Has your responsible gambling habit had any positive effects on your relationships with your spouse, kids, parents, and others?
I don't think there is a positive impact, quite the opposite, but personally my habit of gambling is unknown to my family and I am responsible for what I do, For me, the people you mentioned above don't need to know, we still do it professionally, whether at home or when gambling.
Has it improved your finances and helped you stay out of debt?
No, the purpose of gambling is not to cover debts, the money wagered is only side money, even if you win the money is used for other things, such as: going to tourist attractions, the money is spent for fun.
Has it improved your mental health and well being in anyway?
We gamble has rules, health has no influence, health and well-being are not from gambling, there are other factors besides gambling.
Has it been able to help you meet an urgent need?
As I said in the second point, there is something else to cover all that.
What I said above, that's just for me personally, I don't know other people's ways, they have their own principles.