Post-Game Survey
Please fill out and submit this form only once after completion of the game.
It should take 3 minutes max.
Your data will be completely anonymous and participation is voluntary.
If you don't want your data to be used in the study, simply close out of the survey.
It would be very helpful if you did fill it out though!
Stage 1 ID (please do not change!) *
Stage 2 (please do not change!) *
Stage 3 (please do not change!) *
PLEASE NOTE: The next two questions are about the last 12 months.
Please include virtual gambling as well in your responses.
The point scale is:
0 Never.
1 Sometimes.
2 Most of the time.
3 Almost Always.
Have you bet more than you could really afford to lose? *
Never.
Almost Always.
Still thinking about the last 12 months, have you needed to gamble with larger amounts of money to get the same feeling of excitement? *
Never.
Almost Always.
When you gambled, did you go back another day to try to win back the money you lost? *
Never.
Almost Always.
Have you borrowed money or sold anything to get money to gamble? *
Never.
Almost Always.
Have you felt that you might have a problem with gambling? *
Never.
Almost Always.
Has gambling caused you any health problems, including stress or anxiety? *
Never.
Almost Always.
Have people criticized your betting or told you that you had a gambling problem, regardless of whether or not you thought it was true? *
Never.
Almost Always.
Has your gambling caused any financial problems for you or your household? *
Never.
Almost Always.
Have you felt guilty about the way you gamble or what happens when you gamble? *
Never.
Almost Always.
Submit
Never submit passwords through Google Forms.
This form was created inside of Holmdel Township Public Schools. Report Abuse