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Gambling harms assessment

Who are you completing this for?
We need this information so we can ask you the right questions and show you relevant advice.

Have you felt worried about your gambling?

Feeling worried is common — and noticing it is a positive first step.

Has your gambling caused you any difficulties?

This could include your finances, relationships, health or how you feel.

Please specify which difficulties
Please specify which difficulties

Do you feel the need to gamble more money over time?

This can happen gradually and be hard to notice.

Have you ever gambled with more than you could afford to lose?

This could mean spending money you needed for other things.

Have you ever tried to win back money you've lost gambling?

This might mean trying to win back money later the same day or another time.

Have you ever hidden anything about your gambling?

For example, hiding how much you’ve spent or how often you gamble.

Could you tell us a little bit about you?

All fields are optional, and all information is anonymous.

All fields are optional, and all information is anonymous. Why are we asking this?

Personal Information

How old is the person who gambles?
We need to know this information so that we can provide you the right support.

Do you ever feel worried about their gambling?
If you're feeling worried, you're not alone. This is a good first step to getting support.

Is their gambling causing you any difficulties?
For example relationship, financial or health difficulties.
Please specify which difficulties
Please specify which difficulties

Do you feel they're gambling with more than they can afford to lose?
This could mean they have gambled more money than they have, causing themselves to have debt.

Do you feel they have a negative relationship with gambling?
A negative relationship with gambling might include spending lots of time and money gambling or feeling guilty, anxious, or irritable.

Could you tell us a little bit about you?

All fields are optional, and all information is anonymous.

All fields are optional, and all information is anonymous. Why are we asking this?

Personal Information

All answers provided are anonymous

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