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In the last 12 months, have you bet more than you could really afford to lose?
 
Never
 
Sometimes
 
Most of the time
 
Almost always
 
 
 
In the last 12 months, have you needed to gamble with larger amounts of money to get the same feeling of excitement?
 
Never
 
Sometimes
 
Most of the time
 
Almost always
 
 
 
In the last 12 months, when you gambled, did you go back another day to try to win back the money you lost?
 
Never
 
Sometimes
 
Most of the time
 
Almost always
 
 
 
In the last 12 months, have you borrowed money or sold anything to get money to gamble?
 
Never
 
Sometimes
 
Most of the time
 
Almost always
 
 
 
In the last 12 months, have you felt that you might have a problem with gambling?
 
Never
 
Sometimes
 
Most of the time
 
Almost always
 
 
 
In the last 12 months, has gambling caused you any health problems, including stress or anxiety?
 
Never
 
Sometimes
 
Most of the time
 
Almost always
 
 
 
In the last 12 months, have people criticized your betting or told you that you had a gambling problem, regardless of whether or not you thought it was true?
 
Never
 
Sometimes
 
Most of the time
 
Almost always
 
 
 
In the last 12 months, has your gambling caused any financial problems for you or your household?
 
Never
 
Sometimes
 
Most of the time
 
Almost always
 
 
 
In the last 12 months, have you felt guilty about the way you gamble or what happens when you gamble?
 
Never
 
Sometimes
 
Most of the time
 
Almost always
 
 
 
Thank You. For the following 22 items, please indicate the extent to which you agree with the value expressed in each statement