Please fill in all fields, and finally click on "send"
Has one or more of the following occurred in the last twelve (12) months:
    • never
    • sometimes
    • most of the times
    • almost always
    • Borrow money or sell something to get money to play
    • Has gambling caused financial problems to you or your household
    • Has gambling caused you any health problems, including stress or other anxiety
    • Do other people judge you for gambling or tell you that you have a problem with gambling, whether you agree or not
    • Play more than you could afford to lose
    • Feel that you may have a problem with gambling
    • Do you need to gamble more and more money to be able to feel the same excitement as before
    • Feeling guilty about the way you play or what happens when you play
    • After playing, come back to try to make up for the money you lost