Gambling Questionnaire

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Gambling Questionnaire

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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 :

mental health

Identity Ratio Sets :

Age , Age , Age , Gender (3 options), Gender (3 options), Gender (3 options)

Sub Ratios :

Female, 18 - 25, Male, 25 - 40, Other, 40+

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Q6. In the past week how often did you feel unhappy or sad? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q7. In the past week how often did you have little or no energy? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q8. In the past week how often did you have a hard time controlling your temper? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q9. In the past week how often did you have someone express concerns about your alcohol or drug use? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q10. In the past week how often did you feel worthless? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q11. In the past week how often did you have thoughts of harming yourself? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q12. In the past week how often did you fantasize about your problems disappearing? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q13. In the past week how often did you feel tense or nervous? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q14. In the past week how often did you wonder if you should cut back on your drug or alcohol use? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q15. In the past week how often did you feel lonely? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q16. In the past week how often did you have too little or too much sleep? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q17. In the past week how often did you feel the need to gamble? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q18. In the past week how often did you feel hopeless about the future? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q19. In the past week how often did you feel lucky? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q20. In the past week how often did you worry about money? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q21. In the past week how often did you have someone express concern about your gambling? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

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