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Adverse Childhood Experience Questionnaire (Kids)

Many Families Experience Stressful Life Events

Disclaimer: MDCalc provides tools and content intended for use by healthcare professionals, and is not meant for use by patients. While these may be surveys or questions intended for patients, they are meant to be answered in the context of a clinician’s medical care and not on their own to diagnose or treat any disease.


Many families experience stressful life events. Over time these experiences can affect your child's health and wellbeing. We would like to ask you questions about your child so we can help them be as healthy as possible.

At any point in time since your child was born, has your child seen or been present when the following experiences happened? Please include past and present experiences.

Please note, some questions have more than one part separated by "OR.' If any part of the question is answered "Yes," then the answer to the entire question is "Yes."

Part 1

Please select "Yes" where applicable.

Part 2

Please select "Yes" where applicable.

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