Wis. Stat. §§ 118.016 part of 2023 Wisconsin Act 20 (Act 20) requires local education agencies (LEAs) to conduct “diagnostic assessments” to any student in 5K through grade 3 who obtains a score below the 25th percentile on the reading readiness screener. As part of the diagnostic assessment, LEAs must include a “family history survey,” defined as “a questionnaire that includes questions about previous recommendations for summer reading support or outside tutoring, general interest in reading and books, family history of characteristics of dyslexia, and any known family struggles in reading or spelling” (118.016(1)(d)). LEAs must provide the family history survey; parents/caregivers are not required to respond.
DPI's Family History Survey: Sample and Guidance, includes:
- options for administering the family history survey
- considerations for choosing how and when to administer the family history survey
- considerations for meaningful family engagement
- a sample family history survey
The sample survey is available in English, Arabic, Burmese, Chinese, Hmong, Karen, Somali, and Spanish. All translations are found at the end of the document linked above.