Question 1 Has your loved one's substance use or mental health caused problems at work, school, or with finances?
Never / not at all Sometimes / occasionally Often / regularly Constantly / it dominates our family
Question 2 Have you found yourself lying or covering for your loved one to family, friends, or employers?
Never / not at all Sometimes / occasionally Often / regularly Constantly / it dominates our family
Question 3 Has your loved one tried to cut back, quit, or get help — and been unable to follow through?
Never / not at all Sometimes / occasionally Often / regularly Constantly / it dominates our family
Question 4 Are you walking on eggshells around your loved one to avoid setting them off?
Never / not at all Sometimes / occasionally Often / regularly Constantly / it dominates our family
Question 5 Has your loved one had legal trouble, accidents, or close calls related to their use or mental state?
Never / not at all Sometimes / occasionally Often / regularly Constantly / it dominates our family
Question 6 Has the rest of the family — partners, children, siblings — suffered as a result of focusing on this one person?
Never / not at all Sometimes / occasionally Often / regularly Constantly / it dominates our family
Question 7 Have you given your loved one money, shelter, or other support that you suspect enabled continued use?
Never / not at all Sometimes / occasionally Often / regularly Constantly / it dominates our family
Question 8 Has your loved one expressed hopelessness, talked about suicide, or had any near-overdose events?
Never / not at all Sometimes / occasionally Often / regularly Constantly / it dominates our family
Question 9 Do you find yourself thinking about your loved one's situation almost constantly?
Never / not at all Sometimes / occasionally Often / regularly Constantly / it dominates our family
Question 10 Have previous attempts to talk to your loved one ended in denial, anger, or false promises?
Never / not at all Sometimes / occasionally Often / regularly Constantly / it dominates our family