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What's my ACE Score?

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Trigger Warning! The Adverse Childhood Experiences survey asks questions having to do with highly-stressful, often traumatic, experiences that may have occurred in childhood. Please seek out professional assistance if you are feeling unstable after completing this survey and be sure to complete the resilience survey as well.



For each yes answer, add 1 to the total. The total number of YES answers is your ACE SCORE. 


Between the ages of 0-18 years-old...


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- __ 

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? 

Yes- __ 

3. 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- __ 

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? 

Yes- __ 

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? 

Yes- __ 

6. Were your parents ever separated or divorced? 

Yes- __

7. 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 over at least a few minutes or threatened with a gun or knife? 

Yes- __ 

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

Yes- __ 

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

Yes- __ 

10. Did a household member go to prison? 

Yes- __    


What does this mean?

What's my Resilience Score?

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This survey asks questions about your perception of relationships in childhood. We encourage you to also use this survey to open your eyes to possible interventions that you can adopt in creating a protective shield from adversity.


For each yes answer, add 1 to the total. The total numbers of YES answers in your Resilience Score.


Between the ages of 0-18-years-old...


1.  I believe that my mother loved me when I was little. 

Yes- __ 

2.  I believe that my father loved me when I was little. 

Yes- __ 

3.  When I was little, other people helped my mother and father take care of me and they seemed to love me. 

Yes- __ 

4. I’ve heard that when I was an infant someone in my family enjoyed playing with me, and I enjoyed it, too. 

Yes- __ 

5. When I was a child, there were relatives in my family who made me feel better if I was sad or worried. 

Yes- __ 

6. When I was a child, neighbors or my friends’ parents seemed to like me. 

Yes- __ 

7. When I was a child, teachers, coaches, youth leaders or ministers were there to help me. 

Yes- __ 

8. Someone in my family cared about how I was doing in school. 

Yes- __ 

9. My family, neighbors and friends talked often about making our lives better. 

Yes- __ 

10.  We had rules in our house and were expected to keep them. 

Yes- __ 

11. When I felt really bad, I could almost always find someone I trusted to talk to.

Yes- __ 

12.  As a youth, people noticed that I was capable and could get things done. 

Yes- __ 

13.  I was independent and a go-getter. 

Yes- __ 

14.  I believed that life is what you make it. 

Yes- __  




What does this mean?

Learn more about the resilience survey

Consultation: 

info@originstraining.org

480-779-0380


Andi:

andi.fetzner@originstraining.org

818-473-9797


Lori: 

lori.chelius@originstraining.org

503-341-3361