Questionnaire Text

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13. a) Does this person speak a language other than English at home?

[] Yes
[] No

[Q13. b-c are asked if the person can speak a language other than English at home.]

b) What is this language? ____

For example: Korean, Italian, Spanish, Vietnamese

c) How well does this person Speak English?

[] Very well
[] Well
[] Not well
[] Not at all