ACEs Trauma Assessment

ACEs Trauma Assessment

Created by the American Journal of Preventative Medicine, the ACEs Test allows individuals along with licensed trained professionals to develop an understanding of the extent of one’s trauma stemming from mistreatment during childhood.

“We found a strong graded relationship between the breadth of exposure to abuse or household dysfunction during childhood and multiple risk factors for several of the leading causes of death in adults.” -AJPM

Complete the test by responding to each statement by checking “Yes” or “No” to each of the following 10 items.


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?

YesNo


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?

YesNo


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?

YesNo


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?

YesNo


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?

YesNo


6. Were your parents ever separated or divorced?

YesNo


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?

YesNo


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

YesNo


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

YesNo


10. Did a household member go to prison?

YesNo


© 1998 AJPM. All rights reserved




Download the ACEs Trauma Assessment PDF

*Submission of this assessment does not qualify nor exclude you from our Trauma Resolution Program.
This is provided as a preliminary screening to assess the extent of current and past trauma and the benefits provided through trauma resolution.

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