A questionnaire for everyone in the fiscal year they turn 5; children who need it get a second checkup at the health center

This checkup looks at what a child is good at and finds difficult, and at parents' concerns, before starting elementary school. Eligible children are those who turn 5 in that fiscal year, and a notice arrives between May and December depending on their birthday.

The first checkup is a web questionnaire for parents that everyone answers. Children for whom an in-person checkup is recommended based on the results receive a separate notice and have a second checkup (group checkup) at the Arakawa City Public Health Center (Cancer Prevention and Health Promotion Center). The second checkup includes an interview with a public health nurse, observation of group play and group behavior by psychologists, etc., an examination by a doctor, and psychological consultation.