* 1. What is your gender?

* 2. What is your child's gender?

* 3. Which race/ethnicity best describes you? (Please choose only one.)

* 4. Please describe your race/ethnicity.

* 5. What grade is your child in?

* 6. What is your relationship to your child?

* 7. Please describe your relationship to your child.

* 8. Which race/ethnicity best describes your child? (Please choose only one.)

* 9. Please describe your child's race/ethnicity.

* 10. What year were you born?

* 11. What was the primary language spoken in your childhood home? (Please choose only one.)

* 12. Please describe what language(s) were primarily spoken in your childhood home.

* 13. What is the primary language you speak with your child currently? (Please choose only one.)

* 14. Please describe what language(s) you speak with your child currently.

* 16. What is your approximate average household income?

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