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Language and Dialect Reporting Form

Thank you for helping map the linguistic diversity of our country. Your responses are anonymous unless you choose to identify yourself. Please answer as fully as you can.

Respondent Information

Birthday
Month
Day
Year

Language Identification

Is this a recognised official language?
Yes
No
I don't know

Language Identification

Speaker Profile

How many people in your community speak this language?
Just me
1 - 10
11 - 50
51 - 200
201 - 1000
1001+
I don't know

Language or Dialect Proficiency

Usage Context

Is the language being transmitted to the younger generation
Yes, actively taught
Yes, informally learned
Rarely
No
Don't know

Dialectal Variation (if applicable)

Does this language have multiple dialects?
Yes
No
I don't know

Resources and Documentation

Are there any written materials (books, primers) in this language?
Yes
No
I don't know
Any audio or video recordings available
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