{"id":7335,"date":"2026-01-30T16:09:47","date_gmt":"2026-01-30T22:09:47","guid":{"rendered":"https:\/\/uwm.edu\/icfw\/?page_id=7335"},"modified":"2026-03-12T13:10:25","modified_gmt":"2026-03-12T18:10:25","slug":"childhood-experiences-survey-adult-version-3","status":"publish","type":"page","link":"https:\/\/uwm.edu\/icfw\/childhood-experiences-survey-adult-version-3\/","title":{"rendered":"Childhood Experiences Survey: Adult Version"},"content":{"rendered":"\n<p>All the following questions refer to the time before you were 18 years of age. Now, looking back before you were 18 years of age\u2026<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-questions\"><strong>Questions<\/strong>:<\/h2>\n\n\n\n<p>1. As a child, how often did your family experience serious financial problems?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Never<\/li>\n\n\n\n<li>Rarely<\/li>\n\n\n\n<li>Sometimes<\/li>\n\n\n\n<li>Often<\/li>\n\n\n\n<li>Very Often<\/li>\n<\/ul>\n\n\n\n<p>2. How often were you hungry because your family could not afford food?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Never<\/li>\n\n\n\n<li>Rarely<\/li>\n\n\n\n<li>Sometimes<\/li>\n\n\n\n<li>Often<\/li>\n\n\n\n<li>Very Often<\/li>\n<\/ul>\n\n\n\n<p>3. How often were you homeless when you were growing up?<br><em>(This means having to stay somewhere like a transitional housing program, a shelter, a hotel\/motel paid by voucher, someone else\u2019s home, a car or other vehicle, an abandoned building, anywhere outside, or anywhere else not meant for people to live.)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Never<\/li>\n\n\n\n<li>Rarely<\/li>\n\n\n\n<li>Sometimes<\/li>\n\n\n\n<li>Often<\/li>\n\n\n\n<li>Very Often<\/li>\n<\/ul>\n\n\n\n<p>4. How often did a parent or adult in your home ever swear at you, insult you, or put you down?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Never<\/li>\n\n\n\n<li>Rarely<\/li>\n\n\n\n<li>Sometimes<\/li>\n\n\n\n<li>Often<\/li>\n\n\n\n<li>Very Often<\/li>\n<\/ul>\n\n\n\n<p>5. How often were you bullied or severely teased by other children or adolescents? <em>(This refers to bullying or teasing by children or adolescents of any age. It does not include experiences with adults or with siblings.)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Never<\/li>\n\n\n\n<li>Rarely<\/li>\n\n\n\n<li>Sometimes<\/li>\n\n\n\n<li>Often<\/li>\n\n\n\n<li>Very Often<\/li>\n<\/ul>\n\n\n\n<p>6. Before age 18, how often was there an adult in your household who tried hard to make sure your basic needs were met? By &#8220;basic needs&#8221; we mean food, shelter, clothing, and medical care. <em>(This could be any adult in the household, not just a parent.)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Never<\/li>\n\n\n\n<li>Rarely<\/li>\n\n\n\n<li>Sometimes<\/li>\n\n\n\n<li>Most of the Time<\/li>\n\n\n\n<li>Always<\/li>\n<\/ul>\n\n\n\n<p>7. How often was there an adult in your household who made you feel safe and protected?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Never<\/li>\n\n\n\n<li>Rarely<\/li>\n\n\n\n<li>Sometimes<\/li>\n\n\n\n<li>Most of the Time<\/li>\n\n\n\n<li>Always<\/li>\n<\/ul>\n\n\n\n<p>8. Before age 18, how often did a parent or adult in your home ever hit, beat, kick, or physically hurt <strong>you<\/strong> in any way? Do not include spanking.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Never<\/li>\n\n\n\n<li>Once<\/li>\n\n\n\n<li>More Than Once<\/li>\n<\/ul>\n\n\n\n<p>9. How often did your parents or adults in your home ever slap, hit, beat, kick, or physically hurt <strong>each other<\/strong>?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Never<\/li>\n\n\n\n<li>Once<\/li>\n\n\n\n<li>More Than Once<\/li>\n<\/ul>\n\n\n\n<p>10. How often did an adult, or anyone at least 5 years older than you, touch you sexually, try to make you touch them sexually, or force you to have sex?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Never<\/li>\n\n\n\n<li>Once<\/li>\n\n\n\n<li>More Than Once<\/li>\n<\/ul>\n\n\n\n<p>11. Did you live with anyone who was depressed, mentally ill, or suicidal?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yes<\/li>\n\n\n\n<li>No<\/li>\n<\/ul>\n\n\n\n<p>12. Did you live with anyone who was a problem drinker or alcoholic?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yes<\/li>\n\n\n\n<li>No<\/li>\n<\/ul>\n\n\n\n<p>13. Did you live with anyone who used illegal street drugs or who abused prescription medications?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yes<\/li>\n\n\n\n<li>No<\/li>\n<\/ul>\n\n\n\n<p>14. Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yes<\/li>\n\n\n\n<li>No<\/li>\n<\/ul>\n\n\n\n<p>15. Were your parents separated or divorced?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yes<\/li>\n\n\n\n<li>No<\/li>\n<\/ul>\n\n\n\n<p>16. Was either one of your parents absent from your life for a long period of time? Do not include absence due to death of parent.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yes<\/li>\n\n\n\n<li>No<\/li>\n<\/ul>\n\n\n\n<p>17. Before age 18, did you experience the death of a parent, caregiver, or sibling?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yes<\/li>\n\n\n\n<li>No<\/li>\n<\/ul>\n\n\n\n<p>18. Before age 18, were you ever the victim of a violent crime? This refers to any violent act that was perpetrated by someone other than a parent or household family member.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yes<\/li>\n\n\n\n<li>No<\/li>\n<\/ul>\n\n\n\n<p>19. Overall, how uncomfortable did you feel answering the questions on this survey?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Not at All<\/li>\n\n\n\n<li>Slightly<\/li>\n\n\n\n<li>Moderately<\/li>\n\n\n\n<li>Very<\/li>\n\n\n\n<li>Extremely<\/li>\n<\/ul>\n\n\n\n<p>Adapted from Centers for Disease Control and Prevention. (2012). Behavioral Risk Factor Surveillance System Survey Questionnaire: Adverse Childhood Experiences Module. Atlanta, Georgia: Author.<\/p>\n\n\n\n<p>For further information about this measure, contact: Dr. Joshua Mersky, University of Wisconsin-Milwaukee, mersky@uwm.edu<\/p>\n","protected":false},"excerpt":{"rendered":"<p>All the following questions refer to the time before you were 18 years of age. Now, looking back before you were 18 years of age\u2026 Questions: 1. As a child, &#8230;<\/p>\n","protected":false},"author":19872,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","uwm_wg_additional_authors":[]},"class_list":["post-7335","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Childhood Experiences Survey: Adult Version - Institute for Child and Family Well-Being<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/uwm.edu\/icfw\/childhood-experiences-survey-adult-version-3\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Childhood Experiences Survey: Adult Version\" \/>\n<meta property=\"og:description\" content=\"All the following questions refer to the time before you were 18 years of age. 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