Jeff, I have been able to work with agencies across the spectrum of social services and education, each setting has been able to use the ACE survey in multiple ways that work for that agency. For example in Juvenile Justice settings the ACE survey is used as part of the intake process to 1. Inform the Juvenile Court Officer. 2. Compile the data for downstream RFP's and 3. possible referral. In Education settings (alternative schools) ACE scores are used to remind the school staff of ongoing issues of challenge for the student and as a reminder that the child might be using survival skills. In Individual treatment centers the survey is being used to create correlates between the ACE score and service utilization cost. If an individual agency can demonstrate that their trauma informed environment can alter the downstream service utilization using the ACE score as a baseline they can advocate for their services from a cost savings and a reduced recidivism perspective.