Appendix F: Language Decision Form
LANGUAGE DECISION FORM
To the best of your knowledge,
| 1. |
What language does the child speak most often
at home? |
| |
| ENGLISH |
01 |
| SPANISH |
02 |
| OTHER (SPECIFY) |
03 |
| _________________________ |
|
|
| |
|
| 2. |
What language does the child speak most often
at this child care setting? |
| |
| ENGLISH |
01 |
| SPANISH |
02 |
| OTHER (SPECIFY) |
03 |
| _________________________ |
|
|
| |
|
| 3. |
What language does it appear this child prefers
to speak? |
| |
| ENGLISH |
01 |
| SPANISH |
02 |
| OTHER (SPECIFY) |
03 |
| _________________________ |
|
|
| |
|
| Language in which at least two of
three responses are the same: |
| |
____________________________________
LANGUAGE |
| |
|
| 4. |
If language is other than English or Spanish,
ask main care provider: Can child understand and answer questions
in English? (IF YES, PROCEED WITH ENGLISH TESTING. OTHERWISE
FOLLOW INSTRUCTIONS FOR CHILDREN BEING TESTED IN OTHER LANGUAGE) |
| |
|
| |
|
| 5. |
Language child will be tested in: |
| |
____________________________________
LANGUAGE |
