Name: Gender:
Age:
1.
What is your stand in Gambling?
Pro__ Anti__
2.
Are you a Gambler?
Yes ___ No___
3.
Do you have friends who are Gamblers?
Yes__ No__
4.
How many of your friends, who are engaged in
Gambling?
1-3
___
4-7
___
8-12 ___
More than 13 ____
None of them ____
5.
Do you believe that there’s a cheat in Gambling?
Yes____ No____
6.
Do you want to stop yourselves into Gambling
Addiction?
Yes___ No____
7.
What particular game are you playing?
Cards ___
Mahjong ___
Dice ___
Karera ___
Sabong ___
Sports ___
Others please specify ___
8.
Did you ever encounter problems caused by
Gambling? Yes or no? What are these?
9.
What advices or suggestions you can give to
Compulsive Gamblers?
10.
Do you think that Filipinos are more prone to
Gambling compare to other nationality?Why?
Checked!
TumugonBurahinSurvey: 9/10