Questionnaire | page 1

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1.General information about the child

1.1. Last name, First name

1.2. Date of birth

(DD.MM.YYYY, e.g. 01.05.2020)

1.3. Country of birth

1.4. Gender

male

female

diverse

not specified

1.5. Please name all the languages the child speaks/understands, no matter how well or how often.

German

yes

________________

Additional language 1:

Additional language 2:

1.6. Which language(s) do you think the child feels most comfortable with?

1.7. Which language does your child speak most often?

1.8 Wie viele Geschwister hat das Kind?

1.9. The birth order of the child in the family (1st/2nd/3rd etc.)