Self-Assessment Test
1 . Did you ever lose time from work or school due to gambling?
Yes
No
2 . Has gambling ever made your home life unhappy?
Yes
No
3 . Did gambling affect your reputation?
Yes
No
4 . Have you ever felt remorse after gambling?
Yes
No
5 . Did you ever gamble to get money with which to pay debts or otherwise solve financial difficulties?
Yes
No
6 . Did gambling cause a decrease in your ambition or efficiency?
Yes
No
7 . After losing did you feel you must return as soon as possible and win back your losses?
Yes
No
8 . After a win did you have a strong urge to return and win more?'
Yes
No
9 . Did you often gamble until all your money was gone?
Yes
No
10 . Did you ever borrow to finance your gambling?
Yes
No
11 . Have you ever sold anything to finance gambling?
Yes
No
12 . Were you reluctant to use 'gambling money' for normal expenditures?
Yes
No
13 . Did gambling make you careless of the welfare of yourself or your family?
Yes
No
14 . Did you ever gamble longer than you had planned?
Yes
No
15 . Have you ever gambled to escape worry, trouble, boredom, loneliness, grief or loss?
Yes
No
16 . Have you ever committed, or considered committing, an illegal act to finance gambling?
Yes
No
17 . Did gambling cause you to have difficulty in sleeping?
Yes
No
18 . Do arguments, disappointments or frustrations create within you an urge to gamble?
Yes
No
19 . Did you ever have an urge to celebrate any good fortune by a few hours of gambling?
Yes
No
20 . Have you ever considered self-destruction or suicide as a result of your gambling?
Yes
No
Submit
