Adverse Childhood Experiences Survey
This Survey is COMPLETELY ANONYMOUS!

The ACEs survey asks questions about your childhood. While you growing up, during the first 18 years of your life:
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? *
1 point
Did a parent or other adult in the household often or very often, grab, slap, or throw something at you? Or ever hit you so hard that you had marks or were injured? *
1 point
Did an adult or person at least five years older than you ever touch or fondle you or have you touch their body in a sexual way? Or attempt, or actually have, oral, anal, or vaginal intercourse with you? *
1 point
Did you often or very often feel that no one in your family loved you or thought you were important or special, or that your family didn't look out for each other, feel close to each other, or support each other? *
1 point
Did you often or very often feel that you didn't have enough to eat, had to wear dirty clothes, or had no one to protect you? Or your parents were too drunk or high to take of you or take you to the doctor if you needed to go? *
1 point
Did you live with anyone who was a problem drinker or alcoholic? Or who used street drugs? *
1 point
Was your parent or stepparent often or very often pushed, grabbed, slapped, or hit by a thrown object? Or sometimes, often, or very often, kicked, bitten, hit with a fist, or hit with something hard? Or ever repeatedly hit for at least a few minutes or threatened with a gun or knife? *
1 point
Was a household member depressed or mentally ill? Or did a household member attempt suicide? *
1 point
Were your parents separated or divorced? *
1 point
Did a household member go to prison? *
1 point
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