1. About you!

This survey is for you to take before you are taught the Five Love Languages.

Please take a moment to carefully answer the following questions.

Thank you!

1. What is your first name? (We don't need your last name just your first one.)

2. What is the first letter of your last name?

3. Are you a boy or girl?

4. How old are you?

5. What grade are you in?

6. What is the name of your school or group?

7. What is the last name of the teacher who is going to be teaching you the Five Love Languages?
(If more than one teacher write each last name.)

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