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!

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

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

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3. Are you a boy or girl?

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4. How old are you?

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5. What grade are you in?

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

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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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