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| About you | |||
| 1 | Do you consider yourself to be a native or fluent speaker of this language? If not, what language do you feel most comfortable speaking? | Yes, I am Native Javanese and a fluent speaker | |
| 2 | What other language(s) do you speak? How well do you speak each one? | Indonesian and English | |
| 3 | What ethnic group do you identify with? | Javanese | |
| 4 | What kind of work does you family do? | Farmer | |
| 5 | What is your highest level of education? | Master in English education | |
| 6 | How threatened do you think your language is? | To some degree it is quite seriously threatened | |
| 7 | Would you want your child to attend vernacular education programs? Elementary, Secondary, University? | Yes, I do | |
| In your home community | |||
| 8 | How often do you speak your language? Daily, weekly, monthly, never? | Daily | |
| 9 | How often do you speak your national language? Daily, weekly, monthly, never? | Daily | |
| 10 | How often do you speak your language? Daily, weekly, monthly, never? | daily | |
| You to them | Them to you | ||
| 11 | In what language(s) do you speak with your parents? | Javanese (Polite register) | Javanese (casual register) |
| 12 | In what languages(s) do you speak with your grandparents? | Javanese (Polite register) | Javanese (casual register) |
| 13 | In what language(s) do you speak with your brother(s)? | Indonesian | Indonesian |
| 14 | In what language(s) do you speak with your sister(s)? | Indonesian | Indonesian |
| 15 | If you are married, in what language(s) do you speak with your spouse? | Javanese (casual laregister) | |
| 16 | If you have children, in what language(s) do you speak with your children? | Indonesian | Indonesian |
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| 17 | If you have children, in what language(s) does your spouse speak with your children? | Indonesian | Indonesian |
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| 18 | What language do you speak to the merchants at the bazaar/market? | javanese (casual language) | Javenese (polite register) |
| 19 | What language do you speak to the merchants in the stores? | javanese (casual language) | javanese (polite register) |
| 20 | What language do you use for communication with members of local government? | Indonesian | Indoensian |
| 21 | What language do you use for communication with members of regional government? | Indoneisian | Indonesian |
| 22 | What language do you use for communication with members of national government? What language do they use with you? | ||
| 23 | What language do you use speak to your religious leaders? | ||
| 24 | What language do you speak to someone you do not know? | ||
| 25 | What language will a religious leader use to conduct a ritual? | ||
| 26 | Do you speak your language to members of neighboring ethnic groups? If so, which one(s) and how often? | ||
| 27 | Do you ever speak the language of neighboring ethnic groups with members of those groups? If so, which one(s) and how often? | ||
| 28 | Are there any members of your ethnic group who cannot speak your language? If yes, where? | ||
| 29 | Are there any members of your ethnic group who speak your language differently from you? If yes, where? | ||
| 30 | Do most children in your community speak your language fluently? If, not what percent speak fluently? | ||
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