2 minutes to complete
Individuals over the age of 18 who have experienced adverse childhood experiences, such as abuse, neglect, or household dysfunction, are eligible to complete the Adverse Childhood Experience Questionnaire.
Below is a list of 10 categories of Adverse Childhood Experiences (ACEs). From the list below, select each ACE category that you experienced prior to your 18th birthday.
Do you believe that these experiences have affected your health?
| Scale | Score |
|---|---|
| Yes | 1 |
| No | 0 |
| Score Range | Interpretation |
|---|---|
| Equals 0 | No reported adverse childhood experiences |
| 1 to 3 | Mild to moderate exposure |
| 4 to 5 | High risk for long-term health |
| Greater or equal to 6 | Very high risk; associated with severe mental health |
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This platform goes far beyond basic surveys. I’ve used it for lead generation, landing page enrichment, and even embedded videos. Everything’s easy to use, well documented, and super flexible—whether you're building forms, quizzes, or something more advanced.
Uses end-to-end encryption technology that allows users to create survey forms where data is secure and private. UI looks very beautiful.
For our NGO, data privacy is everything—and this platform nails it. It keeps personal info fully protected while letting us design beautiful, chat-like surveys that increase engagement. Team collaboration features sealed the deal.
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BlockSurvey is very user-friendly with amazing customization options. It makes capturing data simple and secure. While the Web3 space still has room to mature, the platform itself is smooth and intuitive.
Creating surveys with BlockSurvey has been a breeze. The drag-and-drop interface is intuitive, and we’re able to collect data anonymously and securely—without intermediaries. It’s interactive, friendly, and encourages high participation while protecting user privacy. The reports are solid, and we’ve used it confidently for internal and external feedback.
Few tools combine data confidentiality and form aesthetics like this one. The conversational design improved my response rate by 43%, and the webhook integrations made syncing to our CRM effortless. I also love how responsive and community-driven the support team is.
I think BlockSurvey is good for short and long surveys. What I find the best is the fact that there are so many templates I can use and customize.
