Washington Drug & Alcohol Commission, Inc. is assessing the scope of “problem gambling” in Washington County in order to develop strategies that might be effective in addressing this hidden problem in our community. We would like to have as many people as possible complete this short survey about gambling related activity. Your response to the survey is completely anonymous and will be combined with a large number of other responses to provide us with a picture of the overall types of gambling activity in Washington County.
 
Your survey responses will be very useful as WDAC continues to address issues related to problem gambling in Washington County.
Thank you so much for taking time to help us by completing this survey.

What is your current age?

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* 1. What is your current age?

What is your gender?

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* 2. What is your gender?

In which school district do you currently live?

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* 3. In which school district do you currently live?

Are you currently a student?

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* 4. Are you currently a student?

Your employment status?

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* 5. Your employment status?

Please check all of the following that apply to you.

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* 6. Please check all of the following that apply to you.

What is your preferred type of gambling activity?
Check all that apply.

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* 7. What is your preferred type of gambling activity?
Check all that apply.

Based on your experience or what you have heard from others,  how do you think youth under the age of 18 yrs. most often acquire lottery scratch-off tickets and/or play the numbers?
Check all that apply. 

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* 8. Based on your experience or what you have heard from others,  how do you think youth under the age of 18 yrs. most often acquire lottery scratch-off tickets and/or play the numbers?
Check all that apply. 

Have you ever felt the need to bet/gamble more and more money?

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* 9. Have you ever felt the need to bet/gamble more and more money?

Have you ever lied to people about how much money you bet/gamble?

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* 10. Have you ever lied to people about how much money you bet/gamble?

Have you ever borrowed money, stolen money, or used credit to bet/gamble?

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* 11. Have you ever borrowed money, stolen money, or used credit to bet/gamble?

Have you ever felt guilty about the way you bet/gamble or what happens when you bet/gamble?

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* 12. Have you ever felt guilty about the way you bet/gamble or what happens when you bet/gamble?

Do you know someone other than yourself who you think may have a problem with gambling?

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* 13. Do you know someone other than yourself who you think may have a problem with gambling?

Have you been personally affected by the gambling behavior of someone else in any of the following ways?
Check all that apply.

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* 14. Have you been personally affected by the gambling behavior of someone else in any of the following ways?
Check all that apply.

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