2. Has gambling ever made your home life unhappy?
Yes No

3. Has gambling affected your reputation?
Yes No

4. Have you ever felt remorse after gambling?
Yes No

5. Have you ever gambled to get money to pay debts or solve financial difficulties?
Yes No

6. Has gambling ever caused a decrease in your ambition or efficiency?
Yes No

7. After losing, do you feel you must return as soon as possible to win back your losses?
Yes No

8. After winning, do you have a strong urge to return and win more?
Yes No

9. Do you often gamble until you run out of money?
Yes No

10. Have you ever borrowed money to finance your gambling?
Yes No

11. Have you ever sold anything to finance your gambling?
Yes No

12. Are you reluctant to use "gambling money" for normal expenditures?
Yes No

13. Does gambling make you careless of the welfare of yourself and your family?
Yes No

14. Do you ever gamble longer than planned?
Yes No

15. Have you ever gambled to escape worry or trouble?
Yes No

16. Have you ever committed or considered committing an illegal act to finance gambling?
Yes No

17. Has gambling ever caused you to have difficulty sleeping?
Yes No

18. Do arguments, disappointments or frustrations create within you an urge to gamble?
Yes No

19. Do you ever get the urge to celebrate any good fortune with a few hours of gambling?
Yes No

20. Have you ever considered self destruction as a result of your gambling?
Yes No