Employee Assistance Programme

1. Do you always think gambling? *Select OptionYesNo

2. Do you use gambling to avoid personal problems? *Select OptionYesNo

3. Has your urge for gambling been directly related to your exposure to gambling at work? *Select OptionYesNo

4. Have you ever lied about your gambling behaviour to someone? *Select OptionYesNo

5. If you lost money when gambling, do you gamble more to recover the money you have lost? *Select OptionYesNo

6. Has gambling created problems in your life? (family, work, social life) *Select OptionYesNo

7. Have you ever tried to stop gambling? *Select OptionYesNo

8. Did you succeed to stop gamblingSelect OptionYesNo

9. How long did it take you to succeed? (1 week, 1 month, 6 months, more than 6 months)Select Option1 Week1 Month6 MonthsMore Than 6 Months

10. When you tried to stop gambling, did it affect your mood?Select OptionYesNo

11. Have you ever borrowed money to gamble?Select OptionYesNo

12. What is your age group *Select Option18 - 2526 - 37 38 - 50 51 and Above

13. What is your race? *Select OptionBlackColouredIndianWhite

14. What is your level of education *Select OptionNo MatricMatricTertiary

15. In which province are you employed? *Select OptionEastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern Cape

16. Which level of employee are you? *Select OptionGambling Floor EmployeeSupervisorManagerSenior Manager

Submit

If you have given more than 5 YES on question 1 to 11, you could be having a gambling disorder. For further assistance, kindly send us your number on our WhatsApp line 071 515 0429.

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