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

5 = Strongly Agree;
4 = Agree;
3 = Your child doesn't really care
2 = Disagree
1 = Strongly disagree

Words of Affirmation
____ 1.  Your child really glows when you give them  an honest compliment.
____ 2.  When your child  looks good, they ask you to tell them how they look.
____ 3.  When your child helps you, they  like to be noticed and appreciated.
____ 4.  They are usually crushed when criticized or their actions disapproved by you.
____ 5.  Your child  feels loved when they  get a note or card of appreciation.

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

Quality Time
 ____ 6. Your child feels unloved if you go more than three days without giving them  at least a few minutes of  undivided attention.
____ 7. Doing things and going places with friends & special  people in your child's life is really special to them.
____ 8.  Your child feels lonely if no one seems to have time for them.
____ 9.  Your child  looks you in the eye when speaking to you.
____10.  Your child would resent it  if you never had time to talk to them.

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

Gifts
____ 11.  Your child really enjoys giving gifts to those they love.
____ 12.  Your child feels better spending money on those they love rather than saving it.
____ 13.  When your child is in a crisis, just having someone special with them calms and soothes them.
____ 14.  Your child would never tire of getting gifts every week from somebody special.
____ 15.  Your child is hurt when the special people in their life don't give them a birthday gift.

_________ (Subtotal)

Acts of Service
____16.  Your child knows you love them when you help them with their chores.
____17.  Your child is always doing things for you around the house or in the yard.
____18.  Your child resents having to do chores while everyone else is watching TV or  relaxing.
____19.  Your child would rather have someone helping with their chores around the house rather than go shopping with you.
____20.  Your child feels loved when special people do things for them and take care of them.

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

Touch
____21.  Your child seems to always be hugging and touching you.
____22.  When your child is hurting emotionally, it  is most important to them to  be held.
____23.  Your child feels rejected if they are not touched by you when you are with them.
____24.  While watching TV or listening to music your child would rather sit by you on the couch rather than in a separate chair.
____25.  Being touched is very important to your child.

________(Subtotal)

You're highest two subtotals indicates their primary love languages.