Please answer each question using the following responses. Add the scores to each section separately.

5 = Strongly Agree;
4 = Agree;
3 = I don't really care
2 = Disagree
1 = Strongly disagree
 

Words of Affirmation
____ 1.  I can live two months on a good compliment.
____ 2.  When I look good, I like to be told.
____ 3.  When I help others, I like to be told that I am appreciated.
____ 4.  I am usually very hurt when I'm criticized.
____ 5.  I feel loved when I get a note or card of appreciation.

________ (Subtotal)   *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *

Quality Time
 ____ 6. I feel unloved if I go more than three days without at least a few minutes of  undivided attention from the important people in my life.
____ 7. Doing things and going places with the special people in my life are important to me.
____ 8.  I feel lonely if no one seems to have time for me.
____ 9.  It is important that people look me in the eye when speaking to me.
____10.  I would resent all the time the special people in my life worked if we never had time to talk.

________ (Subtotal    *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *

Gifts
____ 11.  I really enjoy giving gifts to those I love.
____ 12.  I feel better spending money on those I love rather than saving it.
____ 13.  When I am in a crisis, just having someone special with me tells me I am loved.
____ 14.  I would never tire of getting gifts every week from somebody special.
____ 15.  I am hurt when the special people in my life don't give me a birthday gift.

_________ (Subtotal)     *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *

Acts of Service
____16.  I know someone loves me when they help me with my chores.
____17.  Men and women should share in housework equally
____18.  I resent having to do my chores while everyone else is watching TV or  relaxing.
____19.  I would value someone helping me with my chores around the house rather than going with me to an activity.
____20.  I feel loved when special people do things for me and take care of me.

________ (Subtotal)    *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *

Touch
____21.  Hugging and holding hands communicate love to me.
____22.  When I am hurting emotionally, nothing is more important to me than being held.
____23.  I feel rejected if I am not touched by the special people in my life when I am with them.
____24.  While we watch TV or listen to music I'd rather someone special sit by me on the couch rather than in a separate chair.
____25.  Being touched is very important to me.

________(Subtotal)

You're highest two subtotals indicate your primary love languages.  Circle your two highest love languages.
 

Copyright 1998