(Grade Level) )[ta’7 Y0[ta’7 g0ne’:
(Answer each question by marking either the yes or no box
B7nan7d7kid7g77 bik’ehgo Aoo’ biyaa a[n1’77t’ish doodai’ Nidaga’ biyaa
1 )[ta’7 bilag1ana bizaad t’4iy1 choyoo[’9 doodai’ n11n1 [a’ dine’4 bizaad daats’7 bik’47 d00 bik’is a[ch’8’ yee y1daa[ti’?
2.))[ta’7 bilag1ana bizaad d00 n11n1 [a’ dine’4 bizaad choo[’9?
3.))[ta’77sh n11n1 [a’ dine’4 bizaad bee bich’8’ y1n7[ti’go yik’i’diit88h?
4.))[ta’77sh bilag1ana bizaad d00 n11n1 [a’ dine’4 bizaad y0[ta’ y44h0sin?
5.))[ta’77sh bilag1ana bizaad d00 n11n1 [a’ dine’4 bizaad yee ‘ak’e’e[ch7 y44h0sin?
6.))[ta’77sh bilag1ana bizaad d00 n11n1 [a’ dine’4 bizaad yee n1 1ta’ halne’?