| 1 Where did your child first learn English? (Please circle one) | |||
| Home | Daycare | School | |
| 2 Does your child read in Spanish? (Please circle one) | |||
| NO | YES | ||
| If yes, at what age did your child start reading in Spanish? (Please circle one) | |||
| Before age 3 | 3–4yrs | 5–6yrs | 7–8yrs |
| 3 Does your child read in English? (Please circle one) | |||
| NO | YES | ||
| If yes, at what age did your child start reading in English? (Please circle one) | |||
| Before age 3 | 3–4yrs | 5–6yrs | 7–8yrs |
| 4 Do you read with your child at home? (Please circle one) | |||
| NO | YES | ||
| If yes, please circle all languages that apply. | |||
| Spanish | English | Other | |
| 5 At what age was your child first exposed to English? (Please circle one) | |||
| Before age 3 | 3–4yrs | 5–6yrs | 7–8yrs |