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This survey is for people 18 years and older.

Hello:

You are invited to participate in our Internet Gambling Survey. In this survey, approximately 30 people will be asked to complete a survey that asks questions about gambling. It will take approximately 5 minutes to complete the questionnaire.


Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.


Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Paul Burke at the email address specified below.


Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 

DEMOGRAPHIC INFORMATION
 
 
 
* Your zip code is:
   
 
 
 
* Your age is: (if under the age of 18, stop survey)
   
 
 
Your sex is:
female male
 
 
Circle the principal occupation(s) of the heads of your household. If dual career household, please check two:
 
Managerial
 
Professional
 
Skilled Labor
 
Ranching/Farming
 
Horse Trainer
 
Riding Instructor
 
Self-Employed
 
Teacher
 
Student
 
Retired
 
Disabled
 
Homemaker
 
Other
 

 
 
Highest level of education you have completed:
 
 
Approximately, what is your household's total annual income?
 
 

GAMBLING
 
 
Have you participated in established gambling activities NOT on the Internet?
yes no
 
 
Would you consider yourself a gambler?
yes no
 
 
Where have you gambled before? Please check all that apply:
 
Racetrack
 
Riverboat Casino
 
Casino
 
Charitable function (includes Church)
 
Other
 

 
 
How often do you gamble at the location(s) checked above?
1-3 times a week 1-3 times a month 1-3 times a year Do not participate
 
 
Approximately, how much do you spend annually on gambling activities NOT on the Internet?
less than $100 $101 - $250 $251 - $500 $501 - $1,000 more than $1,000
 
 
Do you have Internet access?
yes no
 
 
What is your level of Internet use?
low medium high
 
 
Have you heard of gambling on the Internet?
yes no
 
 
Where did you first learn about gambling on the Internet
 
 
Have you gambled on the Internet
yes no
 
 
What type of Internet Gambling have you participated in? Please check all that apply:
 
Poker
 
Sports
 
Thoroughbred Racing
 
Other Casino Games (not including poker)
 
Other
 

 
 
How often do you gamble on the Internet?
1-3 times a week 1-3 times a month 1-3 times a year Do not participate
 
 
Approximately, how much do you spend annually on Internet Gambling?
less than $100 $101 - $250 $251 - $500 $501 - $1,000 more than $1,000
 
 
Please rate your overall experience for the following gambling activities. (Please only rate the ones you have particpiated in.)
Excellent Good Fair Poor
Racetrack
Riverboat Casinos
Casinos
Charitable Function
Internet Gambling
 
 
 
Finish this phrase: "I have been gambling for ______ years."
   
 
 

Which type of gambling do you prefer:
Internet Non-Internet
 
 
 
Thank you for completing this survey. Please use this space for any comments you would like to make.
   
 
Please contact [email protected] if you have any questions regarding this survey.
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