When you gamble, how often do you go back another day to win back money you lost?
never
less than half the time I lost
most of the time I lost
every time I lost

Have you ever claimed to be winning money at gambling but you weren’t really? In fact you lost?
never (or never gamble)
yes, less than half of the time
yes, most of the time

Do you feel you have ever had a problem with gambling?
no
yes, in the past, but not now
yes

Did you ever gamble more than you intended to?
no
yes

Have people critised your gambling?
no
yes

Have you ever felt guilty about the way you gamble or what happens when you gamble?
no
yes

Have you ever felt that you would like to stop gambling but didn’t think you could?
no
yes

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?
no
yes

Have you ever argued with people you live with over gambling related expenditure?
no
yes

Have you ever borrowed from someone and not paid them back as a result of your gambling?
no
yes

Have you ever lost time from work (or school) due to gambling?
no
yes

If you borrowed to gamble or pay gambling debts, who or where did you borrow from? (answer yes or no for each question)
a) from household moneynoyes
b) from your spousenoyes
c) from other relatives or in-lawsnoyes
d) from banks, loan companies or credit unionsnoyes
e) from credit cardsnoyes
f) from loan sharksnoyes
g) you cashed in stocks, bonds or other securitiesnoyes
h) you sold personal or family propertynoyes
i) you wrote bad chequesnoyes