SELF-TEST
YES NO
1) Have you gambled or played for money more than six times in the last six months?

If YES, please answer the following questions:

During the last six months have you ......

2)...been preoccupied with gambling or been thinking how to get money to gamble?
3)...needed to gamble more and more money to get excited?
4)...tried to cut down or stop gambling but could not?
5)...felt restless or easily annoyed when you tried to cut down or stop gambling?

6)...gambled as a way of running away from personal problems or as a relief for uncomfortable feelings, like guilt, anxiety, depression, sadness?
7)...returned another day, after you had lost money, to try to win back your losses?
8)...lied to family members, friends or other important people in your life about your gambling problems?
9)...committed any illegal act to finance gambling?
10)...lost or almost lost an important relationship, job or a career or school opportunity because of your gambling?

11)...relied on others to pay your gambling debts or your bills because you were having financial problems caused by gambling?