To find your ACE score answer the following questions. Your answers should be based on the first 18 years of your life.
- Did a parent or other adult in the household 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?
Yes ________ No ________ If yes enter 1 ______
- Did a parent or other adult in the household often …
Push, grab, slap, or throw something at you?
or
Ever hit you so hard that you had marks or were injured?
Yes ________ No ________ If yes enter 1 ______
- Did an adult or person at least 5 years older than you ever…
Touch or fondle you or have you touched their body in a sexual way?
or
Try to or actually have oral, anal, or vaginal sex with you?
Yes ________ No ________ If yes enter 1 ______
- Did you 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?
Yes ________ No ________ If yes enter 1 ______
- Did you 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?
Yes ________ No ________ If yes enter 1 ______
- Were your parents ever separated or divorced?
Yes ________ No ________ If yes enter 1 ______
- Was your mother or stepmother:
Often pushed, grabbed, slapped, or had something thrown at her?
or
Sometimes or 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?
Yes ________ No ________ If yes enter 1 ______
- Did you live with anyone who was a problem drinker or alcoholic or who used street drugs?
Yes ________ No ________ If yes enter 1 ______
- Was a household member depressed or mentally ill or did a household member attempt suicide?
Yes ________ No ________ If yes enter 1 ______
- Did a household member go to prison?
Yes ________ No ________ If yes enter 1 ______- Now add up your “Yes” answers: This is your ACE Score