Gambling Community Survey

The Department of Mental Health and Addiction Services, Problem Gambling Services (PGS) and their community partners would appreciate your assistance with this anonymous survey on gambling behaviors. This information will help understand the need for raising awareness about problem gambling and the need for more resources.

Within this survey, there is a series of questions that will help you understand your level of risk related to problem gambling.

This survey should take approximately 5 minutes to complete. Responses will be completely anonymous and your name will not appear anywhere on the survey. Your participation does not impact your ability to access DMHAS services. Thank you and we appreciate your help.

If you are under the age of 18 and don't have parental consent or approval, please do not complete the survey.

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* 1. What town/city do you live in?

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* 2. At what type of event did you access this survey today?

College or University Event

Community Event (e.g., Farmer's Market, Sports, PRIDE, Health Fair etc.)

High School Event

RBHAO Event (Catalyst CT- The Hub, Alliance for Prevention and Wellness, SERAC, Amplify, Western CT Coalition)

Recovery Awareness/Advocacy

Veteran's or Military Personnel Support/Advocacy

Department of Corrections (DOC)

Another type of event not listed

I am not sure

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* 3. What is your age today?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 4. Which best describes your gender?

Female/Woman

Male/Man

Non-binary or Genderqueer

Transgender man/ trans man/ female-to-male (FTM)

Transgender woman/ trans woman/ male-to-female (MTF)

Agender

Unsure

I prefer not to say

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* 5. What is your sexual orientation?

Asexual

Bisexual

Gay or Lesbian

Heterosexual/Straight

Pansexual

Queer

Unsure

None of the above

Prefer not to say

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* 6. Race/Ethnicity (Select all that apply):

American Indian or Alaska Native

Asian

Black or African American

Hispanic/Latino/Latina

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

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* 7. Do any of the following apply to you?

College Student

Law Enforcement

EMS or Firefighter

Active Military or Veteran

Department of Corrections (DOC) Staff

Currently or formerly incarcerated

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* 8. Do you identify as...

Person with a history of a mental health disorder

Person with a history of a substance use disorder

Person with a disability

None of the above