Jung's Word Association Test Form NAME ________________________________________ DATE__________________ INTERVIEWER:________________________________ (ANSWER AS QUICKLY AS POSSIBLE WITH THE FIRST WORD THAT OCCURS TO YOUR MIND) Word RT Response Word head frog green to part water hunger to sing white dead child long to take care ship pencil pay sad window plum friendly to marry to cook house to ask sweatheart cold glass stem to quarrel RT Response to dance fur village big lake carrot sick to paint pride part to cook old ink flower angry to beat needle box to swim wild voyage family blue to wash lamp cow to sin friend bread luck rich lie tree behavior to prick narrow pity brother yellow to fear mountain stork 2 to die false salt anxiety new to kiss custom bride to pray pure money door foolish to choose pamphlet hay despise contented finger ridicule expensiv e bird to sleep to fall nice book women unjust to abuse month form created by Robert I. Winer, M.D. (www.neurocareusa.com) 3