ACE Assessment | Pioneer Counseling
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Pioneer Counseling · Clinical Resource

Adverse Childhood Experiences (ACE) Assessment

For each item, indicate whether the experience occurred during the first 18 years of life. This screening counts categories of experience and is not a diagnosis.

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Question 1

Did a parent or another adult in your household often insult, humiliate, threaten, or make you feel afraid you might be physically hurt?

Question 2

Did a parent or another adult in your household often push, grab, slap, throw something at you, or ever hit you hard enough to leave marks or cause injury?

Question 3

Did an adult or someone at least five years older ever touch you sexually, have you touch them sexually, or attempt or have sexual intercourse with you?

Question 4

Did you often feel that no one in your family loved you or believed you were important, or that your family did not support or protect one another?

Question 5

Did you often lack enough food, clean clothing, or protection, or have caregivers who were too impaired to care for you or get needed medical care?

Question 6

Were your parents or primary caregivers ever separated or divorced?

Question 7

Was your mother or a maternal caregiver often pushed, grabbed, slapped, kicked, threatened with a weapon, or physically harmed?

Question 8

Did you live with anyone who had a problem with alcohol or used street drugs?

Question 9

Did anyone in your household experience depression or other mental illness, attempt suicide, or die by suicide?

Question 10

Did anyone in your household go to prison?

Answer all ten questions to view the score and download the anonymous results.

Privacy: This tool has no identifying fields and does not transmit, save, or retain responses.

For screening and educational use. This assessment is not a diagnosis or a substitute for professional clinical judgment.

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