ACEs-10 Test Form - Progressive Option Support Services

Developed by the CDC and Kaiser Permanente in the late 1990s, the ACES-10 assesses exposure to childhood trauma through 10 key questions. It helps identify potential long-term health risks linked to early adverse experiences and supports informed discussions with healthcare providers.

Did a parent or other adult in the household often or very often swear at you, insult you, put you down, or humiliate you?

Select Yes if the event occurred, otherwise select No.

Yes

No

This field is required.

Did a parent or other adult in the household often or very often act in a way that made you afraid that you might be physically hurt?

Select Yes if the event occurred, otherwise select No.

Yes

No

This field is required.

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?

Select Yes if the event occurred, otherwise select No.

Yes

No

This field is required.

Did you often or very often feel that no one in your family loved you or thought you were important or special?

Select Yes if the feeling was common, otherwise select No.

Yes

No

This field is required.

Did you often or very often feel that your family didn’t look out for each other, feel close to each other, or support each other?

Select Yes if the family support was lacking, otherwise select No.

Yes

No

This field is required.

Did you often or very often feel that you didn’t have enough to eat, had to wear dirty clothes, or had no one to protect you?

Select Yes if these hardships were experienced, otherwise select No.

Yes

No

This field is required.

Was a biological parent ever lost to you through divorce, abandonment, or other reasons?

Select Yes if the loss occurred, otherwise select No.

Yes

No

This field is required.

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?

Select Yes if any form of abuse was observed, otherwise select No.

Yes

No

This field is required.

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

Select Yes if such a person was present in the household, otherwise select No.

Yes

No

This field is required.

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

Select Yes if the household member had such issues, otherwise select No.

Yes

No

This field is required.

Final Score

The final score is calculated by converting the raw score into a percentage.

Your score is between 0 and 19, indicating a low likelihood of adverse childhood experiences (ACEs).
This suggests that your early life experiences may not have had a significant negative impact on your long-term health and well-being.
However, emotional support and healthy relationships remain important for everyone, regardless of score. You can call +1 877-615-3288 for help and guidance.

Your score is between 20 and 39, indicating a mild concern for potential effects of adverse childhood experiences.
While this score doesn’t indicate immediate risk, it’s important to stay aware of how past experiences may shape emotional and physical well-being.
Monitoring behaviors and seeking support as needed is encouraged. You can call +1 877-615-3288 for help and guidance.

Your score is between 40 and 59, suggesting a moderate level of adverse childhood experiences.
This may be associated with increased risks to mental and physical health.
We recommend consulting with a licensed healthcare provider or mental health professional to explore supportive resources or interventions. You can call +1 877-615-3288 for help and guidance.

Your score is between 60 and 100, which indicates a high level of concern for adverse childhood experiences.
Research shows that higher ACE scores may increase the likelihood of long-term health challenges.
It is important to follow up with a healthcare provider or mental health professional to better understand how your early experiences may be impacting your well-being — and to get the support you deserve. You can call +1 877-615-3288 for help and guidance.

Adverse Childhood Experiences (ACES-10) Questionnaire

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