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ACES

Here is a questionnaire to access your ACES score

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deadhead6
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© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
3 views

ACES

Here is a questionnaire to access your ACES score

Uploaded by

deadhead6
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 5

ACES & PACES Worksheet

Instructions:
This worksheet is designed to help you reflect on both the difficult and positive
experiences you had during childhood. Please take your time to answer each
section honestly and thoughtfully. Remember, there are no right or wrong answers.
This is your journey of understanding.

Part 1: Adverse Childhood Experiences (ACEs)


ACEs refer to stressful or traumatic experiences you may have faced
during childhood. These experiences can have a lasting impact on your
health and well-being.
1. Review the following list of ACEs. For each experience, indicate whether
it happened to you (Yes/No):
 Physical abuse
 Emotional abuse
 Sexual abuse
 Physical neglect
 Emotional neglect
 Witnessing domestic violence
 Substance abuse in the household
 Mental illness in the household
 Parental separation or divorce
 Incarceration of a household member
2. How do you think these experiences have impacted your life
(emotionally, mentally, physically)?
3. Which of these experiences do you feel is still affecting you today?

4. What feelings come up for you when you reflect on these experiences?

5. How have you coped with these experiences? Have you found any
healthy ways to manage their impact?

Part 2: Positive Childhood Experiences (PACEs)


PACEs refer to positive, nurturing experiences that promote resilience and
well-being. These experiences can help counterbalance the effects of
ACEs.
1. Review the following list of PACEs. For each experience, indicate
whether it was present in your life (Yes/No):
 Feeling loved and supported by family members
 Having a trusted adult outside of your family you could talk to
 Feeling safe and protected at home
 Participating in community traditions or activities (sports, clubs, church, etc.)
 Having friends you could rely on
 Feeling a sense of belonging at school or in your community
 Feeling supported by teachers or other adults outside of your family
2. Which of these positive experiences do you remember the most? How
did they make you feel?

3. How have these positive experiences helped you in dealing with life's
challenges?

4. Are there any other positive experiences from your childhood that
aren't listed above? If so, please describe them.
5. How can you incorporate or seek out similar positive experiences in
your life today?

Part 3: Reflection and Moving Forward


1. Reflecting on both your ACEs and PACEs, what patterns do you notice in
your experiences?

2. How do you think these experiences have shaped your identity and the
way you view the world?

3. What are some steps you can take to heal from your ACEs and
strengthen your PACEs?
4. Is there anyone in your life now who provides support or a sense of
safety? How can you lean on them during difficult times?

5. What is one positive action you can take this week to nurture yourself
and promote healing?

Conclusion
Reflecting on both the challenges and strengths in your life can help you
understand how your past has influenced your present. By acknowledging both
ACEs and PACEs, you can work towards healing and building resilience. Remember,
you don’t have to do this alone—reach out for support when you need it.

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