TICN: A few words about the Adverse Childhood Experience (ACE) Questionnaire
The Trauma Checklist for Youth addresses 10 types of childhood trauma measured in the ACE Study. Five are personal — physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect. Five are related to other family members: a parent who’s an alcoholic, a mother who’s a victim of domestic violence, a family member in jail, a family member diagnosed with a mental illness, and the disappearance of a parent through divorce, death or abandonment.
You can bring your results to a trauma informed mental health professional for help with interpretation, scoring, and treatment. Please print a copy upon completion!
Adverse Childhood Experience
Please be assured your complete
confidentiality is our promise !
If you answer "Yes" to any question,
please selet the "Yes", otherwise
select "No" !
complete all questions !