Asks

"In the past 12 months how often …

--have you needed to gamble with larger amounts of money to get the same feeling of excitement?

--have you gone back another to try and win back the money you lost?

--have you borrowed money or sold anything to get money to gamble?

---have you felt that you might have a problem with gambling?

--have you felt that gambling has caused you any health problems, including stress or anxiety?

--have people criticized your betting or told you that you have a gambling problem, whether or not you thought it is true?

--have you felt your gambling has caused financial problems for you or your household?

--have you felt guilty about the way you gamble or what happens when you gamble?"