Gambling Questionnaire
Preview the Survey
Choose a Project
Added by
This brief questionnaire asks about some of the most commonly reported thoughts, feelings and behaviors among adults involved in recovery from problem gambling. Please think about the week and indicate how often each of the following occurred. This will help you and your therapist to plan your treatment and monitor your improvement.
Tags
Causes :
Health, Poverty, Vulnerable adults
Sub Causes :
Identity Ratio Sets :
Age , Age , Age , Gender (3 options), Gender (3 options), Gender (3 options)
Sub Ratios :
Similar Surveys
-
use this when evaluating (XYSZ c=kidn of project)
-
The Rosenberg Self-Esteem Scale is a 10-item self-report measure of global self-esteem....
-
This scale measures individual subjective feelings of loneliness and social isolation. ...
*Q1.
What’s been happening? Share a relaxed anecdote, case study or recent success.
*Q2.
Date the activity actually happened
Q3.
Location (Text)
*Q4.
Add attachments
*Q5.
Change update's privacy
Q6.
In the past week how often did you feel unhappy or sad? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q7.
In the past week how often did you have little or no energy? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q8.
In the past week how often did you have a hard time controlling your temper? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q9.
In the past week how often did you have someone express concerns about your alcohol or drug use? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q10.
In the past week how often did you feel worthless? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q11.
In the past week how often did you have thoughts of harming yourself? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q12.
In the past week how often did you fantasize about your problems disappearing? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q13.
In the past week how often did you feel tense or nervous? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q14.
In the past week how often did you wonder if you should cut back on your drug or alcohol use? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q15.
In the past week how often did you feel lonely? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q16.
In the past week how often did you have too little or too much sleep? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q17.
In the past week how often did you feel the need to gamble? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q18.
In the past week how often did you feel hopeless about the future? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q19.
In the past week how often did you feel lucky? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q20.
In the past week how often did you worry about money? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q21.
In the past week how often did you have someone express concern about your gambling? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Organisations using the survey
X
Close