Family Assessment Short Form
Family LAB Version
Name
First Name
Last Name
Email
example@example.com
Family APGAR
Always
Some of the time
Hardly ever
I am satisfied with the help I receive from my family when something is troubling me.
I am satisfied with the way my family discusses items of common interest and shares problem solving with me.
I find that my family accepts my wishes to take on new activities or make changes in my life.
I am satisfied with the way my family expresses affection and responds to my feelings.
I am satisfied with the amount of time my family and I spend together.
Family Perception
Agree
Neutral
Disagree
I have identified areas in my life that I want to improve upon myself.
For our problems to get better, the whole family has to change.
I have a clear understanding of addiction as a disease.
Someone in my family is the cause of most or all of our problems.
Someone in my family is the cause of most or all of our problems.
Family APGAR
Family Perception
Submit
Should be Empty: