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