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Family Questionnaire
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Family Questionnaire
Your Name
Patient Name
Relationship
Date
What are your goals for participating in the family workshop?
Specifically, what are the significant issues that you would like to work on with your family and loved one this week?
What are your most important values as a parent/ family member? How have you compromised your own values through your family member’s addiction?
Identify the difference between enabling and healthy rescuing.
What do you find the most difficult in regards to becoming a non-enabler?
What are your present and future expectations of your family member?
What topic(s) of discussion with your family member creates the most anxiety for you? How can we support you in processing this topic during family workshop?
Describe any history of addiction, compulsivity, abuse and/or rigidity in your family or origin.
How has your background contributed to your own parenting?
Write about your own parenting style. How does it differ from your own family origin?
Will you need transportation from the Hyatt?
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