Community Milestones Survey
Welcome to the ACEs Connection Network's Community Milestones Survey. The purpose of this survey is to track a set of milestones culled from self-assessment surveys across various sectors. These milestones represent progress that organizations make towards becoming trauma-informed.
Visit to learn about the development of the milestones.
Sign in to Google to save your progress. Learn more
Email *
Please provide your first and last name.
Please write the full name of the organization for which you are filling out this survey. (Please note: if you are filling out this survey on behalf of a department or subdivision within an organization, please list the organization's name followed by a colon and then the department/subdivision name. For example, "Boston Hospital: Pediatrics Department")
Prior Survey
Is this the first time someone is completing this survey on behalf of this organization?
Clear selection
Street Address
Please write the street address of the organization WITHOUT including suite numbers, room numbers, etc.
Which city is this organization located in?
Which state is this organization located in?
What is the zip code of this organization?
Please select the sector that most closely aligns with the mission of this organization.
If you do not feel that any of the sector selections above completely describe your organization, please select a subsector that helps describe your organization, if applicable.  If no subsector is needed, please select "None"
Community *
Which ACEs Connection community asked you to complete this survey? If you are unsure, please contact the person who requested that you complete this form. *Tip: If you start writing the name of your community it will pop up in the list for you to select.
Milestone 1
Have ACEs science presentations been given to ANY staff? ACEs science refers to topics including the ACE Study, brain science, health consequences of ACEs and trauma, historical trauma, and trauma-informed/resilience-building practices
Clear selection
Milestone 2
Have ACEs science presentations been given to ALL staff?
Clear selection
Milestone 3
Does this organization participate in a local ACEs initiative?
Clear selection
Milestone 4
Has the organization’s leadership announced its intention to integrate ACEs science?
Clear selection
Milestone 5
Does HR integrate trauma-informed practices or policies?
Clear selection
Milestone 6
Have staff received ACEs and Resilience surveys?
Clear selection
Milestone 7
Does this organization educate clients about ACEs science?
Clear selection
Milestone 8
Does this organization give ACEs and Resilience surveys to clients?
Clear selection
Milestone 9
Does this organization implement trauma-informed practices or policies for clients?
Clear selection
Milestone 10
Does this organization evaluate its trauma-informed practices or policies?
Clear selection
Milestone 11
Is the physical environment of this organization trauma-informed?
Clear selection
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy