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SOUTH OAKS GAMBLING SCREEN (SOGS)
this is a very old screen but it is valid, it is dated. The author has given permission to me to publish this but I can not make any changes to any of the wording)
1. Please indicate which of the following types of gambling you have done in your lifetime. For each type, mark one answer: "Not at All," "Less than Once a Week", or "Once a Week or More."
a. Played cards for money
Not at All Less than Once a Week Once a Week or More
b. Bet on horses, dogs, or other animals (at OTB, the track, or with a bookie).
Not at All Less than Once a Week Once a Week or More
c. Bet on sports (parlay cards, with bookie, Jai alai etc).
Not at All Less than Once a Week Once a Week or More
d. Played dice games, including craps, over and under or other dice games.
Not at All Less than Once a Week Once a Week or More
e. Went to casinos (legal or otherwise).
Not at All Less than Once a Week Once a Week or More
f. Played the numbers or bet on lotteries.
Not at All Less than Once a Week Once a Week or More
g. Played bingo.
Not at All Less than Once a Week Once a Week or More
h. Played the stock and/or commodities market.
Not at All Less than Once a Week Once a Week or More
i. Played slot machines, poker machines, or other gambling machines.
Not at All Less than Once a Week Once a Week or More
j. Bowled, shot pool, played golf, or some other game of skill for money.
Not at All Less than Once a Week Once a Week or More
k. Played pull tabs or "paper" games other than lotteries.
Not at All Less than Once a Week Once a Week or More
l. Some form of gambling not listed above (please specify):
Not at All Less than Once a Week Once a Week or More
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
The SOGS may be reproduced as long as the language is used as printed and the scored items are not revised without permission of the author. The SOGS has been provided here with the express permission of its owner and author.
Copyright, South Oaks Foundation, 1992. reprinted with permission.
Copyright 2011 Dr. Eric Geffner's Gambling Treatment Program. All rights reserved.
ph: 310-446-3887
drgeff