Friday, April 18, 2014
1-800-522-4700 24 Hour Confidential Hotline
banners_NCPG-Ad-New.jpg
The National Council on Problem Gambling
730 11th St, NW, Ste 601
Washington, DC 20001
Phone 202.547.9204
Fax 202.547.9206
NORC Diagnostic Screen for Gambling Problems-Self Administered (NODS-SA)
The screen below provides a simple self test to evaluate your gambling behavior. It is important to note that this self test is not a diagnosis and DOES NOT replace a face to face evaluation with a trained clinical professional. All information is kept strictly confidential. Your answers may be analyzed statistically for research purposes only.


Email address *
 
 
Have there ever been periods lasting 2 weeks or longer when you spent a lot of time thinking about your gambling experiences, planning out future gambling ventures or bets, or thinking about ways of getting money to gamble with? *
    Yes
No
 
Have there ever been periods when you needed to gamble with increasing amounts of money or with larger bets than before in order to get the same feeling of excitement? *
    Yes
No
 
Have you ever felt restless or irritable when trying to stop, cut down, or control your gambling? *
    Yes
No
 
Have you tried and not succeeded in stopping, cutting down, or controlling your gambling three or more times in your life? *
    Yes
No
 
Have you ever gambled to escape from personal problems, or to relieve uncomfortable feelings such as guilt, anxiety, helplessness, or depression? *
    Yes
No
 
Has there ever been a period when, if you lost money gambling one day, you would often return another day to get even? *
    Yes
No
 
Have you lied to family members, friends, or others about how much you gamble, and/or about how much money you lost on gambling, on at least three occasions? *
    Yes
No
 
Have you ever written a bad check or taken money that didn't belong to you from family members, friends, or anyone else in order to pay for your gambling? *
    Yes
No
 
Has your gambling ever caused serious or repeated problems in your relationships with any of your family members or friends? Or, has your gambling ever caused you problems at work or at school? *
    Yes
No
 
Have you ever needed to ask family members, friends, a lending institution, or anyone else to loan you money or otherwise bail you out of a desperate money situation that was largely caused by your gambling? *
    Yes
No
 
Demographic Questionnaire Please provide some basic information about yourself. Again, all information you provide is kept strictly confidential and is used only for research purposes. What is your age? *
   
 
What is your gender?
    Male
Female
 
What is your race/ethnicity?
   
 
Do you gamble on:
    Nothing
Bingo
Card Games
Dice Games
Lottery
Racing
Slots/VLT's
Sports Betting
 
Have you gambled at work or school?
    Yes
No
 
Ever use the internet to gamble?
    Yes
No