I really like these questions to help explore various areas of impact with a family. I have yet to use them but can certainly see the value in having these to guide a discussion. I definitly think that the process of acknowledging the impact on a larger family system can be quite helpful for the family to recognize as a whole. It is so commonplace to go about our busy lives, taking on various tasks, caring for others, and then suddenly feeling drained and exhausted without having reflected on why that might be. I always try and tell family members that they “can’t pour from an empty cup” and to take care of themselves if they are supporting a loved on.