It's a roleplaying game, so I highly doubt any of us take the same exact perks every playthrough.
However, I'm willing to bet there's a couple here and there that you're just so tempted to grab every single time simply because they're that powerful.
For me? I repeatedly find myself taking Rapid Reload (if I can) and Finesse as if they were essential, and Comprehension automatically goes to any character with above-par intelligence. And if I can? Strong Back and Burden to Bear, as well as Pack Rat. There's actually a LOT of good weapons out there that are only viable if you can manage the carry weight to carry them and their ammo, so Strong Back, Burden to Bear and Pack Rat feel as essential to heavier weapons as Cowboy feels to the Medicine Stick and Lucky. The difference being, those three will allow use of all sorts of items, from Mercy to Annabelle to the CZ57 Avenger etc etc etc...