the English-Japanese Well-Baby Questionnaires  

the English-Japanese Well-baby Questionnaires ”日英併記乳幼児健診アンケート”

Regular checkups are held at the Health Center in Sapporo. They help to monitor children’s health and development.  Fill out the English-Japanese questionnaire below in advance of your well-baby and child’s check-up at the Health Center (at the age of 4 months, 10 months, 18 months, 3 years, and 5 years). Please describe your baby’s condition and your concerns.

Pre-visit Questionnaire: The 4-month Checkup

http://kosodate.city.sapporo.jp/material/files/group/4/4kagetu2.pdf

Pre-visit Questionnaire: The 10-month Checkup

http://kosodate.city.sapporo.jp/material/files/group/4/10kagetu.pdf

Pre-visit Questionnaire: The 18-month Checkup

http://kosodate.city.sapporo.jp/material/files/group/4/1saihan.pdf

Pre-visit Questionnaire: The 3-year Checkup

http://kosodate.city.sapporo.jp/material/files/group/4/3sai.pdf

Pre-visit Questionnaire: The 5-year Checkup

http://kosodate.city.sapporo.jp/material/files/group/4/5sai.pdf

Health Promotion Section, Sapporo Public Health Office
(
札幌市保健福祉局保健所健康企画課)