1. When you gamble, how often do you go back another day to win back the money you lost?
2. Have you ever claimed to be winning money gambling, but weren’t really? In fact, you lost?
Please answer the following questions by selecting yes or no |
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NO |
6. |
Do you feel you have ever had a problem with gambling? |
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7. |
Did you ever gamble more than you intended to? |
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8. |
Have people criticized your gambling? |
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9. |
Have you ever felt guilt about the way you gamble or what happens when you gamble? |
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10. |
Have you ever felt like you would like to stop gambling, but didn’t think you could? |
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11. |
Have you ever hidden betting slips, lottery tickets, gambling money, or other signs of gambling from your spouse, children, or other important people in your life? |
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Have you ever argued with people you live with over how to handle money? |
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13. |
Have money arguments ever centered on your gambling? |
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14. |
Have you ever borrowed from someone and not paid them back as a result of your gambling? |
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15. |
Have you ever lost time from work or school due to gambling? |
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16. |
If you borrowed money to gamble, or to pay gambling debts, who or where did you borrow from? (check yes or no for each) |
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A. From household money |
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B. From your spouse |
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C. From other relatives or in-laws |
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D. From banks, loan companies, or credit unions |
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E. From credit cards |
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F. From loan sharks |
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G. You cashed in stocks, bonds, or other securities |
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H. You sold personal or family property |
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I. You borrowed from your checking account (passed bad checks) |
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