Robert Watts Counseling
Robert Watts, EdS, LPC, LCADC

Robert Watts Counseling Robert Watts, EdS, LPC, LCADC

South Main Street Counseling Center, 245 South Main Street, Suite B, Pennington, NJ 08534 • 267-799-3660

if you don't have time to fill this out…
Prior to our first counseling session, I will need you to complete each of these 7 forms. After filling out the first form, you will be provided with the next form, until the last has been completed. This may take 15-30 minutes or more.

Form 7 of 7

Adverse Childhood Experience (ACE) Questionnaire

07 – ACE
While you were growing up, during your first 18 years of life:
1. Did a parent or other adult in the household often … Swear at you, insult you, put you down, or humiliate you? or Act in a way that made you afraid that you might be physically hurt?
2. Did a parent or other adult in the household often … Push, grab, slap, or throw something at you? or Ever hit you so hard that you had marks or were injured?
3. Did an adult or person at least 5 years older than you ever… Touch or fondle you or have you touch their body in a sexual way? or Try to or actually have oral, anal, or vaginal sex with you?
4. Did you often feel that…  No one in your family loved you or thought you were important or special? or Your family didn’t look out for each other, feel close to each other, or support each other?
5. Did you often feel that… You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you? or Your parents were too drunk or high to take care of you or take you to the doctor if you needed it?
6. Were your parents ever separated or divorced?
7. Was your mother or stepmother:
Often pushed, grabbed, slapped, or had something thrown at her?
or Sometimes or often kicked, bitten, hit with a fist, or hit with something hard?
or Ever repeatedly hit over at least a few minutes or threatened with a gun or knife?
8. Did you live with anyone who was a problem drinker or alcoholic or who used street drugs?
9. Was a household member depressed or mentally ill or did a household member attempt suicide?
10. Did a household member go to prison?
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Robert Watts Counseling

South Main Street Counseling Center
245 South Main Street, Suite B
Pennington, NJ 08534
267-799-3660
Bob is a skilled psychotherapist with experience in a variety of settings and specialties. His warmth and calming nature make even the most hesitant of clients, feel at ease. I’m happy to refer to him. You will be in excellent hands with Bob.
Amanda
Bob is a kind, compassionate and skilled professional. I have referred to him many times and those clients are well cared with great support and results! He provides a safe and warm environment in which to change and grow.
Kathryn
Bob has a compassionate manner as he helps people deal with tough issues. He is very professional and knowledgeable. I highly recommend Bob as a therapist. He is one of the best therapists.
Susan
I have known Bob Watts for over 20 years. The personality, personal experience, and vigor that he brings to counseling is exemplar and to be admired. I would highly recommend his practice to anyone in need.
William
Bob is a kind and compassionate therapist. He understands theories of family and individual therapy and applies them skillfully and accurately…
Charleen
Not only have I worked with Bob in different areas in the past, I have referred many people to Bob and the feedback is always the same, “Excellent Therapist.” He is professional, caring and motivating for the client. I would highly recommend him to anyone in need of supportive family, marital or individual therapy!
Nancy
Bob is a caring & professional counselor, He is patient & understanding. Bob gives you tools to help you heal and become whole again. Highly recommended.
Debby
Bob is an excellent therapist and a better human being.
Scott
Bob is a skilled psychotherapist with experience in a variety of settings and specialties. His warmth and calming nature make even the most hesitant of clients, feel at ease. I’m happy to refer to him. You will be in excellent hands with Bob.
Amanda
Bob is a kind, compassionate and skilled professional. I have referred to him many times and those clients are well cared with great support and results! He provides a safe and warm environment in which to change and grow.
Kathryn
Bob has a compassionate manner as he helps people deal with tough issues. He is very professional and knowledgeable. I highly recommend Bob as a therapist. He is one of the best therapists.
Susan
I have known Bob Watts for over 20 years. The personality, personal experience, and vigor that he brings to counseling is exemplar and to be admired. I would highly recommend his practice to anyone in need.
William
Bob is a kind and compassionate therapist. He understands theories of family and individual therapy and applies them skillfully and accurately…
Charleen
Not only have I worked with Bob in different areas in the past, I have referred many people to Bob and the feedback is always the same, “Excellent Therapist.” He is professional, caring and motivating for the client. I would highly recommend him to anyone in need of supportive family, marital or individual therapy!
Nancy
Bob is a caring & professional counselor, He is patient & understanding. Bob gives you tools to help you heal and become who again. Highly recommended.
Debby
Bob is an excellent therapist and a better human being.
Scott

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