| 1. |
Did you ever lose time from work or school due to gambling? |
| 2. |
Has gambling ever made your home life unhappy? |
| 3. |
Did gambling affect your reputation? |
| 4. |
Have you ever felt remorse after gambling? |
| 5. |
Did you ever gamble to get money with which to pay debts or
otherwise solve financial difficulties? |
| 6. |
Did gambling cause a decrease in your ambition or efficiency?
|
| 7. |
After losing did you feel you must return as soon as possible
and win back your losses? |
| 8. |
After a win did you have a strong urge to return and win more? |
| 9. |
Did you often gamble until your last dollar was gone? |
| 10. |
Did you ever borrow to finance your gambling? |
| 11. |
Have you ever sold anything to finance gambling? |
| 12. |
Were you reluctant to use "gambling money" for normal expenditures?
|
| 13. |
Did gambling make you careless of the welfare of yourself
or your family? |
| 14. |
Did you ever gamble longer than you had planned? |
| 15. |
Have you ever gambled to escape worry or trouble? |
| 16. |
Have you ever committed, or considered committing, an illegal
act to finance gambling? |
| 17. |
Did gambling cause you to have difficulty in sleeping? |
| 18. |
Do arguments, disappointments or frustrations create within
you an urge to gamble? |
| 19. |
Did you ever have an urge to celebrate any good fortune by
a few hours of gambling? |
| 20. |
Have you ever considered self destruction or suicide as a
result of your gambling? |
If you, or someone you know, answers "Yes" to any of these questions,
consider seeking assistance from a professional regarding this gambling behavior.