<p>Template 3: Language Learning Interest and Personal Resources Survey</p><p>The questions in this survey have been compiled and adapted from Chickasaw Nation (2006), Cherokee Nation (2002), Washoe Tribe of Nevada and California (n.d), Hinton (2001b, pp. 54-55).</p><p>This survey is for the language. </p><p>Basic Demographic Questions:</p><p>0.1 Age: 0.2 Gender (circle): Male / Female</p><p>0.3 Nation and/or Community: </p><p>0.4 Language Dialect: </p><p>1. Would you be interested in learning or studying the language? □ Yes □ No □ Not Sure □ Not applicable</p><p>2. If you are interested in learning or studying the language, where would you like to learn it? □ On my own □ Head Start, pre-school or language nest □ Elementary School □ Middle School □ High School □ Language Authority activities/community language classes □ In community activities and events (hand games, sports, ceremony) □ Family □ Work □ Other______□ None </p><p>3. When would you be able to attend language classes? □ Daytime □ Evening □ Weekends □ Not at all</p><p>4. Describe where you would be able to attend language classes, for example, in your community, surrounding communities, or at a language institute? </p><p>Template 3: Language Learning Interest and Personal Resources Survey Page 1 of 3</p><p>5. Can you attend language classes or workshops at your place of work? □ Yes □ No □ Not sure □ Not applicable 6. What obstacles or barriers do you experience in attending language classes? □ Money □ Childcare □ Transportation □ Schedule □ Learning style □ Desire □ Work □ Other □ None</p><p>7. Please comment on the obstacles or barriers that you experience in attending language classes:</p><p>Template 3: Language Learning Interest and Personal Resources Survey Page 2 of 3 8. What is your preferred method of learning? □ Tapes/CDs □ MP3s and digital audio files □ Videos □ Listening and responding to another person □ Written materials □ Computer and online internet programs and activities □ Apple (iPod, iPhone, iPad) and Android apps (including tablets) □ Formal classes like second or foreign language classes □ Informal classes or workshops □ Immersion □ Workplace activities □ Learning from relatives □ None □ Other, please specify: </p><p>9. Would you be able to provide your own supplies for language workshops, if required? □ Yes □ Yes, if not very expensive □ Yes, if partially paid for □ Probably not □ No □ Don’t know</p><p>10. Do you own a computer? □ Yes □ No □ Prefer not to answer 11. Do you have easy access to a computer? □ Yes □ No □ Not sure 12. Do you have access to any of the following technologies? □ iPad, □ iPhone □ iPod □ iPod Touch □ Android Tablet □ Android Smartphone 13. Do you have internet access? □ Yes □ No □ Not sure</p><p>Template 3: Language Learning Interest and Personal Resources Survey Page 3 of 3</p>