| What's your ACE Score? (prior
                  to your 18th birthday) | 
            
               | Question | If Yes enter 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? |  | 
            
               | 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? |  | 
            
               | 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? |  | 
            
               | 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 didnt
                  look out for each other, feel close to each other,
                  or support each other? |  | 
            
               | Did you often or very often feel that 
 You
                  didnt 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? |  | 
            
               | Were your parents ever separated or
                  divorced? |  | 
            
               | 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? |  | 
            
               | Did you live with anyone who was a problem
                  drinker or alcoholic, or who used street drugs? |  | 
            
               | Was a household member depressed or mentally
                  ill, or did a household member attempt suicide? |  | 
            
               | Did a household member go to prison? |  | 
            
               | Now add up your Yes answers. This is
                  your ACE Score |  | 
            
               | Source: acestoohigh.com/got-your-ace-score/ |