GOT YOUR ACE SCORE?

Take the ACEs (adverse childhood experiences) survey. A score of four or more is associated with the potential for poor health outcomes. Consider discussing your score with a professional counselor.

ACEs screening is a routine part of the admissions packet at Southwest Iowa Families.


ACE Survey

While you were growing up, during your first 18 years of life:

  1. 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?

Yes                         No

  1. 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?

Yes                         No

  1. 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?

Yes                         No

  1. 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?

Yes                         No

  1. 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?

Yes                         No

  1. Were your parents ever separated or divorced?

Yes                         No

  1. 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?

Yes                         No

  1. Did you live with anyone who was a problem drinker or alcoholic or who used street drugs?

Yes                         No

  1. Was a household member depressed or mentally ill, or did a household member attempt suicide?

Yes                         No

  1. Did a household member go to prison?

Yes                         No

 

Now add up your “Yes” answers: _____ This is your ACE Score.            

Leave a Reply