ACEs Assessment | TLOEP

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Find out more about ACEs

Complete the Adverse Childhood Experiences Questionnaire:
If you have experienced anxiety, depression, chronic illnesses, and/or poor physical health, this questionnaire will help you find out if your adverse baby/childhood experiences are the reason for your current health care challenges and find a pathway to healing by learning more about your anatomy and transgenerational stress/trauma. You can skip any question you do not want to answer.
Before you press Continue at the bottom, total the number of boxes that you have checked. This number represents a quantity of adversity you experienced, but does not mean that your life and health outcomes are destined for a certain fate. We are here to help you process and understand your score.

Before the age of 18, did you experience...

A parent or other adult in your household swear at you, put you down, insult, or humiliate you? Or act in a way that made you afraid that you might be physically hurt?

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?

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?

Often or very often feel that no one in your family loved you or thought you were important or special? Or that your family didn't look out, support, or feel close to each other?

Often or very often feel that you didn't have enough to eat, that you had dirty clothes, or had no one to protect you? Or that your parent(s) were too drunk or high to take care of you or take you to the doctor if you needed it?

Parents who separated or divorced?

A parent who was often or very often pushed, grabbed, slapped, or had something thrown at them? Or Sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard? Or ever repeatedly hit over at least a few minutes or threatened with a gun or knife?

Living with anyone who was a problem drinker, alcoholic, used illiegal drugs, or abused prescription medications?

Living with a household member who was depressed or mentally ill, or did a household member attempt suicide?

A household member who went to prison?

***If you have an emergency, please call 911***

© 2018 by AW Recovery

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