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Adapted from ACESTOOHIGH.com: What’s Your ACE Score? And What’s Your Resilience Score? There are 10 types of childhood experiences measured in the ACE Study. There are, of course, many other types of childhood experiences and environments that can be traumatic (see the Pair of ACEs). The ACE Study included only those 10 childhood experiences that were mentioned as most common by a group of about 300 people who had Kaiser Permanente health insurance; those experiences were also well studied individually in the research literature prior to the study which was conducted in the early 1990’s. The study’s researchers came up with an ACE score to explain a person’s risk for chronic disease. Think of it as a cholesterol score for childhood toxic stress and trauma. The most important thing to remember is your ACE score is NOT your destiny. The ACE score is meant as a guideline to help us understand how childhood experiences, both positive and negative, affect our health and wellbeing for our lifetime. There are many proven strategies to prevent ACEs, promote resilience, and help people, families and communities heal from trauma. Prior to your 18th birthday (Please CIRCLE YES or NO for each statement): 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 or NO 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 or NO 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 or NO 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 or NO 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 or NO 6. Were your parents ever separated or divorced? YES or NO 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 or NO 8. Did you live with anyone who was a problem drinker or alcoholic, or who used street drugs? YES or NO 9. Was a household member depressed or mentally ill, or did a household member attempt suicide? YES or NO 10. Did a household member go to prison? YES or NO Now add up your “Yes” answers: _____ This is your ACE Score (transfer to bottom of page)