Form: Problem Gambling Severity Index, PGSI

1 – Never
2 – Sometimes
3 – Most of the time
4 – Always
¹
1
2
3
4
1
Have you bet more than you could really afford to lose?
2
Have you needed to gamble with larger amounts of money to get the same feeling of excitement?
3
Have you gone back on another day to try to win back the money you lost?
4
Have you borrowed money or sold anything to gamble?
5
Have you felt that you might have a problem with gambling?
6
Have people criticised your betting or told you that you had a gambling problem, whether or not you thought it was true?
7
Have you felt guilty about the way you gamble or what happens when you gamble?
8
Has gambling caused you any health problems, including stress or anxiety?
9
Has your gambling caused any financial problems for you or your household?

The presented answer sheet is not an original form and is not intended for printing or use as a handout.

The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.