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Click ‘Get Form’ to open the accucare index questionnaire PDF in the editor.
Begin by filling in the interviewer details at the top, including your name, company name, and contact information. This ensures proper identification and follow-up.
Proceed to the 'Client’s Name' section. Enter the client's first, middle, and last names along with their Social Security number and date of birth. Ensure accuracy for record-keeping.
In the 'Addiction Severity Index' section, rate each area from 0 to 9 based on your assessment of the client’s treatment needs. Use the provided scale for guidance.
Utilize the comment spaces after each section to add any additional notes or observations that may be relevant for future reference.
Once all fields are completed, review your entries for accuracy before saving or sharing the document directly from our platform.

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How is the ACE questionnaire scored?

The FIQ is a self administered instrument that takes approximately 5 minutes to complete. The directions are simple and the scoring is self-explanatory. The FIQ is composed of 10 items. The first item contains 11 questions related to physical functioning each question is rated on a 4 point Likert type scale.

What does a score of 5 mean on the ACE test?

With an ACE score of 4 or more, an adults risk of developing heart disease or cancer doubles. With an ACE score of 5 or more, theres an eight-time greater chance of alcoholism. With an ACE score of 6 or more, an adult will die on average 20 years earlier.

What is the average ACE score?

Those with an ACE score of 7 or more were five times more likely than those with an ACE score of 0 to report hallucinations. In addition, those exposed to 4 or more ACE categories were at increased risk for depression, drug abuse, and alcoholism.

What is the 10 item ACE questionnaire?

The 10-item short form of the original ACE questionnaire comprised questions measuring 5 types of maltreatment (physical, emotional, sexual abuse, physical, and emotional neglect), and 5 types of household dysfunction.