Life on the wire

Hi, Ive been lurking this site for 3 - 4 years I usually post on tlpoker.la. Im currently studying psychology and Im making a research on the field of poker players for a homework. I want to ask for your help on filling out this questions please. Thank you very much

1. Stakes:
Lifetime playing:
Average monthly hours and hands:
Other income beside poker: __yes __no


2. What is the largest amount of money you have ever gambled with on any one-day?
______ Never Gambled ______ More than $100.00 up to $1,000
______ $ 1.00 or less ______ More than $1,000 up to $10,000
______ More than $1.00 up to $10.00 ______ More than $10,000
______ More than $10.00 up to 100.00
3. Check which of the following people in your life has (or had) a gambling problem.
_______ Father _______ Mother
_______ Brother/Sister _______ My spouse/partner
_______ My child(ren) _______ Another relative
_______ A Friend or someone important in my life
4. When you gamble, how often do you go back another day to win back money you have lost?
_______ Never _______ Most of the time
_______ Some of the time _______ Every time that I lose
(less than half of time I lose).
5. Have you ever claimed to be winning money gambling, but weren’t really? In fact you lost?
_______ Never
_______ Yes, less than half the time I lost
_______ Yes, most of the time
6. Do you feel you have ever had a problem with betting or money gambling?
_______ No _______ Yes _______ Yes, in the past, but not now.
7. Did you ever gamble more than you intended to?
_______ Yes _______No
8. Have people criticized your betting or told you that you had a problem, regardless of whether or not you thought it was true?
_______ Yes _______No
9. Have you ever felt guilty about the way you gamble, or what happens when you gamble?
_______ Yes _______No
10. Have you ever felt like you would like to stop betting money on gambling, but did not think that you could?
_______ Yes _______No
11. Have you ever hidden betting slips, lottery tickets, gambling money, IOUs, or other signs of betting or gambling from your spouse, children or other important people in your life?
_______ Yes _______No
12. Have you ever argued with people you live with over how you handle money
_______ Yes _______No
13. (If you answered "yes": to question 12) Have money arguments ever centered on your
gambling?
_______ Yes _______No
14. Have you ever borrowed from someone and not paid them back as a result of your gambling?
_______ Yes _______No
15. Have you ever lost time from work (or school) due to betting money or gambling?
_______ Yes _______No
16. If you borrowed money to gamble or to pay gambling debts, who or where did you borrow
from (check "Yes" or "No" for each):
a. From household money
_______ Yes _______No
b. From your spouse/partner
_______ Yes _______No
c. From relatives or in-laws
_______ Yes _______No
d. From banks, loan companies, or credit unions
_______ Yes _______No
e. From credit cards
_______ Yes _______No
f. From loan sharks
_______ Yes _______No
g. You cashed in stocks, bonds or other securities
_______ Yes _______No
h. You sold personal or family property
_______ Yes _______No
i. You borrowed on your checking accounts (passed bad checks)
_______ Yes _______No
j. You have (had) a credit line with a bookie
_______ Yes _______No
k. You have (had) a credit line with a casino
_______ Yes _______No .

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