1. Did you ever lose time from work due to gambling? |
2. Has gambling ever made your home life unhappy? |
3. Did gambling ever 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 lasts dollar was gone? |
10. Did you ever borrow to finance your gambling? |
11. Have you ever sold anything to finance your gambling? |
12. Were you reluctant to use gambling money for normal expenditures? |
13. Did gambling make you careless of yourself or your family? |
14. Have you ever gambled longer than you planned? |
15. Have you ever gambled to escape worry and trouble? |
16. Have you ever committed or considered committing an illegal act to finance gambling? |
17. Has gambling caused you to have difficulty in sleeping? |
18. Have arguments, disappointment, or frustrations caused you to gamble? |
19. Have you had an urge to celebrate any good fortune with a few hours of gambling? |
20. Have you ever considered self-destruction as a result of your gambling? |
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