Objective: to examine the perspectives of brain injury professionals concerning family members' feelings about the quality of life experienced by individuals with brain injuries. Participants: participating in the study were 28 individuals in leadership positions with the state affiliates of the Brain Injury Association of America (BIAA). Methods: an electronic survey containing open-ended questions was utilized to solicit qualitative statements concerning family members' feelings about the quality of life experienced by individuals with brain injuries. A constant comparative process was employed to identify themes expressed with a degree of consensus among respondents. Results: the following six themes were identified: (a) variability in quality of life; (b) the role of access to and quality of services in determining quality of life; (c) factors associated with negative quality of life; (d) the importance of social relationships in moderating quality of life; (e) post-injury factors influencing quality of life; and (f) the relationship between family socioeconomic status and quality of life. Conclusions: respondents believed that families felt quality of life was more negative than positive, but was moderated by a variety of contextual factors. These findings reinforce the significance of enhancing professional services and program funding for individuals with brain injury.