Thank you for choosing to participate in this anonymous confidential survey. After you have completed the survey you will be directed to another link to enter into the raffle. This will ensure that your answers cannot be matched to your name. The information collected from this survey will be used to promote a healthy campus environment!

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1. Do you think the typical Sacred Heart University student has had problems with betting money or gambling?

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2. Have you had problems with betting money or gambling?

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3. Do you think the typical Sacred Heart University student has gambled more than s/he intended to?

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4. Have you gambled more than you intended to?

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5. Do you think the typical Sacred Heart University student has ever felt guilty about the way s/he gambled or about the consequences of her/his gambling?

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6. Have you ever felt guilty about the way you gambled or about the consequences of your gambling?

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7. Do you think there are Sacred Heart university students who would like to stop betting money or gambling but can't?

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8. Have you ever felt like you would like to stop betting money or gambling but didn't think you could?

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9. Do you think it is common for Sacred Heart University students to lose time from school or work due to gambling?

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10. Have you ever lost time from school or work due to your gambling?

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11. To what extent do you think students on this campus are RESPONSIBLE about the following?

  Very Low Responsibility Low Moderate High Very High Responsibility
Gambling
Alcohol
Marijuana
Other drugs
Sex
Exercise
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12. To what extent are you RESPONSIBLE about the following?

  Very Low Responsibility Low Moderate High Very High Responsibility
Gambling
Alcohol
Marijuana
Other drugs
Sex
Exercise
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13. Have you ever heard Sacred Heart University students talking about playing poker?

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14. Have you observed Sacred Heart University students playing poker?

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15. Do you ever play poker?

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16. Have you observed Sacred Heart University students gambling on the internet?

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17. Do you ever gamble on the internet?

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18. How often do you think Sacred Heart University students go back another day to win back money s/he has lost?

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19. How often do you go back another day to win back money you have lost?

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20. Have people criticized your betting or told you that you had a gambling problem, regardless of whether or not you thought it was true?

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21. How willing are you to confront a fellow student with gambling problem?

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22. Do you know if Sacred Heart University has a student gambling policy?

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23. Would you like to know more about problem gambling, its consequences, and its prevention?

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24. Age?

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25. Gender?

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26. Grade Level?

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27. Major?

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28. Ethnicity?

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29. Athlete?

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30. Estimate of GPA?

Sacred Heart University would like to thank the Connecticut Council on Problem Gambling for funding a grant to provide this survey to our campus. For those interested in additional information please call the help line at 1-800-34NOBET (1-800-346-6238) or visit www.ccpg.org.