Screening Tools

The Department of Health Care Services approved specific tools to be used and questions to be asked for pediatric and adult ACE screenings. These tools are available for providers to use today.

female doctor smiling at young patient held by smiling father

Children & Adolescents

The Pediatric ACEs and Related Life-events Screener (PEARLS) was developed by the Bay Area Research Consortium on Toxic Stress and Health (BARC), a partnership between the Center for Youth Wellness, the University of California, San Francisco (UCSF), and UCSF Benioff Children’s Hospital Oakland.

Below is PEARLS in English, Spanish, and additional languages.

PEARLS in All Available Languages >



The ACE Questionnaire for Adults was adapted from the work of Kaiser Permanente and the Centers for Disease Control and Prevention (CDC). A version of the tool has been compiled by the Office of the California Surgeon General and the Department of Health Care Services, in consultation with the ACEs Aware Clinical Advisory Subcommittee.

If an alternative version of the ACE Questionnaire for Adults is used, it must contain questions on the 10 original categories of ACEs to qualify for Medi-Cal payment.

Below is the ACE Questionnaire for Adults in English, Spanish, and additional languages.