2011-2012 School Nurse Vision Evaluation Survey

Question Title

* 1. How many of each of the following students are enrolled in your school(s) for the 2011-2012 school year?

Kindergarten students

Out of state transfers (new to Nebraska schools)

Question Title

* 2. Of the total number of students in question 1. above, how many returned:

A Completed School Vision Evaluation Form Signed by a Healthcare Professional

Waivers signed for the School Vision Evaluation