Gambling, Gaming and Your Wellbeing Survey

Thank you for taking part in this gambling, gaming and wellbeing survey from Ara and PROJECT:TALK.

All information you provide will be kept PRIVATE and CONFIDENTIAL.

We provide free support, including practical advice and support, self exclusion support, relapse prevention groups and free counselling for gamers, gamblers and affected others. You can also make use of our Gambling Toolkit.

Reasons for contact

Are you... *
This is so that we know how best to help you
The reason(s) for my contact today *
Pick as many options as you like
For example, sports betting, online bingo, poker, gaming, trading etc.
How many years have you/they been gambling?

How gambling or gaming is impacting you

Have you bet more than you could really afford to lose? *
Have you needed to gamble/game with larger amounts of money to get the same feeling of excitement? *
When you gambled/gamed, did you go back another day to try to win back the money you lost? *
Have you borrowed money or sold anything to get money to gamble or game? *
Have you felt that you might have a problem with gambling or gaming? *
Has gambling or gaming caused you any health problems, including stress or anxiety? *
Have people told you that you had a gambling or gaming problem, regardless of whether or not you thought it was true? *
Has your gambling or gaming caused any financial problems for you or your household? *
Have you felt guilty about the way you gamble/game or what happens when you gamble/game? *

How are you feeling?

Your details and confidentiality agreement

We will only contact you with your consent
Gender *
Confidentiality Agreement
Confidentiality Agreement (see above to read) *

Other ways to get support