language census

Please help us identify the different languages spoken by our congregation. This

information will be used to promote potential interest groups, to find potential

translators and to inform people of opportunities for mission trips and outreach.

Your first name: Your last name:

Cellphone number: Home phone #:

E-mail address:

What language did you speak at home as a child?

How fluent are you now in that language? (scale: 1=beginner, - 4=native speaker)

What country did you grow up in?

What country did your family come from?

How fluent are you in English? (scale: 1=beginner, - 4=native speaker)

What other language do you speak? Fluency:

Any additional language(s)? Fluency:

Any additional language(s)? Fluency:

Any additional language(s)? Fluency:

Do you know someone else in our congregation who speaks another language?

Please ask them to fill out this survey.