ACE Questionnaire
ACE Questionnaire
ACE Questionnaire
What'are'they'and'why'everyone'should'know'about'them!'
And'how'healthy'relationships'counteract'them.'
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The!Adverse!Childhood!Experiences!(ACEs)!Study!is!based!on!ongoing!research!about!the!effects!of!
abuse,!neglect,!and!family!dysfunction!in!early!childhood.!!
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The!CDC!and!Kaiser!Permanente,!an!American!health!maintenance!organization,!conducted!a!study!
of! 17,332! people! from! 1995J1997.! The! CDC! continues! ongoing! surveillance! of! ACEs! by! assessing!
the!medical!status!of!the!study!participants!via!periodic!updates.!According!to!the!study,!twoJthirds!
of!the!U.S.!population!has!experienced!at!least!one!of!the!ten!childhood!traumas!and!more!than!one!
in!five!reported!three!or!more!ACEs.!Based!on!these!results,!the!CDC!is!calling!the!ACEs!the!nation’s!
worst!health!crisis!and!its!least!known.!!
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Awareness! of! this! study! and! its! epidemic! proportions! gives! insight! into! the! challenges! countless!
children! face! and! how! it! impacts! academic! performance.! This! is! a! wakeJup! call! that! fosters! an!
understanding!that!for!many!young!people,!their!behavior!is!out!of!their!control,!as!they!are!often!
in!a!state!of!fight,!flight,!or!freeze,!especially!as!a!result!of!their!disruptive!home!lives.!
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Due!to!the!widespread!impact!of!the!ACEs,!awareness!of!them!is!essential!for!anyone!working!to!
improve!the!wellJbeing!of!schoolJaged!children.!!
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Details!on!the!ACEs!and!traumaJinformed!approach!can!be!found!in!our!curriculum!and!book,!both!
titled!Healthy(Relationships(101.!
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Both! our! Healthy( Relationships( 101! curriculum! and! book! are! being! used! in! schools! and!
organizations!nationwide,!which!offer!effective!communication!skills!that!help!develop!strategies!
to!enhance!and!increase!resiliency.!!
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Healthy(Relationships(101(for(Facilitators'and'Teachers'has'been'endorsed'by:'
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Jim'Sporleder,'Former'Principal'of'Lincoln'High,(“The!power!of!a!healthy!relationship!is!a!game!
changer.'Healthy(Relationships(101!is!an!easy!read!on!how!we!can!change!our!society,!one!positive!
relationship!at!a!time.”!
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Jim! Sporleder! implemented! the! ACEs! awareness! in! his! high! school! and! developed! a! traumaJ
informed!staff.!The!results:!over!a!twoJyear!period,!suspension!days!dropped!85%!from!796!to!135!
and!graduation!rates!rose!five!times.!His!work!at!Lincoln!is!documented!in!the!film!Paper(Tigers.!
(
Anthony' Hopkins,' Writing' Curriculum' Coordinator' at' Harlem' Children's' Zone,! “I! used! The!
Relationship! Foundation’s! Healthy( Relationships( 101! program! with! my! students! and! when! I! saw!
how!well!it!worked,!I!brought!TRF!into!the!Harlem!Children’s!Zone!to!conduct!a!staff!workshop.!It!
was!an!overwhelming!success,!improving!the!entire!site!culture.”!
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For more information, please visit www.therelationshipfoundation.org
Adverse Childhood Experiences (ACEs) Questionnaire
http://www.cdc.gov/violenceprevention/acestudy/
1. Emotional Abuse - 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?
2. Physical Abuse - 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?
3. Sexual Abuse - 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?
4. Emotional Neglect - 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?
5. Physical Neglect - 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
Did it seem as though your parents or guardians didn’t take care of you, ie.
take you to the doctor if you needed it etc.?
6. Loss of Parent - Was a biological parent ever lost to you through divorce,
abandonment, or other reason?
8. Family Member with Addiction - Did you live with anyone who was a
problem drinker or alcoholic, or who used street drugs?