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RESEARCH 

 
 
 
 
 
 
 
 
 
 
 

QUESTIONNAIRE  

 

Adverse Childhood Experience (ACE) Questionnaire Finding your ACE Score 

While you were growing up, during your first 18 years of life: 
 
 
1. Did a parent or other adult in the household often... 
or 
2. Did a parent or other adult in the household often… 
or 
3. Did an adult or person at least 5 years older than you ever… 
or 
4. Did you often feel that… 
or 
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