Fillable (Pediatric ACEs and Relevant Life Events Screener) (PEARLS) (ACEs Aware)

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(Pediatric ACEs and Relevant Life Events Screener) (PEARLS) (ACEs Aware)

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         
  
(Pediatric ACEs and Relevant Life Events Screener) (PEARLS) –  (Child)

 :


: :


 : 
 :
   
    
  

        
       
       
           
    
         
  
“”  “”
 “”


 
1
 “”

  
  /     

☐ 
☐
    
    /   

☐ 
☐
  
  /        (   

  
  PTSD   )

☐ 
☐
/       

☐ 
☐
         
   


   

☐ 
☐
      (  
   
          ) 

☐ 
☐
       /     
         
     /            

☐ 
☐
         
     
             
                 

☐ 
☐
       
          
   
     
  
   

☐ 
☐
  
   
        
/            

☐ 
☐
   “”
 
 
 
Child (Parent/Caregiver Report) – Identified
Thai 2020
2
 “”

             (   
          )

☐ 
☐
    (   
     
       

 

    
     ) 

☐ 
☐
 
       
(  
  
    
         
  
   
)

☐ 
☐
           

  

☐ 
☐
         

  

☐ 
☐
  
  /         

☐ 
☐
  
     

 

☐ 
☐
   “”
  
Child (Parent/Caregiver Report) – Identified
Thai 2020
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(Pediatric ACEs and Relevant Life Events Screener) (PEARLS) (ACEs Aware)

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Completed 19 May 2021

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