Ace Questionnaire For Adults Pdf

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Adverse Childhood Experiences Questionnaire Instructions: Below is a list of 10 categories of Adverse Childhood Experiences (ACEs). From the list below, please place a checkmark next . Title: Adverse Childhood Experience Questionnaire for Adults - Author: J2Standridge Created Date. Instructions: Below is a list of 10 categories of Adverse Childhood Experiences (ACEs). From the list below, please add up the number of categories of ACEs you experienced prior to your 18th . Below is a list of 10 categories of Adverse Childhood Experiences (ACEs). From the list below, please place a check mark next to each ACE category that you experienced prior to your 18th birthday. Then, please add up the number of categories of ACEs you experienced and put the total number at the bottom. 1. Nov 1, · Did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? Did you feel that no one in your family loved you or thought you were special? Did you experience unwanted sexual contact (such as fondling or oral/anal/vaginal intercourse/penetration)? Your ACE score is the total number of checked responses. Adverse Childhood Experience (ACE) Questionnaire While you were growing up, during your first 18 years of life: 1. Did a parent or other adult in the household 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? ☐ Yes ☐ No 2.