Questionnaire Text

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12. Language
What is the language most frequently spoken in this household?

[] 1 Only GuaranĂ­
[] 2 GuaranĂ­ and Spanish
[] 3 Only Spanish
[] Other language (specify) ____

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Question 12. Language.

Ask the question and make an X in the corresponding box.

If it is a language not indicated, annotate the name of the language on the line for "other."

[A depiction of question 12 to the right of the preceding text is omitted here.]

Remember that: The language that is spoken most frequently in the household is the language that the members of household utilize in their daily contact within the home.