Questionnaire Text

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5. Mother tongue
Language first spoken and still understood
Fill one circle only
[] English
[] French
[] German
[] Italian
[] Other (specify) ____
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5. In this question you must understand the language you report. If you do not now understand the first language you learned, report the next one that you learned and still understand. For infants who have not learned to speak, report the language spoken must often in the home.