Nothing really, so long as you have a decent set of skills. Sneak is probably the strongest after Speech, though. If you're a social based character, the companions are usually competent enough to handle the fighting when you must fight.
Survival's been weak for me. Medicine too. Science I haven't seen any need beyond 25, same goes for Lock Pick. Sneaking's been a choice for only when I wanted to avoid combat, never necessary when I want to shoot my way through.
They've been pretty good about nothing being must haves.