ACE questionnaire

Please add up your "YES" answer  to View you ACE Score

1. Did a parent or other adult in the household often or very often: Swear at you, insult you, put you down, or humiliate you? or Act in a way that made you afraid that you might be physically hurt?
2. Did a parent or other adult in the household often or very often push, grab, slap, or throw something at you? or, Ever hit you so hard that you had marked or were injured?
3. Did an adult or person at least 5 years older in a sexual way?
4.  Did you often or very often feel that no one in your family loved you or thought you were important or special?  Or, your family didn't look out for each other, feel close to each other, or support each other?
5. Did you often or very often feel that you didn't have enough to eat, had to wear dirty clothes, and had no one to protect you? Or, your parents were too drunk or high to take care of you or take you to the doctor if you needed it?
6. Was a biological parent ever lost to you through divorce, abandonment, imprisonment, or other reason?
7. Was your mother or stepmother ofter or very often pushed, grabbed, slapped, or had something thrown at her? or, Sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard? or, Ever repeatedly was hit over at least a few minutes or threatened with a gun or knife?
8. Did you live with anyone who was a problem drinking or alcoholic or who used street drugs?
9. Was a household member depressed or mentally ill or did a household member attempt suicide?
10. Did a household member go to prison?
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