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GAMBLING
a. Have you ever felt the need to bet more and more money?
Select
Yes
No
b. Have you ever had to lie to people important to you about how much you gambled?
Select
Yes
No
If recipient answers Yes to either of the above, complete the following.
1. Needs to gamble with increasing amounts of money in order to achieve the desired excitement.
Select
Yes
No
2. Is restless or irritable when attempting to cut down or stop gambling.
Select
Yes
No
3. Has made repeated unsuccessful efforts to control, cut back, or stop gambling.
Select
Yes
No
4. Is often preoccupied with gambling (e.g., having persistent thoughts of reliving past gambling experiences, handicapping or planning the next venture, thinking of ways to get money with which to gamble).
Select
Yes
No
5. Often gambles when feeling distressed (e.g. helpless, guilty, anxious, depressed).
Select
Yes
No
6. After losing money gambling, often returns another day to get even ("chasing" one's losses).
Select
Yes
No
7. Lies to conceal the extent of involvement with gambling.
Select
Yes
No
8. Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling.
Select
Yes
No
9. Relies on others to provide money to relieve desperate financial situations caused by gambling.
Select
Yes
No
10. Have you been forced to go beyond what is strictly legal in order to finance gambling or to pay gambling debts?
Select
Yes
No
Scoring
4-5
Mild
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6-7
Moderate
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8-10
Severe
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