The Diné Language Learning Readiness Survey

    Part 1: About Me

    1. Association with the local school/district
      Place a checkmark in ALL relevant boxes.
    • Student
    • Parent /Guardian
    • Educational Assistant
    • Program Staff
    • Administrator
    • Board Member
    • Teacher
    • Other Stakeholder
    This is a required question
    2. Years associated with the local school / district
      Pick one.
    • 0-3
    • 4-9
    • 10-15
    • 16-25
    • 25+
    This is a required question
    3. Years living in the area
      • 0-3
      • 4-9
      • 10-20
      • 21-40
      • 41-60
      • 60+
      • Other:
      This is a required question
      4. Age
        • 0-5
        • 6-11
        • 12-15
        • 16-19
        • 21-40
        • 41-60
        • 60+
        • Other:
        This is a required question
        5. Grade(s)
          K-12 students: answer your grade. Parents: check all grades of all your children.
        • Pre-K
        • K
        • 1
        • 2
        • 3
        • 4
        • 5
        • 6
        • 7
        • 8
        • 9
        • 10
        • 11
        • 12
        This is a required question
        6. My Diné Language Proficiency (speaking/listening ability) may best be described as…
          • Beginning
          • Limited
          • Casual in Conversation
          • Native Speaker
          This is a required question
          7. Adults: Education Level (that you have completed)
            • Pre-High School
            • High School
            • 2-Year College
            • 4-Year College
            • Graduate or Professional School
            This is a required question
            8. Ethnicity (optional)
              Check ALL boxes that you feel define your race/ethnicity, subgroup or culture.
            • Asian
            • African-American
            • Hispanic / Latino
            • Mixed / Other
            • Native American
            • White Non-Hispanic
            This is a required question
            9. Your local school or district. Please enter the below the full name of your associated school/district.
              Please skip this item, as it is reserved for office use.

            This is a required question
            10. Email address.
              Please include only if you wish to be notified about any relevant survey reports.

            Please enter a valid email address.
            This is a required question

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