Adverse Childhood Experiences (ACES)

Question 1

Did a parent or any other adult in the household often or very often swore at you, insulted you, put you down, or humiliated you, or acted in a way that made you afraid that you might be physically hurt?

Question 2

Did any of your parents or any other adult in the household often or very often pushed, grabbed, slapped, or threw something at you, or ever hit you so hard that you had marks or were injured?

Question 3

Was there an adult or person at least 5 years older than you that ever touched or fondled you in a sexual way, made you touch their body in a sexual way, or attempted or actually had oral, anal, or vaginal intercourse with you?

Question 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?

Question 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 when you needed it?

Question 6

Were your parents ever separated or divorced?

Question 7

Was any of your parents often or very often pushed, grabbed, slapped, or had something thrown at them, or sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard, or ever repeatedly hit over at least a few minutes or threatened with a gun or knife?

Question 8

Was there a household member who was a problem drinker, alcoholic or used street drugs?

Question 9

Was there any household member who was depressed or mentally ill, or a household member that attempted suicide?

Question 10

Is there a household member who went to prison?