Question Title

* 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?

Question Title

* 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?

Question Title

* 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?

Question Title

* 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?

Question Title

* 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?

Question Title

* 6. While you were growing up, during your first 18 years of life:
Were your parents ever separated or divorced?

Question Title

* 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?

Question Title

* 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?

Question Title

* 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?

Question Title

* 10. While you were growing up, during your first 18 years of life:
Did a household member go to prison?

T