1. Does your relative have very changeable moods?
2. Does your relative communicate badly?
3. Does your relative steal or borrow money and not pay it back?
4. Have the family’s finances been affected?
5. Does your relative pick quarrels with you?
6. Has your relative sometimes threatened you?
7. Have people outside the family had to get involved?
8. Does your relative come and go at irregular or awkward times?
9. Does your relative’s drinking/drug use get in the way of your social life?
10.Has your relative upset family occasions?
11.Does your relative fail to join in family activities?
12.Has your relative been late or unreliable?
13.Are you worried that your relative’s ability to work or study has been affected by the drinking/drug use?
14.Are you worried that your relative’s physical health has been affected by the drinking/drug use?
15.Are you worried that your relative has neglected his/her appearance or self-care?
16.Are you worried that your relative’s mental state is becoming affected by the drinking/drug use?
Not at all=0‚ Once or twice = 1‚ Sometimes=2‚ Often=3‚ Don’t know* Items 3‚ 6‚ 7=1‚ All other items=2
*If there are more than 3 don’t knows‚ do not score the questionnaire
FOR Total Impact‚ sum all items
FOR Worrying Behavior‚ sum items 3‚ 4‚ 8‚ 9‚ 11‚ 12‚ 13‚ 14‚ 15‚ 16
FOR Active Disturbance‚ sum items 1‚ 2‚ 5‚ 6‚ 7‚ 10
Copyright: Alcohol‚ Drugs‚ Gambling and Addiction Research Group‚ School of Psychology‚ The University of Birmingham
Orford‚ J.‚ Oppenheimer‚ E.‚ Egert‚ S.‚ Hensman‚ C. & Guthrie‚ S. (1976). The cohesiveness of alcoholism-complicated marriages and it’s influences ontreatment outcome. British Journal of Psychiatry‚ 128‚ 318-339.
Velleman‚ R. & Orford‚ J. (1999) Risk and Resilience: Adults Who Were the Children of Problem Drinkers. Reading: Harwood
Orford‚ J.‚ Templeton‚ L.‚ Velleman‚ R. & Copello‚ A.‚ (2005)‚ Family Members of Relatives with Alcohol‚ Drug and Gambling Problems: A set of standardized questionnaires for assessing stress‚ coping and strain‚ Addiction‚ 100 (11)‚ 1611-1624.
Orford‚ J.‚ Templeton‚ L.‚ Velleman‚ R.‚ & Copello‚ A. (2010). Methods of assessment for affected family members. Drugs: education‚ prevention and policy‚ 17(S1). doi: 10.3109/09687637.2010.514783
Orford‚ J. (2014). Testing the short questionnaire for family members affected by addiction: help required. At: http://www.afinetwork.info/research-articles/371-testing-the-short-questionnaire-for-family-members-affected-by-addiction-help-required