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Gambled to escape problems, to relieve feeling helpless, guilt, or anxiety
 Nearly every day More than half the days Several days Not at all

Little or no interest in doing things.
 Nearly every day More than half the days Several days Not at all

Feeling down, depressed, or hopeless?
 Nearly every day More than half the days Several days Not at all

Committed illegal acts such as theft, forgery, or embezzement to finance gambling.
 Nearly every day More than half the days Several days Not at all

Trouble falling asleep, staying asleep, or sleeping too much
 Nearly every day More than half the days Several days Not at all

Jeopardized or lost a significant relationship, job/educational/career opportunity because of gambling.
 Nearly every day More than half the days Several days Not at all

Feeling tired or having little energy
 Nearly every day More than half the days Several days Not at all

Relied on others for money to relieve a desperate gambling financial situation.
 Nearly every day More than half the days Several days Not at all

Poor appetite or overeating.
 Nearly every day More than half the days Several days Not at all

Gambling after losing money to get even.
 Nearly every day More than half the days Several days Not at all

Feeling bad about myself, feeling that I am a failure, or feeling that I have let myself down.
 Nearly every day More than half the days Several days Not at all

Felt restless or irrtable when attempting to cut down or stop gambling.
 Nearly every day More than half the days Several days Not at all

Preoccupied with gambling.
 Nearly every day More than half the days Several days Not at all

Moving or speaking so slowly that other people could have noticed. Or being so fidgety or restless that I have been around a lot.
 Nearly every day More than half the days Several days Not at all

Had to gamble increasing amount of money to achieve desired excitement.
 Nearly every day More than half the days Several days Not at all

Trouble concentrating on things such as reading the newspaper or watching television.
 Nearly every day More than half the days Several days Not at all

Unable to meet minimum monthly loan or credit card payments.
 Nearly every day More than half the days Several days Not at all

Have sold or pawned items to get gambling money.
 Nearly every day More than half the days Several days Not at all

Continued gambling despite knowledge of persistent or recurrent physical or psychological problems caused or exacerbated by gambling.
 Nearly every day More than half the days Several days Not at all

Thinking that I would be better off dead or that I want to hurt myself in some way.
 Nearly every day More than half the days Several days Not at all

If you checked off any problem on this questionaire so far, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?