Adverse Childhood Experience (ACE)

10 question screener for numerous health, social, and behavioral problems.

The global unit selector only affects unanswered questions
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?
2.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?
3.Did an adult or person at least five 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?
4.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?
5.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?
6.Were your parents ever separated or divorced?
7.Was your mother or stepmother: Often pushed, grabbed, slapped, or had something thrown at her? or Sometimes or often kicked, bitten, hit with a fist, or hit with something hard?
8.Did you live with anyone who was a problem drinker or alcoholic or who used street drugs?
9.Was a household member depressed or mentally ill, or did a household member attempt suicide?
10.Did a household member go to prison?
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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?

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

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About this Calculator

The CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study is one of the largest investigations of childhood stressful events and later-life health and well-being. The study was a collaboration between the Centers for Disease Control and Prevention and Kaiser Permanente's Health Appraisal Clinic in San Diego, and falls into the category of a Cross-sectional cohort causality study. The original ACE Study was conducted at Kaiser Permanente from 1995 to 1997 with two waves of data collection. Over 17,000 Health Maintenance Organization members from Southern California receiving physical exams completed confidential surveys regarding their childhood experiences and current health status and behaviors.

The ACE Study findings suggest that certain experiences are major risk factors for the leading causes of illness and death as well as poor quality of life in the United States. According to the United States' Substance Abuse and Mental Health Services Administration, the ACE study found that adverse childhood experiences are common, adverse childhood experiences have a dose–response relationship with many health problems. As researchers followed participants over time, they discovered that a person's cumulative ACEs score has a strong, graded relationship to numerous health, social, and behavioral problems throughout their lifespan, including substance use disorders.

The number of ACEs was strongly associated with adulthood high-risk health behaviors such as smoking, alcohol and drug abuse, promiscuity, and severe obesity, and correlated with ill-health including depression, heart disease, cancer, chronic lung disease and shortened lifespan. As your ACE score increases, so does the risk of disease, social and emotional problems. There is limited research data that supports the use of the ACE’s questionnaire for more than screening.


Ujhelyi nagy A, Kuritár szabó I, Hann E, Kósa K.

Measuring the Prevalence of Adverse Childhood Experiences by Survey Research Methods.

International Journal of Environmental Research and Public Health 2019 March 22, 16 (6).

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