Preface to all questions: in the past 12 months…

1. How often have you spent a lot of time thinking about past gambling experiences, planning your next gambling activity, or thinking of ways to get money to gamble?

2. How often have you needed to gamble with larger amounts of money or with larger bets in order to obtain the same feeling of excitement?

3. How often have you tried to control, cut back, or stop gambling several times and were unsuccessful? For example, setting a money or time limit for yourself and then going over it

4. How often have you felt restless or irritable when you tried to cut down or stop gambling?

5. How often did you feel that your gambling was a way of avoiding or escaping from personal problems or a way of relieving uncomfortable emotions, such as feelings of nervousness, helplessness, guilt, anxiousness or sadness?

6. After you lost money gambling how often did you return another day to get even or try to win back your losses?

7. How often have you lied to family members, therapists, or others to hide your gambling from them?

8. How often have you committed any illegal acts such as forgery, fraud, theft, or embezzlement to get money to gamble or to pay gambling debts?

9. How often have you risked or lost a relationship with someone important to you, or a job, or career opportunity because of gambling?

10. How often have you relied on others to pay your gambling debts or to pay your bills when you had financial problems caused by your gambling?