently enrolled in the district’s 4K program.   


In order to minimize the need for person-to-person contact, we are strongly encouraging parents to complete an online questionnaire. 


The information you provide will help to determine the need for an in-person screening.  Please be sure to indicate on the questionnaire if you have any questions or concerns regarding your child’s development.  Based on the information shared on the questionnaire, staff may contact you to determine if an in-person screening during the school day is warranted.



Please complete the forms no later than October 9, 2020. 


Questionnaire for 4-5 Year Olds

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