Find Your ACE Score
(Compliments of Integrative Health Coaching)
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1.
While you were growing up, during your first 18 years of life:
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?
(Required.)
Yes
No
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2.
While you were growing up, during your first 18 years of life:
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?
(Required.)
Yes
No
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3.
While you were growing up, during your first 18 years of life:
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?
(Required.)
Yes
No
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4.
While you were growing up, during your first 18 years of life:
Did you often or very 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?
(Required.)
Yes
No
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5.
While you were growing up, during your first 18 years of life:
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 your parents were too drunk or high to take care of you or take you to the doctor if you needed it?
(Required.)
Yes
No
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6.
While you were growing up, during your first 18 years of life:
Were your parents ever separated or divorced?
(Required.)
Yes
No
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7.
While you were growing up, during your first 18 years of life:
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 at least a few minutes or threatened with a gun or knife?
(Required.)
Yes
No
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8.
While you were growing up, during your first 18 years of life:
Did you live with anyone who was a problem drinker or alcoholic or who used street drugs?
(Required.)
Yes
No
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9.
While you were growing up, during your first 18 years of life:
Was a household member depressed or mentally ill, or did a household member attempt suicide?
(Required.)
Yes
No
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10.
While you were growing up, during your first 18 years of life:
Did a household member go to prison?
(Required.)
Yes
No
YOU ARE NOW DONE.
NEXT, ADD UP THE TOTAL NUMBER OF "YES" ANSWERS ABOVE.
THIS IS YOUR ACE SCORE.