ACE Scale

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Informed Consent

Please read the points below to proceed with the test:

Research shows that people who experienced adverse experiences in childhood have a greater risk of both physical and mental health problems during adulthood. With larger numbers of adverse experiences during childhood, the risk increases significantly. Adverse experiences include not only trauma and abuse, but also non-traumatic stressors like parental divorce and household dysfunction.

This Questionnaire will be asking you some questions about events that happened during your childhood; specifically the first 18 years of your life. Each of the questions is answered by selecting Yes or No.

You must be 18 or above to have this test.

These questions may cause distress. Some questions ask directly about experiences of child abuse.

This self-assessment tool is not a substitute for clinical diagnosis or advice.

No identifier information will be asked in this test.

The aggregated information and results from this test may be used for research and development purposes.

This test may take 3 minutes of your time.

If you have understood and accepted the points above, please click on YES on the next page to proceed to the test.

Scientific reference of the tool:

Murphy, A., Steele, H., Steele, M., Allman, B., Kastner, T., & Dube, S. R. (2016). The Clinical Adverse Childhood Experiences (ACEs) Questionnaire: Implications for trauma-informed behavioral healthcare. In R. D. Briggs (Ed.), Integrated early childhood behavioral health in primary care: A guide to implementation and evaluation (pp. 7–16). Springer International Publishing.
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Are you above 18 years old and giving your consent?* This field is required.
YESNO
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Your age* This field is required.
4
Gender* This field is required.
Male
Female
Other
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You live in* This field is required.
Urban area
Rural area
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Division* This field is required.
Abroad
Dhaka
Chattogram
Rajshahi
Rangpur
Sylhet
Rangpur
Barisal
Mymensingh
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Last Education Completed* This field is required.
Primary
Secondary
Higher Secondary
Bachelor or equivalent
Master or equivalent
Doctorate or equivalent
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Occupation* This field is required.
Student
Home-maker
Govt. Job
Private Job
Entrepreneur
Business
Professional
Retired
Volunteer
Jobless
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Marital Status* This field is required.
Unmarried
Married
Widow/er
Separated
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In any relationship?* This field is required.
Yes
No
Multiple
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Your family income level* This field is required.
Below 10 thousand taka
10 to 20 thousand taka
20 to 30 thousand taka
30 to 50 thousand taka
50 to 100 thousand taka
100 thousand to 250 thousand taka
More than 250 thousand taka
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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?* This field is required.(While you were growing up, during your first 18 years of life)
YESNO
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2. Did a parent or other adult in the household often … Push, grab, slap, or throw something at you? or Ever hit you so hard that you had marks or were injured?* This field is required.(While you were growing up, during your first 18 years of life)
YESNO
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3. Did an adult or person at least 5 years older than you ever… Touch or fondle you or have you touched their body in a sexual way? or Try to or actually have oral, anal, or vaginal sex with you?* This field is required.(While you were growing up, during your first 18 years of life)
YESNO
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4. Did you 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?* This field is required.(While you were growing up, during your first 18 years of life)
YESNO
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5. Did you 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?* This field is required.(While you were growing up, during your first 18 years of life)
YESNO
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6. Were your parents ever separated or divorced?* This field is required.(While you were growing up, during your first 18 years of life)
YESNO
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7. Was your mother or stepmother: Often pushed, grabbed, slapped, or had something thrown at her? or Sometimes or 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?* This field is required.(While you were growing up, during your first 18 years of life)
YESNO
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8. Did you live with anyone who was a problem drinker or alcoholic or who used street drugs?* This field is required.(While you were growing up, during your first 18 years of life)
YESNO
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9. Was a household member depressed or mentally ill or did a household member attempt suicide?* This field is required.(While you were growing up, during your first 18 years of life)
YESNO
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10. Did a household member go to prison?* This field is required.(While you were growing up, during your first 18 years of life)
YESNO
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Did you ever consult a health professional for healing trauma?
YESNO
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Your ACE Score is
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Your ACE score is {ace_score}.

This means you have some trauma in your early life. If this bothers you and you think it needs healing, you may consider consulting a mental health professional to heal your trauma.
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You do NOT have any trauma in your early life.

Many people suffer from unhealed trauma in their early life. If you know someone like that, refer this test to that person as a first step towards healing. Thank you!
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