Adverse Experiences Assessment (AEA): Childhood & Adulthood

Adverse Experiences Assessment Childhood and Adulthood

What You Carried Then Is Still Affecting You Now — Identifying It Is a Major Step to Healing

Maybe you’ve always felt like something was harder for you than it seemed to be for others. Maybe you’ve wondered why certain things hit differently — why relationships feel complicated, your body carries tension you can’t explain, or why you sometimes feel disconnected from yourself.

You are not broken. You are responding to things that actually happened.

This assessment is a place to start making sense of that — gently, honestly, and on your own terms.

What Are Adverse Experiences?

Adverse experiences are stressful, traumatic, or harmful events that occur in childhood or adulthood that disrupt emotional development, nervous system regulation, and long-term health. Research consistently shows that unresolved trauma affects three primary areas:

1. Health Impacts of Trauma

If your body has felt like it’s been working against you — exhausted, inflamed, never quite right — there may be a deeper reason than you’ve been told.

  • Heart disease, diabetes, and autoimmune disorders
  • Chronic pain and fatigue
  • Substance use disorders
  • Depression and anxiety

2. Social & Relational Impacts

Trauma shapes how we connect — not because of weakness, but because of survival adaptation. Adverse experiences are associated with:

  • Difficulty trusting others
  • Attachment challenges
  • Relationship conflict or isolation
  • Educational and occupational instability

3. Emotional & Psychological Impacts

Higher trauma exposure increases the likelihood of:

  • Emotional dysregulation
  • Anxiety, depression, and PTSD
  • Shame, hypervigilance, or numbness
  • Burnout and secondary trauma (especially for caregivers and helpers)

What Is the Adverse Experiences Assessment (AEA)?

Most trauma screening tools stop at childhood. The Adverse Experiences Assessment (AEA) goes further — combining the Expanded Adverse Childhood Experiences framework (E-ACEs) with Adult Adverse Experiences (AAEs) into a single, 34-question assessment that produces one combined score.

The original ACEs Study, developed in the 1990s, was groundbreaking — but it only measured household dysfunction in childhood. The E-ACEs expanded that to include modern realities like foster care, community violence, and exploitation. The AEA adds the piece that has always been missing: what happened to you as an adult counts too.

How Does the AEA Compare?
Original ACEs  ·  Expanded ACEs (E-ACEs)  ·  Adverse Experiences Assessment (AEA)
Original ACEs1990s Study
Expanded ACEsE-ACEs · Modern Childhood
This Assessment
AEAChildhood & Adulthood Combined
Scope
Childhood household trauma only
Expanded childhood adversity — home, school, and community
Full lifespan — childhood and adulthood in one combined score
Childhood Categories
Physical Abuse
Physical Abuse
Physical Abuse
Sexual Abuse
+Sexual Abuse+ Exploitation / Trafficking
+Sexual Abuse+ Exploitation / Trafficking
Parental Divorce / Substance Abuse
Parental Divorce / Substance Abuse
Parental Divorce / Substance Abuse
Foster Care / Group Homes
Foster Care / Group Homes
Foster Care / Group Homes
Housing Instability / Homelessness
Housing Instability / Homelessness
Housing Instability / Homelessness
Bullying / Community Violence
Bullying / Community Violence
Bullying / Community Violence
Frequent Moves / Abandonment
Frequent Moves / Abandonment
Frequent Moves / Abandonment
Faith-Based Harm / Religious Coercion
Faith-Based Harm / Religious Coercion
Faith-Based Harm / Religious Coercion
Adulthood Categories — measured only by the AEA
Domestic Violence / Intimate Partner Abuse
Domestic Violence / Intimate Partner Abuse
NEWDomestic Violence / Intimate Partner Abuse
Adult Sexual Assault / Exploitation
Adult Sexual Assault / Exploitation
NEWAdult Sexual Assault / Exploitation
Job Loss / Financial Devastation
Job Loss / Financial Devastation
NEWJob Loss / Financial Devastation
Loss of a Child or Pregnancy
Loss of a Child or Pregnancy
NEWLoss of a Child or Pregnancy
Serious Illness / Medical Crisis
Serious Illness / Medical Crisis
NEWSerious Illness / Medical Crisis
Spiritual Abuse / Faith Community Harm
Spiritual Abuse / Faith Community Harm
NEWSpiritual Abuse / Faith Community Harm
Incarceration / Legal System Trauma
Incarceration / Legal System Trauma
NEWIncarceration / Legal System Trauma
Assessment Output
Score 0–10Childhood exposure only
Score 0–19Expanded childhood exposure
Single combined score34 questions · full lifespan · one result
Included
Not measured
+ Expanded
NEW AEA only

Take the Free Assessment

This single assessment covers both childhood and adulthood adverse experiences — 34 questions, one combined score, no switching between forms. Your score reflects exposure, not diagnosis, character, or weakness.


What Your Score Means (And What It Doesn’t)

Your combined assessment score:

  • Reflects exposure, not identity
  • Identifies risk, not destiny
  • Supports awareness and prevention, not diagnosis

Higher scores indicate greater cumulative stress — and therefore a greater need for trauma-informed support and healing. Your score helps identify how much adversity your nervous system has carried so healing can be approached with clarity and compassion. It generally falls into one of three categories:

Score 1 to 3: Acute Trauma (Low Exposure)

Even a small number of adverse experiences can leave a lasting mark. Your nervous system deserves care regardless of where your score lands.

  • Single or a few highly stressful events
  • Long-term impacts can develop if not appropriately addressed
  • Temporary emotional distress
  • Generally intact social functioning
  • With appropriate support, the nervous system often recovers well

Score 4 to 6: Chronic Trauma (Moderate Exposure)

If this is your range, you have likely felt the weight of it — in your body, your relationships, or simply in how hard you have had to work to feel okay. That is real, and it makes sense.

  • Ongoing or repeated traumatic experiences
  • High risk for elevated health issues
  • Ongoing emotional support is highly recommended
  • Increased risk of PTSD, anxiety, depression, or chronic stress
  • Difficulty with emotional regulation
  • Strain in relationships or social connections
  • Trauma-informed care can significantly reduce long-term effects

Score 7+: Complex Trauma (High Exposure)

If you are reading this category, you have carried a great deal — more than most people will ever fully understand. What you have survived is significant, but so is your capacity to heal from it.

  • Multiple and/or prolonged exposure to traumatic experiences
  • Significant long-term impact: C-PTSD, chronic health conditions, and ongoing support required
  • Often includes attachment disruption, instability, or exposure to violence
  • Significant risk for chronic health conditions and autoimmune illness
  • Nervous system dysregulation (hypervigilance, shutdown, exhaustion)
  • Challenges with trust, intimacy, or consistent relationships
  • Emotional overwhelm, numbness, or persistent shame
  • Professional support and focused trauma-informed care can significantly reduce long-term effects

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