Decisions with Making Money

* Consent

Yes

No

* Age

* What is your gender?

Female

Male

* What grade are you in?

* Do you have a job?

Yes

No

If yes, what is your job title?

Indicate how often, if at all, you have done these activities in your lifetime and in the past 12 months.

	Lifetime: Never	Lifetime: At least once	During the past 12 months: Never	During the past 12 months: Less than monthly	During the past 12 months: Monthly	During the past 12 months: Weekly	During the past 12 months: Daily
* a. Played cards for money

* b. Flipped coins for money

* c. Bet on games of personal skill like pool, golf or bowling

* d. Bet on sports games

* e. Bet on horse, dogs or other animals

* f. Played bingo for money

* g. Played dice games (such as craps or over and under)

* h. Played slot machine, poker machines or other gambling machines

* i. Played scratch tabs

* j. Played the lottery by picking numbers

	Lifetime: Never	Lifetime: At least once	During the past 12 months: Never	During the past 12 months: Less than monthly	During the past 12 months: Monthly	During the past 12 months: Weekly	During the past 12 months: Daily
* k. Played pull tabs

* l. Played Jai-Alai

* m. Bet at a casino

* n. Bet on a gamblig cruise ship

* o. Played bolita

* p. Bet on video games

* q. Played the stock, options or commodities market for money

* r. Bet on some form of gambling not listed above

* When gambling, how often have you gone back another day to try and win back money you lost gambling?

Every time

Most of the time

Some of the time

Never

* When you were betting, have you ever told others you were winning when you weren't?

Yes

No

How often do you conduct surveys?

Weekly

Monthly

Quarterly

Annually