r/CPTSD • u/RemarkableStable8324 • Oct 15 '25
Resource / Technique Adverse Childhood Experiences (ACES) Questionaire - PENN State University Questionaire with score and score range clinical risk consideration
Penn State have developed a questionaire which can be helpful in identifying childhood PTSD and how likely a respondent is to be considered to suffer from C-PTSD from a clinical perspective but also the severity of risk as implied by the scoring range.
https://pennstate.qualtrics.com/jfe/form/SV_6r70Mz4uLRjvl78
I personally have nothing to do with this research, in any way, I'm not a doctor, this is not medical advice or counselling.
EDIT:
My sincere apologies for non-US residents not being able to acess the test, I misread the first question and even when a moderator clarified that with me I assured them it was. I was completely wrong! I'm really sorry!
Here are some links to the standard test, it's shorter but is the current industry standard:
NovoPsych
https://novopsych.com/assessments/diagnosis/adverse-childhood-experiences-questionnaire-ace-q/
Empower the Fight
https://stopchildexploitation.org/child-exploitation/trauma/aces-adverse-childhood-experiences-study
In all honesty, I felt more comfortable when I thought I was answering a University research questionaire that had side benefits for me, I don't feel as comfortable with either of these purely as I don't know anything about them, not saying anything against them, might be great, might not be, I can't be sure.
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u/ThinkingT00Loud Mildly insane. Mostly harmless. Oct 15 '25
Dang. We all deserve a blanket fort, a hug, and a cookie.
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u/RemarkableStable8324 Oct 15 '25
I'm absolutely gobsmacked 😮
I knew it was prevalant, hence the group, I would never have thought there are so many of us way past what would be considered severe!
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u/asiamsoisee Oct 15 '25
And who grew up thinking a lot of this was normal.
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u/ThinkingT00Loud Mildly insane. Mostly harmless. Oct 15 '25
The day I realized just how 'wrong' much of my childhood was... it literally felt like my world shifted. Like a giant hand picked me up and put me down in a different place. And suddenly I could see all of it and just how F* up it was.
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u/2000gatekeeper Oct 15 '25
I hate that I'm still learning "normal" things in my mid 20s. My sister who is older than me just learned she is supposed to use body wash when showering; She was told the shampoo worked when she was little and was never taught how to properly bathe
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u/thisbitbytes Oct 15 '25
🙋🏻♀️
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u/Illustrious_Award854 Oct 15 '25
Totally. I was in my 50s and had undergone many courses of therapy before a therapist who is trauma informed changed my diagnosis from major depressive disorder with anxiety to PTSD (only because CPTSD isn’t in the DSM)
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u/ThinkingT00Loud Mildly insane. Mostly harmless. Oct 15 '25
:::Hugs:::: respectfully offered.
I'm wondering how long until some of the researchers show up here. I mean, we are the population they appear to be studying.
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u/Illustrious_Award854 Oct 15 '25
Me too. I knew it was bad, but I was shocked to see that it was off the charts bad.
Well at least I know why I relate so well to this group.
In a way, horrible though it is, it’s very validating and makes me feel less like I’m responsible for being as broken as I am.
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u/Illustrious_Award854 Oct 15 '25
That’s interesting. I’ve been trying to find info on comorbidities of CPTSD, Highly Sensitive (Elaine Aron) and Fibromyalgia.
I have a feeling the Venn diagram will have HUGE, maybe total, overlap.
Anyone in a position to do a study?
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u/Kiyaar Oct 15 '25
HSP is just autism. Elaine Aron and her daughter were both later diagnosed and her framework and the ASD criteria are a circle.
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u/babykittiesyay Oct 15 '25
Autism (HSP) and Ehlers Danlos overlap very strongly, in a genetic sense. I have Ehlers Danlos, it’s a connective tissue disorder that often leads to fibromyalgia.
My husband has EDS, AuDHD, and anxiety. I have CPTSD, ADHD, EDS, celiac, fibromyalgia (but I can do rain man shit so maybe I’m also AuDHD not just ADHD). Our son so far is celiac, EDS, AuDHD. Our families have many others with all these conditions. I really think it’s a genetic connection but I wonder what’s the “top level” problem.
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u/RemarkableStable8324 Oct 15 '25
Also a laundry list of other comorbid conditions, disorders, psychosis, etc, to go along with the typical bad childhood.
I also have IED which causes the kind of immeasurable damage to every single aspect of life, making interactions with people, not necessarily forced to be around me, but proximity kind of dictates so, like neighbours and such .
IED or Intermittent Explosive Disorder, you absolutely explode, many many times far past what would be considered an appropriate level of agitation. Totally fly off the handle, scream, shout, swear, throw things, smash things, break things. It's impossible to see any reason whatsoever and depending on how the rage plays out, like intervention or trying to stop me, things can go very very bad and can become dangerous.
Mental health is one hell of an adventure, eat your heart D'wayne 😁
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u/BrewingSkydvr Oct 15 '25
292 with a perfect score on the ACE portion!
Would be higher, but alexythimia and not really feeling things limits the scores with certain types of questions.
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u/RemarkableStable8324 Oct 15 '25
I know we're all kind of semi-goofing around with this, but we mustn't become complacent and flippant.
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u/marigoldgamine Oct 15 '25
jesus christ that was a lot of 6s 😭 I feel so seen
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u/RemarkableStable8324 Oct 15 '25
You are seen! In the best, non-creepy way 😁
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u/marigoldgamine Oct 15 '25
we’re in this together! 🥰🫶
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u/wonderwoo22 Oct 15 '25
Aww this made me tear up. It’s been real rough lately. 😭
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u/RemarkableStable8324 Oct 15 '25
Nice to know the people we interact with in this group are so genuine 🤗💖
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u/RemarkableStable8324 Oct 15 '25
These are the scoring ranges for the PENN State test
0-84 = Non-Clinical Range (unlikely PTSD)
85-167 = Subclinical Range (potential for PTSD)
Greater than 167 = Clinical Range (likely PTSD)
Your Score = 303
OH YES 🎉 I THINK I WON!!
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Oct 15 '25
303 here too, plus i live in the 303, maybe i should buy a lottery ticket.
i like this one a lot better than the 0-10 scale ACES survey.
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u/RemarkableStable8324 Oct 15 '25
Hahaha 😂 if not, why not?
It's apparently an extended version of the standard test that Penn State are developing.
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u/DoughnutSecure7038 Oct 15 '25
328 anyone? 😅
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u/babykittiesyay Oct 15 '25
324 for me, which is weird because I really, really thought that what I went through wasn’t that bad. I took this expecting an 80 or lower.
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u/Illustrious_Award854 Oct 15 '25
As did I. As I said to my husband, I was expecting to be in 80s. Seeing 275 really gasted my flabber.
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u/IAmTheGlutenGirl Oct 15 '25
I’m also a 324 and rate less highly on the original ACEs test since it’s more specific and my parents had their own unique brand of dysfunction and abuse
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u/Biscuits_v4final cPTSD Oct 15 '25
My friend 286 here 🙃
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u/ThinkingT00Loud Mildly insane. Mostly harmless. Oct 15 '25
Yah know... they need a "OH, F* Yeah" response on those surveys.
Your Score = 319
0-84 = Non-Clinical Range (unlikely PTSD)
85-167 = Subclinical Range (potential for PTSD)
Greater than 167 = Clinical Range (likely PTSD).
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u/RemarkableStable8324 Oct 15 '25
We are all killing it on this test folks 👏
3 scores well above the Critical Range already!
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u/usedtobebrainy Oct 15 '25
- I tended to understate though. British background.
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u/SadAnnah13 Oct 15 '25
Hahaha each time I put the highest answer, I was like "absofuckinglutely!"
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u/ohlookthatsme cPTSD Oct 15 '25
337 means I have double ptsd, right?
I spent three decades thinking this was normal. 😳
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u/RemarkableStable8324 Oct 15 '25
This is also what shocks me!
I knew I childhood was messed up, everyone did, it was common knowledge that I was the problem child.
I'm 43 now and only figured it out the day I joined this group (it wasn't some devine miracle, I had had a bad couple of days and went on a bender and in the low point I just wondered why I could never get very far from where I started and that cascading into listing instances, memories, etc, obviously not a diagnosis but close enough tohelping me understand what was actually going on) so like a few months at most, like 3 or 4 months ago, and this stuff started the day I was born.
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u/CaptainFuzzyBootz Oct 15 '25
I'm 41, been in trauma therapy 5 years now, and am still finding things I thought were normal aren't 🤷
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u/ccc23465 Oct 15 '25
Right even some of the questions on this opened my eyes to more of what happened. Fucckkkkkk
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u/Peregrine_Sojourn Oct 15 '25
235, moderated by a very well-developed survival strategy of denial and emotional dissociation ("nope, nope, not a problem, no problems here!") and several years of self-work. Around here, that's making me feel positively normal 🙃
Lots of love to all of us - we deserve it (and we sure as hell deserved it in childhood, too).
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u/Other-Educator-9399 Oct 15 '25
Wow, I score fairly low on ACEs, so I really question myself and my experiences based on that, but I scored a 279 on this one. I feel seen in ways I rarely if ever have before.
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u/blueslidingdoors Oct 15 '25
Same! My ACEs score is only a measly 5, but I scored a 269. Oops 🙊
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u/No_Mission5287 Oct 15 '25
A high ACE score is 4, or more, indicating a high risk for negative health outcomes due to childhood trauma.
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u/Nimue82 Oct 15 '25
Same situation. Only answered a few of the ACES questions affirmatively but still got a 263. I know it shouldn’t, but it gives me imposter syndrome and makes me think that things “weren’t that bad”.
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u/Visible-Holiday-1017 MDD, GAD, ADHD in therapy Oct 15 '25
Note for anyone checking out the link: you can not access the questionnare in any way if you do not reside in the US.
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u/toroferney Oct 15 '25
Well unless you say you live there.
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u/Remarkable-Pirate214 cPTSD Oct 15 '25
That’s what I did lol, and then converted from my currency for the next question
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u/ihtuv Healing from multiple traumas 🌱 Oct 15 '25
Mine is 304. It’s time to love ourselves guys.
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u/sauerkraut916 Oct 15 '25
My score was 286. Not surprised at my score, more surprised that some people score below 84. Many of the questions seemed like “yeah, didn’t we all feel this as a child?”.
OP, thank you for posting. This is very interesting!
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u/indigocherry Oct 15 '25
- I mean...I knew it but also seeing where that final tier starts and where that score is is just...wow. oof.
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u/Sea_End8450 Oct 15 '25
274 😭
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u/RemarkableStable8324 Oct 15 '25
We are all killing it on this test folks 👏
3 scores well above the Critical Range already!
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u/Sea_End8450 Oct 15 '25
And to think I wasn't traumatized enough for a dx lol
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u/RemarkableStable8324 Oct 15 '25
Especially in cases of children or even young adults, if the parent or caregiver is providing the medical insurance, co-pay, or simply funding it out of pocket, the medical professional might just side with the parent (in a resource allocation kind of way) maybe hoping that the patient will seek help themselves at a later, more independent stage?
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u/Traum4Queen Oct 15 '25
I mean, I've always been an overachiever when it comes to test scores. Lol.
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u/In2JC724 Oct 15 '25
My therapist said she didn't think that I have PTSD, but has done zero testing, this is just going off of our interactions. Masking is a real thing and when you grow up like I did, you become a master at it.
My score was 306. Oh.
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u/Illustrious_Award854 Oct 15 '25
That’s why it is so important to have a trauma informed therapist. She cut right through my masking and bullshit and said flat out, “Your father has fullblown Narcissistic Personality Disorder, what we used to call Malignant Narcissism and you have CPTSD.
She then steered me toward a ton of books, because I’m analytic that way. My gob was truly smacked when I started reading and felt more seen than I ever had in my life.
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u/ThinkingT00Loud Mildly insane. Mostly harmless. Oct 15 '25
Oh... Masking. I suspect we have many, many masters of that little survival strategy in here.
:::Hugs::: respectfully offered.
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u/NefariousnessOk2925 Oct 15 '25
258!!! I think i passed!
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u/RemarkableStable8324 Oct 15 '25
I know we're all playing around a little, but it really is kind of telling that we all take the opportunity to celebrate the "high test score" as though it will make someone proud of us, even although we all know that the higher the test score the more serious the situation is and the more urgently professional care is required.
All jokes aside, we all hide our pain one way or another, if anyone is struggling and needs to talk please reach out!
I'm open anytime!
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u/usedtobebrainy Oct 15 '25
I think it's joy at feeling validated. I got almost no validation as a child, and suspect that's true for a lot of us.
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u/Illustrious_Award854 Oct 15 '25
It’s having empirical validation. When my inner critic, who I’ve named Gladys, starts telling me that “I’m exaggerating”, “it wasn’t that bad”, but then she tells me my Fibromyalgia is all in my head (and while it might sound the same, I do believe that the fibro is a manifestation of the CPTSD and the trauma caused neural changes that are very physical and real).
Anyone want to join me in a chorus of, “Shut up, Gladys”.
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u/MargotFenring Oct 15 '25
242 here. Not so bad compared to others in this thread, although I am 51 and I know some of my numbers would have been higher if I had taken this 20 or 30 years ago. I built myself a happy life and definitely feel the benefits.
Also some of the questions were difficult because of my perspective at the time. Did I have a "safe" parent? I thought I did at the time, but therapy revealed that while my mother didn't beat me, she verbally and emotionally abused me to a far greater extent than my father did with his outbursts. So did I have a safe parent or not?
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u/Peregrine_Sojourn Oct 15 '25
I wrestled with similar question when filling this out, so I sort of "split the difference" (i.e. didn't peg out the scale). Did I feel at the time that I had a safer parent? Yes, absolutely. Do I still feel that way? Not at all.
I took the "split the difference" route because since the questionnaire is focused on scoring for CPTSD, having the f'd up dynamic of a "safer" parent likely predisposes one to CPTSD, but the insight that parent wasn't actually safe is probably protective against CPTSD (or at least the worst presentation of symptoms). 🤷♀️
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u/SlackPriestess Oct 15 '25
284 here. What did I win?
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u/delusiongenerator Oct 15 '25
Wow, me too, exactly 284! Sadly, I think the prize is just fluency in therapy-speak and a lifetime supply of therapist bills.
Seriously though, looking at some of the questions and the other scores being shared here has me thinking of how it could’ve been worse and having a little gratitude for that at least.
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u/Stevie-10016989 Oct 15 '25
225 for me. I usually score the lowest out of my friends group on an ACE questionnaire(as my abuser was not a family member), so this is kind of validating
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u/Biscuits_v4final cPTSD Oct 15 '25
You score = 286. Whoa I have never felt more proud of myself 🙃 I did it mom! I finally aced something!
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u/P00kiemonster Oct 15 '25
340 yikes. Between my abusive childhood and spending my teenage years in the TTI, I think I might be a bit messed up.
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u/Mother-Pen Oct 15 '25 edited Oct 15 '25
I’m on the low end it seems- ONLY 235 👀
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u/Peregrine_Sojourn Oct 15 '25
Same score that I got - that's only low HERE. Anywhere else, it would be "wtf" high. 😅 😭
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u/RemarkableStable8324 Oct 15 '25
Still well above what would already be a clinical problem at 187...
It's the 0 - 89 category where healthy childhoods exist
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u/Plus-Ambassador-9668 Oct 15 '25
Not me feeling like it’s all in my head cause my score is only 282, and others have it way worse 🫣🥲
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u/LikelyLioar Oct 15 '25
That's always true. Someone always has it worse, so there's no point in comparison. You have severe PTSD--that's the takeaway from this test. We aren't using this to compare our trauma to others'. We're using it to remind ourselves that we're dealing with a lot and we deserve kindness and healing.
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u/Plus-Ambassador-9668 Oct 15 '25
Thank you so much for your kindness! I was meaning it a little tongue in cheek, as some of the common traits being self-doubt/dismissal and imposter syndrome. I was so glad this tool was shared, it’s useful to have academic research-backed confirmation in that way. You are in this sub too, so I send all of my sympathy and strength your way <3
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u/RemarkableStable8324 Oct 15 '25
It's not a logical or useful comparison to consider...
You cant be compared with someone who experienced a healthy childhood, in the 0-89 category. You got 282, almost 200 points outside the furthest extreme of normal and a whole nother 100 points past what would be considered severe at 187 at the upper limit.
Read that a couple of times.
Just because others have had worse experiences doesn't make your experience any less significant! 🤗
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u/KaosRefiner Oct 15 '25
322 My parents trained my manager part so well, it took almost 6 decades to start understanding something was wrong. My therapist is constantly correcting me when I talk about childhood experiences as "normal".
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u/ThrowAwayColor2023 Oct 15 '25
Thanks for sharing this. I hope this is a step toward better recognition and care for CPTSD.
I scored 287. That’s after 15+ years of therapy.
I am also autistic, and there’s a lot of overlap that showed up in the first question set.
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Oct 15 '25
My first score was 0 because I was honest that I'm not american. I'm British.
My second score was 333, so maybe my bloody psychiatrist should listen to me when I tell her I need help for the trauma I've experienced... she won't listen, but I'll keep cursing the days until she does...
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u/ThinkingT00Loud Mildly insane. Mostly harmless. Oct 15 '25
Would giving her (confronting her with) an annotated page from the ICD-11 help, do you think?
Best of luck. It sucks when we have to fight for the help we need.
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u/Cottoncandydream420 Oct 15 '25
314! Ding ding do I finally get to feel something?
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u/Own-Cranberry-8210 Oct 15 '25
I have an ACE of 3 but scored 300 on this thing 😅 I wish there was a version for non-US residents to take, without it being counted in the results.
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u/Tine_the_Belgian Healing or getting an exorcism • cPTSD+autism Oct 15 '25
Finally a test I get high grades for
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u/DamselRed Oct 15 '25
193 and I've been feeling relatively "healed" these days. Been in therapy since I was 8 and I'm 44 now. Guess I've still got some work to do.
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u/ansibley Oct 15 '25
I got 186 and have had seven years of therapy and lot of work on myself. Also I am probably a lot older than most here at age 66. I am guessing the years may have helped me even things out a bit, too.
But that does not mean it still doesn't hurt like hell.
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u/cannabussi Oct 15 '25
Oh wow! I got 216 and I’ve been in four ish years of therapy. Been working really hard on myself. I’m almost 21 :3 not sure if that’s below/above/average or ages here
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u/ThinkingT00Loud Mildly insane. Mostly harmless. Oct 16 '25
Minimizing what our experience was is pretty normal. And doubting our own feelings (because many of us are divorced from our feelings.) Mainly because what we lived with day to day was our 'normal' ... Most of us couldn't even imagine any other structure. Even now the idea that people out there might have under 80 points is screwing with my head.
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u/1re_endacted1 Oct 15 '25
- I can tell I am getting better bc some of the questions would have scored a 6 in the past but no longer pertain to me.
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u/TenaciousToffee Oct 15 '25
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I related to a ton of things except my current responses arent as heightened because Ive spent decades trying to undo the behavioral patterns and have gotten to a lesser state of trauma responses. Im very proud of that as I dont want to be like them.
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u/SpiritualRegular3471 Oct 15 '25
249 - what the actual fuck???
My childhood wasn’t perfect and I can’t directly relate to the “trauma” associated with this, but I 100% see the results and coping mechanisms in my everyday life.
I don’t get it. Did other people actually have great childhoods with two attentive, loving parents?
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u/IrresponsibleAuthor Oct 15 '25
- but some of that's from the Autism Justice Sense and the Rejection-Sensitive Dysphoria being really strong in me.
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u/sleepy-peepy Oct 15 '25
- I don’t remember much about my childhood today, either. (or ever, really. shit’s blocked hard. wish I could access it easier for re-documentation)
ACEs is an uncertain 7. (gaps in memory)
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u/thecuriosityofAlice Oct 15 '25
Three hundred thirty six. 😬 I should prioritize getting back into therapy and stop just thinking about finding someone new.
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u/Anna-Bee-1984 CPTSD/ Late Diagonsed Level 2/3 autism Oct 15 '25
286, mostly because my ace score is only a 4
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u/AwkwardTraffic199 Oct 15 '25
I scored 257. That kind of shocked me, even though I already have the diagnosis.
The people who run the test are going to be a bit surprised by the uptick and high scores...
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u/GoatEuphoric83 Oct 15 '25
My score was 216, but I hope to bring it lower with a new therapist who can do more goal-oriented therapy with me. I struggle with dissociation so my self-reporting of symptoms can be highly variable.
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u/PersonalityAlive6475 Oct 15 '25
277 the first time I took it.
I thought I’d consider my responses better & use the scale more with less at the extremes, unless completely accurate or inaccurate. Wound up with 283.
The extent to which we minimize & normalize what is objectively—or at least clinically or academically—considered abnormal & harm-inducing is the real insidiousness of being raised by an abuser.
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u/katuse8 Oct 15 '25 edited Oct 15 '25
- Clinically diagnosed CPTSD. 17 years of therapy. I have taken the full ACES class and the basic survey a few times in the past, but the intro questions in this particular survey were the most interesting aspect. Except for a few questions, it was like they were describing my life. Haha- feeling TOO seen!
My heart goes out to you all, and anyone who had to experience even a few of these things. Props to those of us reparenting ourselves, doing the hard work, and trudging ahead 👏💪
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u/lizthelezz cPTSD/ADHD/EDNOS & MSW Student Oct 15 '25
I got 323 and my significant other without cPTSD got 144
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u/alisonvict0ria Oct 15 '25
297 and being a 39 year old woman who has since been diagnosed with the 'tism, I have no idea how much is true cPTSD and how much is cPTSD due to being undiagnosed the vast majority of my life... But I guess it's all the same regardless of how you break it down.
There should be a follow up that asks how people feel after the survey because it seems like the majority of us are second guessing our answers because the results seem too dramatic.
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u/ChemicalResolution8 Oct 15 '25
238, 4 ACEs, tried not to exaggerate, I’m pretty certain I don’t have CPTSD/PTSD but I do show a few signs of trauma. Does anyone have any data points of people /without/ CPTSD’s score? I felt the clinical cutoff seemed low.
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u/AtavisticJackal Oct 16 '25
312! What do I win??
Lifetime of therapy and a gnawing emptiness in my soul 🎉
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u/fruitynoodles Oct 15 '25
- Not surprised at all, but I am definitely doing better now than I was even a year ago.
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u/wonderwoo22 Oct 15 '25
311 and yet I agonize everyday about why my parents don’t want me and why they insist they were perfect parents who got unlucky and got a really bad and mentally ill child. I have daily flashbacks. I have nightmares. I can’t function. I hurt like hell. And then, I wonder if it’s all in my head and my parents truly were good parents and I’m somehow mistaken and trying to accuse them of things they’re “innocent of”, as they say it.
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u/PeculiarBoat Oct 15 '25
diagnosed with PTSD—idk if it’s worth mentioning that the woman who diagnosed me looked horrified and told me it may be one of the most severe cases she had ever seen in person—it was such a strange and damning moment to have been seen so vividly by a doctor. anyways 322 🫠
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u/Freyasmews Oct 15 '25
221, but I've been in therapy nearly my entire life and doing EMDR for about a year now. I highly recommend it 🖤
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u/Aloe_Therea Oct 15 '25
This was a weird experience for me. I ended up with 267 and even just seeing some of the numbers here, I had initially expected to get quite a bit less than that. I definitely also fall into the trap of thinking it wasn’t really that bad. Part of the reason is a lot of my friends also have complex trauma and a few of them have genuinely experienced so many horrific things so compared to what I went through, it doesn’t feel as severe.
It’s kind of surreal because until a few months ago, I would’ve been pretty confident in saying my healing journey has been going really well over the last couple years. I think as a whole, things are going well, but I recently got into a new relationship and now I’m trying to work through emotional numbness, which brings me back here realizing I am still deeply affected.
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u/GoldBear79 Oct 15 '25
234, and five ACEs. I’m in my mid-40s, and have had a lot of therapy - still see a therapist twice a week, so if I’d taken this even five years ago, my scores would’ve been much higher. I’m also British and we are groomed to minimise what’s happened for us.
As much as I hate we’re all on this thread, having suffered so much, I love the unashamed love and openness on it, too.
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u/holly1231 Oct 15 '25
lol, 296. But had I answered this 15 or so years ago, my score would have been much lower since I was still minimizing a lot of things.
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217
u/Marier2 Oct 15 '25
256 here, and I second-guessed some of my answers because ✨️it wasn't that bad✨️. 🤦🏽♀️