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Home Language Survey Form

Home Language Survey Form


A home language survey form is a form meant to be filled up by the parents or guardian of a student to determine the language in which the student communicates with his parents at home.

This survey is taken by the school to determine the manner in which the instructions need to be given to the students.

Home Language Survey Template
Home Language Survey Template

You can Download the Home Language survey form Template, customize it according to your needs, and Print it. Home Language survey form is either in MS Word or Editable PDF.

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Student Information:

A section to record basic student information such as name, date of birth, and grade level.

Parents’ Names:

A section to record the names of the child’s father and also mother.

Home Language:

A question to identify the child’s mother tongue (native language).

Language Usage at Home:

A question to determine if the parents always communicate with the child in their mother tongue.

Encouragement of Other Languages:

Question to inquire if the parents encourage the child to speak languages other than their mother tongue.



The template provides a structured format to record essential information about the child’s home language environment, saving time and effort in creating a survey from scratch.

Quick and Clear Communication:

The template facilitates clear communication between parents and educators regarding the child’s primary language.

Supports Multilingual Learners:

The information collected can also help educators identify students who may be multilingual learners and provide them with appropriate support.

Informs Instruction:

Because of understanding the child’s home language can also help teachers tailor their instruction to meet the needs of all their students.

Promotes Inclusivity:

Acknowledging the child’s home language can also create a more inclusive learning environment for all students

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