| ad001 | Did you live with anyone who was depressed, mentally ill, or suicidal? | live with anyone who was depressed, mentally ill, or suicidal |
| ad002 | Did you live with anyone who was a problem drinker or alcoholic? | live with anyone who was a problem drinker or alcoholic |
| ad003 | Did you live with anyone who used illegal street drugs or who abused prescription medications? | live with anyone who used illegal street drugs or who abused prescription medications |
| ad004 | Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility? | live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility |
| ad005 | Were your parents separated or divorced? | parents separated or divorced |
| ad006 | How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up? | how often parents or adults in home ever slap, hit, kick, punch or beat each other up |
| ad007 | How often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? | how often did parent or adult in home ever hit, beat, kick, or physically hurt R in any way |
| ad008 | How often did a parent or adult in your home ever swear at you, insult you, or put you down? | how often parent or adult in home ever swear at R, insult R, or put R down |
| ad009 | How often did anyone at least 5 years older than you or an adult, ever touch you sexually? | how often anyone at least 5 years older than R or an adult, ever touch R sexually |
| ad010 | How often did anyone at least 5 years older than you or an adult, try to make you touch them sexually? | how often anyone at least 5 years older than R or an adult, try to make R touch them sexually |
| ad011 | How often did anyone at least 5 years older than you or an adult, force you to have sex? | how often anyone at least 5 years older than R or an adult, force R to have sex |
| ad012 | For how much of your childhood was there an adult in your household who made you feel safe and protected? | how much of childhood adult in household made feel safe and protected |
| ad013 | For how much of your childhood was there an adult in your household who tried hard to make sure your basic needs were met? | how much of childhood adult in household tried hard to make sure basic needs were met |