Top of Form A. What language do family members use when speaking to the in the home? N/A 1 2 3 4 5 mostly only home home Not only mostly both language language Applicable English English equally but (not some English) English Home Language ___________________________________ Second Home Language _________________________________ B. What language does the child use when speaking to family members in the home? N/A 1 2 3 4 5 mostly only home home Not only mostly both language language Applicable English English equally but (not some English) English C. What language does the child use when speaking to other children in the classroom? N/A 1 2 3 4 5 mostly only home home Not only mostly both language language Applicable English English equally but (not some English) English D. What language does the use when speaking to the teachers? N/A 1 2 3 4 5 mostly only home home Not only mostly both language language Applicable English English equally but (not some English) English
Top of Form A. What language do family members use when speaking to the in the home? N/A 1 2 3 4 5 Not Applicable only English mostly English both equally mostly home language but some English only home language (not English) Home Language ___________________________________ Second Home Language _________________________________ B. What language does the child use when speaking to family members in the home? N/A 1 2 3 4 5 Not Applicable only English mostly English both equally mostly home language but some English only home language (not English) C. What language does the child use when speaking to other children in the classroom? N/A 1 2 3 4 5 Not Applicable only English mostly English both equally mostly home language but some English only home language (not English) D. What language does the use when speaking to the teachers? N/A 1 2 3 4 5 Not Applicable only English mostly English both equally mostly home language but some English only home language (not English)
DE-ELS%20GOLD%20Home%20Language%20Survey%20in%20English%20and%20Spanish.docx