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* 1. Age

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* 2. Gender

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* 3. Village

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* 4. What is your primary language

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* 5. How well can you speak the Samoan Language?

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* 6. How well do you estimate that you can understand the Samoan Language?

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* 7. Are you currently learning the Samoan Language (e.g. at a community class, with an Elder, at school, etc.)?

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* 8. How many words do you estimate you can say in the Samoan Language?

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* 9. How many words do you estimate you can understand in the Samoan Language?

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* 10. How many fluent speakers do you know?

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* 11. How often do you interact with a fluent speaker?

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* 12. Would you be able to identify any fluent speakers in your village or community?

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* 13. How much do you and your family use the Samoan Language at home?

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* 14. Who speaks the language in your home at the present time? (select any that apply)

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* 15. How much do you use or hear the language at work at the present time? This includes work on the land, such as farming, planting, fishing etc.

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* 16. Related to the previous question, how do you use or hear the Samoan language used at work, if applicable? For example, is it used at certain times, or in certain spaces? Or do you use it with staff or with clients or customers? This includes work on the land, such as farming, planting, fishing etc.

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* 17. How often do you use or hear the Samoan language at school at the present time?

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* 18. Related to the previous question, how do you use or hear the language used at school, if applicable? For example, is it used at certain times, or in certain spaces? Who uses the language?

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* 19. To what extent do you use or hear the Samoan language at community gatherings (e.g. sporting events, fairs, workshops or conferences, village and/or community meetings) at the present time?

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* 20. Related to the previous question, how do you use or hear the language used at community gatherings, if applicable? For example, is it used at certain times, or in certain spaces? 

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* 21. To what extent do you use or hear the Samoan language at church at the present time?

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* 22. Related to the previous question, how do you use or hear the language used at church, if applicable? 

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* 23. Would you be interested in learning the Samoan language?

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* 24. If you are interested in learning the Samoan Language, please rank your top three reasons for learning the language:

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