An estimated 43% of adults in the U.S. come from families with a history of alcoholism and are described as being victims of an alcoholic family environment, including polytraumatic experiences which may interfere with normal development and interpersonal functioning. Long-term effects of alcoholism within the family structure seem to be especially reflective in the lives of adult children of alcoholics (ACOAs). This study uses a quantiative, non-experimental survey design to acknowledge and understand whether a relationship exists between occupational behaviors and quality of life, as well as the implications of growing up with an alcoholic parent and/or guardian. Survey instruments used include the Adapted Flanagan Quality of Life Scale (QOLS) and Occupational Behaviors Satisfaction Checklist (OBSC). Results were indicative of an existing relationship between overall quality of life and satisfaction with occupational engagement with differences noted between ACOAs and non-ACOAs. Gaining a better understanding of the relationship between occupational behaviors and quality of life of affords occupational therapists and other healthcare providers the ability to supplement mental health treatment to achieve improved quality of life and to establish skills which will foster rich and meaningful occupational engagement.