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... More

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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)

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Never Hardly ever Sometimes Often Very Often

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

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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)

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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)

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Never Hardly ever Sometimes Often Very Often

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

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Never Hardly ever Sometimes Often Very Often

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

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Never Hardly ever Sometimes Often Very Often

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

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Never Hardly ever Sometimes Often Very Often

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

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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)

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Never Hardly ever Sometimes Often Very Often

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

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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)

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Never Hardly ever Sometimes Often Very Often

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

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Never Hardly ever Sometimes Often Very Often

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

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Never Hardly ever Sometimes Often Very Often

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

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Never Hardly ever Sometimes Often Very Often

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

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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)

Actions

Never Hardly ever Sometimes Often Very Often

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