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Your Experience Matters: Participate in Our ACEs Survey to Help Us Support Healing

Why Your Participation in the ACEs Survey is Important

At Choice MD, we recognize the lasting impact that early experiences can have on your health and well-being. Our survey on Adverse Childhood Experiences (ACEs) is designed to understand these personal experiences in a way that respects your privacy and supports your journey toward healing. By participating in this survey, you help us enhance the care and resources available to you and others in our community.

The Benefits of Your Participation

  • Tailored Support and Resources: Receive guidance on local services that can help address your specific needs.
  • Compassionate Care: Your responses contribute to a deeper understanding of ACEs, allowing us to offer care that is both empathetic and informed.
  • Strengthening Community Resources: Your participation helps us improve the support systems available in our community, making it a safer and more nurturing place for everyone.

How the Survey Works

  1. Reflect and Respond: The survey gently asks about your early experiences, ensuring that the process is as comfortable as possible.
  2. Receive Personalized Feedback: Based on your responses, we provide information on resources that can support your healing journey.
  3. Connect with Specialized Care: We assist you in finding local professionals who understand and can help with the impacts of ACEs.

Help Us Build a Healing Community

By participating in our ACEs survey, you contribute to a collective effort to foster healing and resilience within our community. Your involvement is vital in creating a more supportive environment for all.

Frequently Asked Questions

  • Is my information kept confidential? Yes, your privacy is our highest priority. All information provided is confidential and used only to offer the support and resources you need.
  • How long does the survey take? The survey is designed to take about 10 minutes, allowing you to participate at your own pace.
  • Who is this survey for? This survey is intended for anyone who has experienced challenging events in childhood and is seeking support or a better understanding of how these experiences may impact their health.

Start the Survey When You’re Ready

Your experiences are deeply personal, and we’re here to support you in a way that respects your privacy and well-being. When you’re ready, we invite you to begin the survey.

  1. Did a parent or other adult in the household often or very often... a) Swear at you, insult you, put you down, or humiliate you? or b) Act in a way that made you afraid that you might be physically hurt?

  2. Did a parent or other adult in the household often or very often... a) Push, grab, slap, or throw something at you? or b) Ever hit you so hard that you had marks or were injured?

  3. Did an adult or person at least 5 years older than you ever... a) Touch or fondle you or have you touch their body in a sexual way? or b) Attempt or actually have oral, anal, or vaginal intercourse with you?

  4. Did you often or very often feel that... a) No one in your family loved you or thought you were important or special? or b) Your family didn't look out for each other, feel close to each other, or support each other?

  5. Did you often or very often feel that... a) You didn't have enough to eat, had to wear dirty clothes, and had no one to protect you? or b) Your parents were too drunk or high to take care of you or take you to the doctor if you needed it?

  6. Were your parents ever separated or divorced?

  7. Was your mother or stepmother: a) Often or very often pushed, grabbed, slapped or had something thrown at her? or b) Sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard? or c) Ever repeatedly hit over at least a few minutes or threatened with a gun or knife?

  8. Did you live with anyone who was a problem drinker or alcoholic, or who used street drugs?

  9. Was a household member depressed or mentally ill, or did a household member attempt suicide?

  10. Did a household member go to prison?

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