Last updated: March 16, 2026
An assessment that measures how a family member's substance use is affecting family members' wellbeing, relationships, and daily functioning.
Family members living with a loved one's addiction who want to understand and validate the impact on their own lives.
Addiction affects the whole family — your wellbeing matters too, and support is available for you. This tool is for informational purposes only. Not a substitute for professional mental health treatment.
What Is the Family Impact Assessment?
How Does the Family Impact Assessment Work?
What Do My Family Impact Results Mean?
Family Impact Assessment
For family members and loved ones concerned about someone's substance use. This assessment helps you reflect on how their use is affecting your life.
18 questions · ~5 minutes · Completely private
I have noticed my loved one becoming more secretive about where they go, who they are with, or how they spend money.
👁 Behavior ChangesMy loved one's mood has become unpredictable — they may go from calm to angry, energetic to withdrawn, without clear reason.
👁 Behavior ChangesMy loved one has stopped keeping up with responsibilities they used to handle (work, household tasks, personal hygiene).
👁 Behavior ChangesMoney has gone missing, or there are unexplained expenses, debts, or financial problems connected to my loved one's behavior.
💰 Financial ImpactI have had to cover bills, lend money, or take on extra financial responsibility because of my loved one's substance use.
💰 Financial ImpactI find it hard to trust what my loved one tells me because I have caught them in lies or half-truths.
💔 Relationship ImpactArguments about substance use (or its consequences) have become a regular part of our relationship.
💔 Relationship ImpactI feel emotionally distant from my loved one — like I am living with a stranger.
💔 Relationship ImpactChildren or other dependents in the household have been exposed to arguments, erratic behavior, or an unstable home environment.
🧒 Impact on ChildrenDaily routines for children or dependents (meals, bedtimes, school activities) have been disrupted by my loved one's behavior.
🧒 Impact on ChildrenI spend a significant amount of time worrying about my loved one — their safety, their health, or what they might do next.
😔 Emotional Toll on YouI feel guilty, wondering if I caused this or if I should be doing more to help.
😔 Emotional Toll on YouI feel anger or resentment toward my loved one that I have trouble letting go of.
😔 Emotional Toll on YouI have felt physically unsafe or afraid in my own home because of my loved one's behavior while using substances.
⚠️ Safety ConcernsMy loved one has become verbally aggressive, threatening, or physically intimidating when using or when confronted about their use.
⚠️ Safety ConcernsI have made excuses to others (employer, family, friends) to cover for my loved one's behavior or absences.
🔄 Enabling BehaviorsI have given my loved one money, a place to stay, or other support even when I suspected it would be used to continue their substance use.
🔄 Enabling BehaviorsI avoid bringing up my loved one's substance use because I fear their reaction or want to keep the peace.
🔄 Enabling BehaviorsPlease answer all 18 questions to continue
Clinical Disclaimer
This tool is for educational and self-reflection purposes only. It is not a clinical assessment, and it does not screen, assess, or evaluate your loved one. Results do not constitute medical advice, a professional evaluation, or a recommendation for any specific course of action. Always consult a qualified healthcare professional, licensed counselor, or addiction specialist for guidance about substance use concerns. Reviewed by a Certified Drug and Alcohol Counselor (CADC-II).
Crisis & Support Resources
988 Suicide & Crisis Lifeline
Call or text 988 · 24/7
SAMHSA National Helpline
1-800-662-4357 · 24/7
Al-Anon Family Groups
1-888-425-2666 · al-anon.org
Nar-Anon Family Groups
1-800-477-6291 · nar-anon.org
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