Thank you for participating in this survey.

The Bladen County Innovative Approaches Initiative is conducting this Adverse Childhood Experiences (ACEs) survey to help us improve services for families of children and youth in our community.

You may choose to complete as much of the survey as you would like and can stop completing it at any time.  Thank you for participating in this ANONYMOUS survey.

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* 1. What is your race/ethnicity?  Please circle all that apply.

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* 2. Since the age of 18, have you (or your spouse/partner) experienced any of the following?  Please check all that apply.

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* 3. Are you male or female?

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* 4. What is your age group?

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* 5. What helps you to cope with stress?  Please check all that apply.

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