Adverse Childhood Experience (ACE) Questionnaire


The Adverse Childhood Experience (ACE) Questionnaire is a 10-item self-report scale used to identify childhood experiences of abuse and neglect.

Special Instructions

Once the patient has submitted it, you may preview it on the Uninitialed documents tab in the EMR. However, do not initial it or it won't later be pulled into your Mobile Note.

Scores Produced

ACE Score (0-10)


Higher ACE Scores have been associated with increased levels of multiple health risks later in life.


Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998;14(4):245-258. doi:10.1016/s0749-3797(98)00017-8


ACE Questionnaire.pdf

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