Adverse Childhood Experiences (ACE)

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* 1. What is your current age?

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* 2. Which of the following ACE's have you experienced?

Abuse - Physical, Emotional , Sexual

Neglect - Physical (including food restriction), Emotional

Household Challenges - Untreated mental illness, Substance abuse, Domestic violence, Incarceration, Family separation, Divorce

Other Forms of Adversity - Bullying & violence, Natural disasters & war, Poverty, Discrimination, Infectious disease outbreak (pandemic) & medical trauma, Involvement in child welfare

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* 3. Add up the number of ACE's you experienced and type the number in the field below

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* 4. Did you know that these experiences were called Adverse Childhood Experiences?

Yes

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* 5. How do you feel about the number of your ACE's?

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* 6. Do you feel that your life has been impacted by your ACE's?

Yes

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* 7. Can you share how your life has been impacted?

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* 8. Have you had any therapeutic interventions (like therapy, counseling, group therapy, etc.) for your ACE's?

Yes

Adverse Childhood Experiences (ACE)

Question Title

* 1. What is your current age?

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* 2. Which of the following ACE's have you experienced?

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* 3. Add up the number of ACE's you experienced and type the number in the field below

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* 4. Did you know that these experiences were called Adverse Childhood Experiences?

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* 5. How do you feel about the number of your ACE's?

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* 6. Do you feel that your life has been impacted by your ACE's?

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* 7. Can you share how your life has been impacted?

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* 8. Have you had any therapeutic interventions (like therapy, counseling, group therapy, etc.) for your ACE's?

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* 9. Are you interested in learning how to heal from ACE's?

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* 10. OPTIONAL: If you are interested in learning more about resources & information about processing ACE's, please include your email here.