ACEs - Adverse Childhood Experiences

If you answered yes to the previous question, was this test given to you by a healthcare/medical provider or in a healthcare setting (i.e., primary care physician, therapist, school nurse, rehab facility)?

If you answered 'no' or 'I've never heard of it' to the first question, do you feel that you experienced any sort of trauma/abuse/adverse childhood experiences before the age of 18?

Do you have a doctor or PCP that you see regularly for well-visits/checkups?

Do you feel that your adverse childhood experiences have had an impact on your current physical health?

Do you feel that your adverse childhood experiences have had an impact on your mental health??

Have you ever attended therapy for yourself individually? (not group, family or marital counseling)

If you answered yes in the previous question - do you still currently attend?

Have you experienced any physical, verbal or sexual abuse as an adult?

Please select your age range

Current relationship status

Do you have children?

Do you have siblings?

Highest level of education completed