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ACES-Q AQT

1.Are your parents separated or divorced?
2.Has anyone you live with ever spent time in jail or prison?
3.Do you live with someone who is depressed, mentally ill or has attempted suicide?
4.Have you witnessed violence in your home?
5.Have you ever been emotionally abused at home?
6.Have you ever been sexually abused?
7.Has your family ever not had enough money to pay for food or housing?
8.Have you ever been physically abused at home?
9.Have you ever lived with someone with addiction problems?
10.Do you often feel unloved, unprotected or unsupported at home?
11.Have you ever been in foster care?
12.Have you ever been harassed or bullied at school?
13.Have you lived with a parent or guardian who died?
14.Have you ever been separated from a parent because of deportation or immigration?
15.Have you ever had a serious medical condition or life threatening illness?
16.Have you often seen or heard violence in your neighborhood?
17.Have you been arrested or incarcerated?
18.Have you been treated badly because of race, sexual orientation, place of birth, disability or religion?
19.Have you ever experienced verbal or physical abuse or threats from a romantic partner?
Current Progress,
0 of 19 answered