1. Do your friends gamble a lot? Yes No

2. Do you gamble at school? Yes No

3. Have you ever stayed away from school or work to gamble? Yes No

4. Do you feel now that gambling is more important than school or work? Yes No

5. Do you often spend your free time involved in gambling activities such as poker, sports betting, dice, etc.? Yes No

6. Do you find gambling to be the most exciting activity you do? Yes No

7. When you are gambling, do you lose track of time and forget about everything else? Yes No

8. Do you often daydream about gambling? Yes No

9. Do you feel your friends are envious of you when you win and that you get extra attention because of gambling? Yes No

10. When you do win, do you want to return as soon as possible because you believe you are on a "winning streak"? Yes No

11. When you lose, do you feel you must play as soon as possible to win back your losses? Yes No

12. Do you often gamble with money you originally intended to use for other things like lunch, bus money, clothing, CD’s, etc.? Yes No

13. Do you ever "borrow" money from someone without asking in order to gamble? Yes No

14. Have you ever sold a favorite possession or something very special to you to get money to gamble or to pay a gambling debt? Yes No

15. Do you try to prevent your family and friends from knowing how often and how much you gamble? Yes No

16. Do you ever lie about your gambling (e.g. telling people that you did not gamble, or that you had won when in fact you had lost? Yes No

17. Do you get into arguments with your family or friends because of gambling? Yes No

18. Do you lose sleep or feel guilty because you have lost money gambling? Yes No

19. Have you ever thought of suicide as a way of solving your problems? Yes No

20. Does one or both of your parents do a lot of gambling? Yes No