The Adverse Childhood Experiences (ACE) Assessment

1. Emotional Abuse

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. Physical Abuse

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 marks or were injured?

3. Sexual Abuse

Did an adult or person at least 5 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?

4. Emotional Neglect

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?

5. Physical Neglect

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 that your parents were too drunk or high to take care of you or take you to the doctor if you needed it?

6. Parental Separation or Divorce

Were your parents ever separated or divorced?

7. Domestic Violence

Was your mother or stepmother often 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 hit over at least a few minutes or threatened with a gun or knife?

8. Household Substance Abuse

Did you live with anyone who was a problem drinker or alcoholic, or who used street drugs?

9. Household Mental Illness

Was a household member depressed or mentally ill, or did a household member attempt suicide?

10. Incarcerated Household Member

Did a household member go to prison?