Questionnaire Text

Questionnaire form view entire document:  text  image
14.
a) Does this person speak a language other than English at home?
[ ] Yes
[ ] No -> SKIP to question 15a
b) What is this language?
______________________________

For example: Korean, Italian, Spanish, Vietnamese
Questionnaire instructions view entire document:  text  image
14a. Mark the "Yes" box if the person sometimes or always speaks a language other than English at home.

Mark the "No" box if the person speaks only English, or if a non-English language is spoken only at school or is limited to a few expressions or slang.

14b. If this person speaks more than one non-English language and cannot determine which is spoken more often, report the one the person first learned to speak.