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The Adverse Childhood Experiences (ACEs) Questionnaire (Felitti et al., 1998) is a 10-item measure used to measure childhood trauma. The questionnaire assesses 10 types of childhood trauma measured in the ACE Study. Five are personal: physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect.

Those with an ACE score of 7 or more were five times more likely than those with an ACE score of 0 to report hallucinations. In addition, those exposed to 4 or more ACE categories were at increased risk for depression, drug abuse, and alcoholism.

An ACE score is a tally of different types of abuse, neglect, and other adverse childhood experiences. A higher score indicates a higher risk for health problems later in life.

As your ACE score increases, so does the risk of disease and social problems. An ACE score of 3 or more is considered high.

Scoring and Interpretation A response of Yes for each question is summed to provide an overall ACE-Q score (out of 10). The higher the score, the more adverse childhood experiences the client has had and the higher the risk for social, mental, or other wellbeing problems.

On average 64% of people in America have an ACE Score of 1. If you have 1 there is an 87% chance that you have 2 or more. The more ACEs you have, the greater the risk for chronic disease, mental illness, violence, and being a victim of violence. People have an ACE score of 0 to 10.

People with an ACE score of 6 or higher are at risk of their lifespan being shortened by 20 years. ACEs are responsible for a big chunk of workplace absenteeism, and for costs in health care, emergency response, mental health and criminal justice.

If the ACE score is 1-3 with ACE-Associated Health Conditions, the patient is at “intermediate risk.” If the ACE score is 4 or higher, even without ACE- Associated Health Conditions, the patient is at “high risk” for toxic stress physiology.