Home Language Survey

  • Massachusetts Department of Elementary and Secondary Education (DESE) regulations require that all schools determine the language(s) spoken in each student’s home in order to identify their specific language needs. This information is essential in order for schools to provide meaningful instruction for all students. If a language other than or in addition to English is used with your child, the District is required to do further assessment of your child (in other words, if any of the questions below indicate a language other than English). Please help us meet this important requirement by answering the following questions. Thank you for your assistance.

    Interpreter/Translation Information: 

    • Will you require an interpreter at school/district meetings? 

    [Yes, No] 

    • Will you require written information from your school/district in your native language (other than English)? 

    [Yes, No] 

    If yes, what language?

    If yes, what language?

     

    Language Information:

    How many years has your child attended school in the United States (not including preschool)? [0, 1, 2, 3, 4, 5 or more]

    What is the primary language used at home?

    What language do YOU use most with your child?

    List any additional language(s) used when communicating TO your child? (Including by grandparents, caregivers, aunts, uncles etc.)   

    Language #2  

    • How frequently is this language used when communicating TO your child?

    [Often, Sometimes, Seldom]

    Language #3   

    • How frequently is this language used when communicating TO your child?

    [Often, Sometimes, Seldom]

     

    What language did your child first understand and speak?

    What language is your child most comfortable using?  

    • Can your child speak in this language? 

    [Yes, No]

    • Can your child read in this language? 

    [Yes, No]

    • Can your child write in this language? 

    [Yes, No]

    List any additional languages used by your child

    Language #2 

    • How frequently is this language used when your child is communicating with others?

    [Often, Sometimes, Seldom]

    • Can your child speak in this language?

    [Yes, No]

    • Can your child read in this language? 

    [Yes, No]

    • Can your child write in this language? 

    [Yes, No]

    Language #3  

    • How frequently is this language used when your child is communicating with others?

    [Often, Sometimes, Seldom]

    • Can your child speak in this language?

    [Yes, No]

    • Can your child read in this language? 

    [Yes, No]

    • Can your child write in this language? 

    [Yes, No]