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Final NO RTH DAKOTA STATEWI DE GAM BL IN G BE HAV IOR O PI NIO NS AND NEED S AS SESS MEN T W IN TER 2 016 2017 A STUDY O F GAM B LIN G AN D PRO BLEM GAMB L IN G IN NORTH DAKOTA Conducted on behalf of the North Dakota Department of Human Services Behavioral Health Division Principal Investigator Philip S Kopel MA Research Data Management and Evaluation Director Mass Council on Compulsive Gambling Tiffany Tran BS CDC Fellow Prevention Specialist Mass Council on Compulsive Gambling
Final  NO RTH DAKOTA STATEWI DE GAM BL IN G BE HAV IOR, O PI NIO NS AND NEED S AS SESS MEN T W IN TER 2 016 -2017 A STUDY ...
Contents FIGURES 3 ABSTRACT 4 ACKNOWLEDGEMENTS 5 FUNDERS 5 REVIEWERS 5 PRINCIPAL INVESTIGATOR 5 RESEARCH ASSISTANT 5 INTRODUCTION 6 BACKGROUND ON NORTH DAKOTA GAMBLING 6 METHODOLOGY AND LIMITATIONS 7 DSM 5 PROBLEM GAMBLING DIAGNOSTIC CRITERIA 10 PGSI PROBLEM GAMBLING SEVERITY INDEX 10 NORTH DAKOTA GAMBLING ANALYSIS 12 NATIVE AMERICANS 14 GAMBLING ACTIVITIES 14 LOTTERY EXPENDITURE IN NORTH DAKOTA 17 CO OCCURRING DISORDERS 20 SOUGHT TREATMENT 21 PROBLEM GAMBLING SERVICES IN NORTH DAKOTA 22 REASONS WHY YOU GAMBLE 23 HIGH RISK AND NEGATIVE BEHAVIOR 24 GAMBLING PERCEPTION IN NORTH DAKOTA 25 THOUGHTS ON PROBLEM IN NORTH DAKOTA 26 CONCLUSION 26 2 Page
Contents  FIGURES ...........................................................................................................
Figures Figure 2 List of Casinos 6 Figure 1 Map of Casinos 6 Figure 3 Age and Gender Demographic Weighting 7 Figure 4 Household Income 8 Figure 5 Race Ethnic Population 8 Figure 6 Population and Survey Percentage by County 9 Figure 7 DSM 5 and PGSI Cross tabulation 12 Figure 8 Categorization of Gambler Types by Gender 13 Figure 9 Categorization of Gambler Types by Age Groups 13 Figure 10 Native Americans and Gambling 14 Figure 11 Percentage who have Gambled in the Past 12 Months 14 Figure 12 Gambling Activity and Frequency in the Past 12 Months 15 Figure 13 Annual Gambling Expenditure Adult in North Dakota 16 Figure 14 Locations Where Players Play Each Game Type 17 Figure 15 Percent of Adults that Play the Lottery 17 Figure 16 Multiple Lottery Games Played 18 Figure 17 Lottery Sales FY15 and FY16 18 Figure 18 Lottery Expenditure using Survey Calculations 19 Figure 19 Co occurring Disorders 20 Figure 20 Percentage of those aware of a problem that sought treatment 21 Figure 21 Problem Gambling Services Awareness 22 Figure 22 Reasons for Gambling 23 Figure 23 Personal Behavior 24 Figure 24 Perception of Gambling in North Dakota 25 Figure 25 Problem Gambling Perception in North Dakota 26 3 Page
Figures  Figure 2     List of Casinos........................................................................................
Abstract The purpose of this research study is to provide information about the extent of gambling behaviors opinions and treatment needs among North Dakotans in relation to legal and illegal gambling activities and problem gambling issues This study was conducted as an RDD telephone survey of 500 North Dakota adults conducted by Survey Sampling International SSI The sample simulates a representative sample demographically and geographically to that of the State of North Dakota The study utilizes two gambling disorder screens the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM 5 and the Problem Gambling Severity Index PGSI a validated nine question screen created by the Centre for Addiction and Mental Health CAMH in Toronto Canada The survey indicated that males are more likely to have gambling problems than females Also those with cooccurring disorders those experiencing depression and those with emptiness in their lives perhaps without hobbies or social support appear more likely to have gambling problems Almost 90 of North Dakota residents recognize that problem gambling is a serious problem that affects people of all ages races and economic backgrounds Based on the survey results 36 of all 18 North Dakota residents have gambled on any activity in the past 12 months and 0 6 of adults were defined in this survey as having a Gambling Disorder About 4 of North Dakotans are likely to exhibit gambling behavior beyond social gambling combined Sub Clinical and Gambling Disorder Those more likely to experience gambling problems are Men Native Americans those experiencing problems with tobacco and alcohol and those experiencing depression and or feeling dissatisfied with life 4 Page
Abstract  The purpose of this research study is to provide information about the extent of gambling behaviors, opinions, a...
Acknowledgements Funders Thank you to the North Dakota Department of Human Services Behavioral Health Division Lacresha Graham Problem Gambling Behavioral Health Administrator Reviewers Thank you to the following for your insight and review of this study Nathan Smith ALM Program Officer National Center for Responsible Gaming Marlene Warner MA Executive Director Massachusetts Council on Compulsive Gambling Krystle Kelly Director of Communications and Development Massachusetts Council on Compulsive Gambling Principal Investigator Philip S Kopel MA Research Data Management and Evaluation Director for the Massachusetts Council on Compulsive Gambling Research Assistant 5 Page Tiffany Tran BS CDC Fellow Prevention Specialist Mass Council on Compulsive Gambling
Acknowledgements Funders  Thank you to the North Dakota Department of Human Services   Behavioral Health Division      Lac...
Introduction This needs assessment study was conducted as a representative random telephone survey among 500 North Dakota adults with the main purpose of providing baseline information about current gambling behaviors activities and attitudes in the State of North Dakota The information gleaned from this study can be used as a framework to develop a strategic approach to identifying and addressing problem gambling issues These include the development of outreach activities and prevention and treatment programs in North Dakota Background on North Dakota Gambling Figure 2 Map of Casinos This map illustrates tribal casinos red and commercial casinos blue corresponds to Figure 2 Map A B C D E F G H I J K L M N O Name 4 Bears Casino and Lodge Blue Wolf Casino Charlie Brown s Casino Dakota Magic Casino DK s Lounge and Casino El Roco Grain Hopper Grand Treasure Casino King Pin Casino Lucky Strike Lounge and Casino Nickle s Lounge Casino Prairie Knights Casino Resort Sky Dancer Casino Resort Southgate Casino Bar Grill Spirit Lake Casino Resort Figure 1 List of Casinos 6 Page Address 202 Frontage Rd 3402 Interstate Blvd S 414 Gateway Dr 16849 102nd St 2402 1st Ave 1730 13th Ave N 2 2212 Valley St 4418 147th Ave NW 2630 S University Dr 1901 N Broadway 800 S 3rd St 7932 Hwy 24 3965 Sky Dancer Way 2525 S Washington St 7889 Highway 57 City New Town Fargo Grand Forks South East Hankinson West Williston Grand Forks Minot Trenton Fargo Minot Bismarck Ft Yates North East Belcourt Grand Forks St Michael State ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND Zip 58763 58103 58201 58041 58801 58203 58701 58553 58103 58703 58504 58538 58316 58201 58370 Type Tribal Non Non Tribal Non Non Non Tribal Non Non Non Tribal Tribal Non Tribal Owners Three Affiliated Tribes Fort Berthold Reservation Plain Arts Museum Development Homes Sisseton Wahpeton Oyate Tribe Williston State College Foundation Development Homes Inc North Dakota Association for the Disabled Turtle Mountain Band of Chippewa Indians Plains Art Museum Minot Junior Golf Association Bismarck Mandan Convention Visitors Bureau Standing Rock Sioux Tribe Turtle Mountain Chippewa North Dakota Association for the Disabled Spirit Lake Tribe
Introduction  This needs assessment study was conducted as a representative random telephone survey among 500 North Dakota...
North Dakota offers approximately 9 commercially run casinos and 6 tribal casinos Additionally the state Racing Commission licenses Chippewa Downs in Belcourt and North Dakota Horse Park in Fargo Other legal gambling activities available to residents in North Dakota include Bingo Pull Tabs Raffles Pig Wheel and the State Lottery Gambling activities that are illegal in North Dakota include Sports Pool Daily Fantasy Sports Internet Casinos and Office Pools Methodology and Limitations This study was conducted as a telephone survey of 500 North Dakota adults Interviewers utilized a blended Random Digit Dial landline and cellphone sample demographically and geographically representative to that of North Dakota The interviewers and sample were provided by Survey Sampling International SSI Study Parameters A total of 325 landline questionnaires were completed from a statewide sample of 15 275 landline records and 175 wireless questionnaires were completed from a statewide sample of 8 750 wireless records The telephone fielding took place from January 27 2017 through February 1 2017 To ensure a demographically representative sample to that of the total adult population several criteria and quotas were established as follows As of 2016 the total population in North Dakota was 757 952 residents United Stated Census Bureau of whom 473 536 were 18 years and older Figure 3 shows the 18 year and older adult population categorized into 6 unique age gender demographic cells Demographics TOTAL 18 Male 18 34 35 64 65 Female 18 34 35 64 65 ND Adult Population 473 536 100 249 730 53 81 812 17 127 386 27 40 532 9 223 806 47 74 681 16 98 512 21 50 613 11 Unweighted Sample 499 241 64 135 42 258 61 146 51 100 48 13 27 8 52 12 29 10 Weighted Sample 502 247 83 122 42 255 73 131 51 100 49 17 24 8 51 15 26 10 Figure 3 Age and Gender Demographic Weighting 7 Page The unweighted sample shows the actual number of respondents who completed the survey for each demographic category There was some flexibility allowed during the calls and then a weighting was calculated into the analysis to achieve a somewhat better demographic representation by age groups and gender
North Dakota offers approximately 9 commercially run casinos and 6 tribal casinos.  Additionally, the state Racing Commiss...
Figure 4 shows the annual household income distribution as collected in the 2015 U S Census in comparison with the percentage distribution from those answering this question in the survey The results appear to be very consistent Annual Houshold Income Population Survey Less than 10K 6 6 10K to 14K 5 5 15K to 49K 33 31 50 to 74K 19 22 75 37 36 Source 2015 US Census Note Base does not include those refused Figure 4 Household Income Figure 5 shows the race ethnicity distribution as collected in the 2015 U S Census in comparison with the percentage distribution from those answering this question in the survey Race Ethnicity Population US Census White alone not Hispanic or Latino 86 Black or African American 2 American Indian and Alaska Native 6 Asian 1 Hispanic or Latino 4 Multi racial Source 2015 US Census July 2015 data Survey 93 1 3 0 1 2 Figure 5 Race Ethnic Population 8 Page The survey question provided a variety of single response options so the survey totals to 100 of the respondents Respondents could check a box indicating that they were Multi racial but that may imply that they could also fit into more than one of the race ethnicity categories
Figure 4 shows the annual household income distribution as collected in the 2015 U.S. Census in comparison with the percen...
Figure 6 below shows the geographic breakdown of the County population percentage and the percent of total surveys completed from each County County Cass Burleigh Grand Forks Ward Morton Stark Williams Stutsman Richland Rolette Ramsey Walsh Barnes McLean Mercer Traill Mountrail Pembina Benson Bottineau McKenzie Ransom McHenry Dickey Pierce Wells Pop 149 778 81 308 66 861 61 675 27 471 24 199 22 398 21 100 16 321 13 937 11 451 11 119 11 066 8 962 8 424 8 121 7 673 7 413 6 660 6 429 6 360 5 457 5 395 5 289 4 357 4 207 Pop 22 3 12 1 10 0 9 2 4 1 3 6 3 3 3 1 2 4 2 1 1 7 1 7 1 7 1 3 1 3 1 2 1 1 1 1 1 0 1 0 0 9 0 8 0 8 0 8 0 7 0 6 Survey 13 7 12 1 6 1 9 4 4 5 2 9 5 8 3 0 1 5 1 4 1 9 1 8 0 8 2 3 1 6 1 3 1 3 2 1 0 2 0 7 1 5 0 8 1 7 1 7 1 0 1 4 County Sioux LaMoure Cavalier Sargent Emmons Dunn Foster Bowman Nelson McIntosh Hettinger Renville Kidder Griggs Grant Eddy Towner Divide Logan Steele Burke Oliver Golden Valley Sheridan Billings Slope Pop 4 153 4 139 3 993 3 829 3 550 3 536 3 343 3 151 3 126 2 809 2 477 2 470 2 435 2 420 2 394 2 385 2 246 2 071 1 990 1 975 1 968 1 846 1 680 1 321 783 727 Pop 0 6 0 6 0 6 0 6 0 5 0 5 0 5 0 5 0 5 0 4 0 4 0 4 0 4 0 4 0 4 0 4 0 3 0 3 0 3 0 3 0 3 0 3 0 3 0 2 0 1 0 1 Survey 0 4 1 8 2 2 0 4 0 8 1 3 0 6 0 4 0 4 0 9 0 4 0 6 0 8 0 2 0 9 0 3 0 4 0 2 0 4 0 4 1 7 0 6 0 6 0 4 0 2 0 0 Figure 6 Population and Survey Percentage by County Surveys were collected from almost all of the 53 counties throughout North Dakota in a comparatively direct representation to that of the actual population percentages to the State Survey Limitations 9 Page The geo demographics of the sample was designed to be as accurate as possible to the population and distribution to the State within the limitation that the total sample size is 500 adults A sample size of 500 has a margin of error of no more than 4 38 at 95 confidence level Further upon slicing the total sample into smaller sub populations the margin of error increases providing limitations on analysis
Figure 6  below  shows the geographic breakdown of the County population percentage and the percent of total surveys compl...
DSM 5 Problem Gambling Diagnostic Criteria This survey utilizes the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM 5 problem gambling diagnostic criteria section 312 31 to determine levels of problem gambling in North Dakota The DSM 5 asks those who have gambled in the past 12 months if they have exhibited up to 9 gambling issues See questionnaire Q40a Q40i and to diagnose whether he she has a persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress as indicated by the individual exhibiting four or more of the following in a 12 month period a Needs to gamble with increasing amounts of money in order to achieve the desired excitement b Is restless or irritable when attempting to cut down or stop gambling c Has made repeated unsuccessful efforts to control cut back or stop gambling d Is often preoccupied with gambling e g having persistent thoughts of reliving past gambling experiences handicapping or planning the next venture thinking of ways to get money with which to gamble e Often gambles when feeling distressed e g helpless guilty anxious depressed f After losing money gambling often returns another day to get even chasing one s losses g Lies to conceal the extent of involvement with gambling h Has jeopardized or lost a significant relationship job or educational or career opportunity because of gambling i Relies on others to provide money to relieve desperate financial situations caused by gambling Those who have indicated yes to 4 or more of the criteria are considered to have a Gambling Disorder DSM 5 further breaks down the gambling disorder as Mild 4 5 Moderate 6 7 or Severe 8 9 criteria met Given the small number of respondents in this sample with a gambling disorder the report does not break out those with a clinical gambling disorder into levels of severity DSM 5 does not specifically address the categorization of those answering yes to fewer than 4 of the DSM 5 criteria However based on this research and other published research we are using DSM 5 to present the entire gambler spectrum and have further defined gambler types as follows For those having gambled in the past 12 months and answering 0 to all 9 questions they are being defined as Social Gamblers since they have no gambling issues identified For those answering 1 3 questions in the affirmative they indicate some level of higher risk than Social Gamblers and are being classified as Sub Clinical Gamblers showing a higher level of risk of having a gambling problem than Social Gamblers but not showing an actual addiction o For those answering 1 in the affirmative to all 9 questions we are defining them as Mild Sub Clinical Gamblers o For those answering 2 3 in the affirmative to all 9 questions we are defining them as Moderate Sub Clinical Gamblers PGSI Problem Gambling Severity Index In addition to the DSM 5 diagnostic tool this survey included the Problem Gambling Severity Index PGSI a validated nine question screen created by the Centre for Addiction and Mental Health CAMH in Toronto 10 P a g e
DSM-5     Problem Gambling Diagnostic Criteria This survey utilizes the Diagnostic and Statistical Manual of Mental Disord...
Canada as it is a widely used and peer reviewed screen This gambling screen was included in this study because it provides a different diagnostic approach and affords the opportunity to compare results in North Dakota using both designs Thinking about the last 12 months 1 Have you bet more than you could really afford to lose Never 0 Sometimes 1 Most of the time 2 Almost always 3 2 Still thinking about the last 12 month have you needed to gamble with larger amounts of money to get the same feeling of excitement Never 0 Sometimes 1 Most of the time 2 Almost always 3 3 When you gambled did you go back another day to try to win back the money you lost Never 0 Sometimes 1 Most of the time 2 Almost always 3 4 Have you borrowed money or sold anything to get money to gamble Never 0 Sometimes 1 Most of the time 2 Almost always 3 5 Have you felt that you might have a problem with gambling Never 0 Sometimes 1 Most of the time 2 Almost always 3 6 Has gambling caused you any health problems including stress or anxiety Never 0 Sometimes 1 Most of the time 2 Almost always 3 7 Have people criticized your betting or told you that you had a gambling problem regardless of whether or not you thought it was true Never 0 Sometimes 1 Most of the time 2 Almost always 3 8 Has your gambling caused any financial problems for you or your household Never 0 Sometimes 1 Most of the time 2 Almost always 3 9 Have you felt guilty about the way you gamble or what happens when you gamble Never 0 Sometimes 1 Most of the time 2 Almost always 3 Scoring Instructions for the PGSI Total your score The higher your score the greater the risk that your gambling is a problem Score Value never 0 sometimes 1 most of the time 2 almost always 3 Scores for the nine items are summed and the results are interpreted as follows 0 Non problem gambling 1 2 Low level of problems with few or no identified negative consequences 3 7 Moderate level of problems leading to some negative consequences 8 or more Problem gambling with negative consequences and a possible loss of control 11 P a g e
Canada as it is a widely used and peer reviewed screen. This gambling screen was included in this study because it provide...
Figure 7 shows a cross tabulation comparing the results from the DSM 5 diagnostic tool with the PGSI screen The DSM 5 diagnostic tool shows that across the gambling spectrum 63 of North Dakota adults have not gambled in the past 12 months 33 would be considered Social Gamblers 3 4 have a sub clinical problem and 0 6 have a clinical gambling disorder DSM 5 Base Total Non Gambler Social Gambler SubClinical Gambling Disorder 505 63 33 3 4 0 6 63 63 34 32 2 2 1 8 0 6 1 0 0 2 0 6 0 2 0 2 0 2 0 2 0 2 Respondents Base PGSI Non Gambler Non Problem Gambler Low Risk Gambler Moderate Risk Gambler Problem Gambler Figure 7 DSM 5 and PGSI Cross tabulation The PGSI screening tool shows that across the gambling spectrum 63 of North Dakota adults have not gambled in the past 12 months 34 would be considered Non Problem Gamblers 1 8 have a Low Risk 0 6 have a Moderate Risk and 0 2 would be considered to be a Problem Gambler Although the terminology is a bit different we can see that in the cross tabulation the characterizations of the respondents using both screens appear quite similar For comparison with national statistics about 86 of the general adult population have gambled in their lifetime and about 52 of adults nationally have reported gambling in the past year primarily Lottery Between 1 1 to 1 6 of adults are considered Pathological gamblers Potenza Fiellin Heninger Rounsaville Mazure 2002 and between 2 8 to 3 8 have a gambling problem Shaffer Hall 2001 which would include the sub clinical groups identified in this study Similarly the National Comorbidity Survey have reported 78 4 of adults have gambled in their lifetime with 0 6 being pathological gamblers and 2 3 having showing some problem gambling attributes Kessler et al 2008 North Dakota Gambling Analysis Within this report the DSM 5 categories will be used for the analysis NOTE Of the 502 respondents there were 17 respondents categorized as Sub Clinical and another 3 respondents identified as having a clinical Gambling disorder In order to have a large enough base for comparison these two groups were collapsed for a total of 21 respondents within the banner point 12 P a g e
Figure 7 shows a cross-tabulation, comparing the results from the DSM-5 diagnostic tool with the PGSI screen. The DSM-5 di...
Figure 8 presents the gender ratio by gambler type categories percentize down Gambler Type Break Respondents Non Gambler Total Sub Clinical or Gambling Disorder Social Gambler Base 502 323 159 21 Male 49 46 52 72 Female 51 54 48 28 Sex Figure 8 Categorization of Gambler Types by Gender Overall Males are 49 and Females are 51 of the survey and of the State however those with a gambling problem are significantly more likely to be Males 72 Figure 9 presents the age group ratio by gambler type categories percentize down Gambler Type Break Non Gambler Total Base 502 Sub Clinical or Gambling Disorder Social Gambler Respondents 323 159 21 Age 18 24 8 8 9 6 25 34 23 23 21 31 35 49 23 21 28 22 50 64 27 25 32 26 19 23 10 15 65 Figure 9 Categorization of Gambler Types by Age Groups 13 P a g e The population 65 are more likely to be non gamblers in the past 12 months than Social Gamblers No other gambler type or age group presented any significant difference
Figure 8 presents the gender ratio by gambler type categories.  percentize down  Gambler Type  Break   Respondents  Non Ga...
Native Americans Among the 502 respondents 17 Native Americans completed the survey percentize across Gambler Type Analysis Respondents Non Gambler Total Base 502 Sub Clinical or Gambling Disorder Social Gambler 64 32 4 Native Americans Native Americans 17 All others 486 46 34 19 65 32 4 Figure 10 Native Americans and Gambling Figure 10 shows that overall 4 of North Dakota adults exhibit some level of a gambling risk from Sub Clinical gambling problem through Gambling Disorder However with respect to the Native American community this rate appears to be as high as 19 o o o There were no significant differences in gender and age categories between the Native American community and the rest of the sample Therefore the higher rate of problem gambling among Native Americans is not explained by demographic differences in the sample However proximity to casinos may influence their significantly higher problem gambling rate Gambling Activities Figure 11 shows that overall 36 of all adults in North Dakota have gambled in the past 12 months Gender Age Total Native Americans 18 34 Male 35 64 Male 65 Male 18 34 Female 35 64 Female 65 Female Native Americans All others 502 83 122 42 73 131 51 17 486 Yes 36 42 44 19 28 39 22 54 35 No 64 58 56 81 72 61 78 46 65 Base In the past 12 months have gambled on anything Figure 11 Percentage who have Gambled in the Past 12 Months 14 P a g e Males 18 to 34 35 to 64 and Females 35 64 are significantly more likely to have gambled in the past 12 months than Males and Females 65 and Females 18 34 More than one half of Native Americans 54 have gambled in the past 12 months This appears to be a significantly higher rate than the total population but the sample was a bit too small to determine significance
Native Americans Among the 502 respondents, 17 Native Americans completed the survey.  percentize across  Gambler Type  An...
Respondents were asked which gambling activities they played other than the Lottery the frequency of their play and the amount they typically spend on each game each time they play it For a variety of gambling activities offered in North Dakota other than the Lottery Figure 12 shows the percentage of adult North Dakotans who have played each game in the past year percentage to the right of the bar and their frequency of play Percent who played game and frequency in past 12 months 12 Raffles including 50 50 3 9 Slot Machines 3 8 Pull tabs 4 6 Sports Pools seasonal Fantasy 2 7 Black jack Roulette etc 5 Bingo 2 4 Twenty One 3 Poker 2 Internet casino 5 1 1 1 4 4 Office Pools Paddlewheel or Pig Wheel 1 1 Daily Fantasy Sports 1 1 1 13 1 13 16 10 2 9 1 1 8 3 1 1 2 1 1 7 5 Calcutta 0 0 2 Several times Yr 4 Once Mo 6 8 Several times mo 10 12 14 16 Once wk Figure 12 Gambling Activity and Frequency in the Past 12 Months The vast majority of adults in North Dakota do not gamble and most who play these games play them only several times a year Annual Gambling Expenditure Adult in North Dakota Figure 13 presents annual gambling expenditure for each game by category The formula is as follows For each player the annual frequency of play for that game is multiplied by the amount that player spends on that game each time he she plays Then the annual expenditure for that game is totaled for the respondents within each Gambler Type Sex Age category and the sum is divided by the number of respondents within that category to create an Annual Expenditure Adult Cap 15 P a g e
Respondents were asked which gambling activities they played,  other than the Lottery , the frequency of their play and th...
Annual Gambling Expenditure Adult In North Dakota Based On Survey Results Sex Gambler Type Gambling Activities Base Surveyed Total Social Gambler Female 18 24 25 34 35 49 50 64 65 323 159 247 256 42 115 115 138 93 292 0 312 4 612 501 89 148 629 192 250 122 Casino Tables 119 0 119 1 948 215 27 260 64 338 18 3 Poker 97 0 147 1 214 190 7 85 33 222 115 0 Internet Casino 80 0 46 1 560 153 9 0 28 293 22 0 Sports Pool 61 0 156 269 83 39 239 94 58 15 11 Pulltabs 48 0 83 523 80 18 59 33 125 18 11 Twenty one 39 0 51 544 68 11 36 56 75 21 0 Raffles 35 0 72 290 58 13 28 38 83 15 3 Bingo 30 0 60 252 31 28 2 10 53 38 23 Calcutta 23 0 11 454 45 1 0 0 97 1 0 Pig Wheel 12 0 9 223 24 1 7 4 45 1 0 Daily Fantasy Sports 6 0 9 77 12 0 0 6 16 3 0 3 0 845 65 0 0 TOTAL AVERAGE 7 1 083 83 21 Male Age Slots Office Pool 502 Non Gambler SubClinical or Gambling Disorder 24 11 992 922 5 1 464 113 2 0 4 244 19 866 67 999 77 6 1 605 123 4 0 522 40 173 13 Figure 13 Annual Gambling Expenditure Adult in North Dakota Among all adults in North Dakota they are spending a total of 845 per year on all gambling activities combined On average they are spending about 65 per gambling activity per year Expenditure varies dramatically by group 16 P a g e Gamblers on the problem gambling scale are spending more than 10 times what Social Gamblers spend This group includes the 3 respondents that are spending dramatically more than everyone else identified as having a Clinical Gambling Disorder Males spend about 6 times more than Females The 35 49 age group spend about double the state average After 50 years old the level of gambling expenditure appears to drop off dramatically
Annual Gambling Expenditure Adult In North Dakota - Based On Survey Results Sex  Gambler Type  Gambling Activities Base Su...
For each game played respondents were asked where they typically play them If you have played the following games in the past 12 months where have you played them 81 70 45 35 27 Paddlewheel Pigwheel 11 12 95 71 79 88 33 Raffles BASE Bars Casinos Community Events Privately family and friends In person at tournaments Online Bingo Halls Bar tournaments Other Pulltabs Bingo Twenty One Poker Calcutta 3 4 2 33 40 12 72 6 51 33 6 13 1 11 25 6 29 5 33 Figure 14 Locations Where Players Play Each Game Type In Figure 14 above read the percentages down each column o For example among those who play Pull tabs 95 of them usually play them in bars whereas 51 who play Poker typically play privately with friends and 40 typically play in casinos Lottery Expenditure in North Dakota In North Dakota all of the Lottery games are multi state games Figure 15 presents the percentage of adults in each category that played each lottery game in the past year Gambler Type Total Respondents Social Gambler SubClinical or Gambling Disorder Sex Age Male Female 18 24 25 34 35 49 50 64 65 Base 502 159 21 247 256 42 115 115 138 93 Powerball 5 16 45 43 20 12 12 14 21 21 Mega Millions 9 25 19 12 6 12 5 10 14 1 Lucky for Life 4 11 19 6 3 7 1 4 7 2 2by2 3 9 14 5 2 7 1 4 4 3 Hot Lotto 3 8 5 4 2 2 1 4 4 0 Figure 15 Percent of Adults that Play the Lottery 17 P a g e Powerball was the game played by the highest percentage of adults and Mega Millions was played by about one half that amount A much smaller percentage of North Dakotans play Lucky for Life 2by2 and Hot Lotto
For each game played, respondents were asked where they typically play them  If you have played the following games in the...
Break Lottery Games Played Total Respondents Base Mega Millions Powerball Lucky for Life Hot Lotto 2by2 44 80 21 14 17 92 Mega Millions 48 100 47 Powerball 87 86 Lucky for Life 23 30 26 Hot Lotto 16 28 17 34 2by2 18 22 15 36 100 62 87 58 96 94 71 50 45 100 100 56 48 100 Figure 16 Multiple Lottery Games Played As Figure 16 shows players of Hot Lotto and 2by2 specifically exhibit a higher level of involvement among all lottery games than Powerball and Mega Millions players Lottery Expenditure Figure 17 shows a comparison of annual North Dakota lottery sales for both FY 16 and FY 15 Lottery Games Lottery Sales ending 6 30 2016 Sales 2by2 Hot Lotto Lucky for Life Mega Millions Powerball Wild Card 2 4 493 816 2 366 405 2 619 508 4 998 066 20 211 406 937 797 35 626 998 Lottery Sales ending 6 30 2015 Adult Adult Sales Cap Cap 9 49 4 207 353 8 88 5 00 3 179 642 6 71 5 53 0 0 00 10 55 5 729 100 12 10 42 68 12 271 691 25 92 1 98 1 623 461 3 43 75 24 27 011 247 57 04 TOTAL Figure 17 Lottery Sales FY15 and FY16 18 P a g e ND Lottery sales in FY 16 was 75 24 adult However in FY 16 there was a 1 6 Billion Powerball jackpot This was an anomaly as it increased ND Powerball sales by 65 over FY 15 Powerball sales ND Lottery sales in FY 15 was 57 04
Break    Lottery Games Played Total  Respondents Base  Mega Millions  Powerball  Lucky for Life  Hot Lotto  2by2  44  80  ...
In this survey respondents were asked which lottery games they played their frequency of play and the amount they spend on each game each time they play Annual Game played Amount Annual Game Play Frequency Amount Spent Each Time Played Using this formula Figure 18 shows annual lottery sales of the respondents and the resulting Adult for each category Overall Lottery sales adult based on the survey calculations was 54 adult These survey calculations appear to match fairly consistently with actual lottery sales FY 16 75 Adult and FY 15 57 Adult Gambler Type Respondents Total Annual Lottery Sales 27 289 res pondents s urveyed Non Gambler 0 Social Gambler 11 842 Sex SubClinical or Gambling Disorder 15 447 502 323 159 21 Base Surveyed 54 0 74 736 Adult Figure 18 Lottery Expenditure using Survey Calculations Male Age Female 18 24 25 34 20 824 6 465 1 623 767 247 256 42 84 25 39 19 P a g e 65 6 712 115 115 138 93 7 149 49 11 Social Gamblers average 74 Adult Sub Clinical and those with a Gambling Disorder average 736 Adult Males spend 3 5 times more per adult than females on the lottery 50 64 17 190 Annual Lottery expenditure differs dramatically by category as follows 35 49 Adults age 35 49 spend 2 75 times more per adult than the average adult 997
In this survey, respondents were asked which lottery games they played, their frequency of play and the amount they spend ...
Co Occurring Disorders The following figures show the percentages in overall descending order The banner is divided into three sections Gambler Type Sex and Age Bullet points call out where the cells are significantly different Respondents were asked if they ever felt that they had any of the following problems in Figure 19 Gambler Type Co occuring Disorders Total Non Gambler Social Gambler Age Sex SubClinical or Gambling Disorder Male Female 18 24 42 25 34 35 49 50 64 65 Base 502 323 159 21 247 256 Tobacco problem 13 12 13 43 17 10 12 16 16 14 8 Mood or Anxiety disorder 9 10 8 11 5 13 18 12 6 9 5 Alcohol problem 5 3 7 16 8 2 3 4 5 6 3 Drug problem 2 1 3 5 2 1 0 1 2 2 1 Compulsive shopping 2 3 1 4 2 2 3 1 1 3 3 Sex addiction 1 0 2 4 1 1 0 1 2 1 0 Gambling problem 1 1 0 20 1 1 0 1 2 1 1 Stealing or shoplifting 0 0 0 0 0 0 0 0 0 1 0 78 81 74 52 77 78 76 77 77 75 85 NONE 115 115 138 93 Figure 19 Co occurring Disorders Overall 22 of respondents identified as having at least one of the problems asked o o 20 P a g e Comparatively just 19 of Non Gamblers and 26 of Social Gamblers stated that they had other problems Among those categorized as having a sub clinical or clinical gambling disorder 20 of them recognized that they had a gambling problem o As many as 48 of those categorized as having a sub clinical or clinical gambling disorder identified having other problems as well Also among this group 43 of them indicated that they have a tobacco problem 16 identified as having an alcohol problem 5 indicated that they have a drug problem With respect to gender Male respondents are significantly more likely to have a tobacco problem and Female respondents are significantly more likely to have a mood or anxiety disorder With respect to age categories respondents age 18 24 are more likely to have a mood or anxiety disorder than those who are older
Co-Occurring Disorders The following figures show the percentages in overall descending order.  The banner is divided into...
Sought Treatment Figure 20 presents the percentage of those who self identified as having each of the problems listed and sought treatment for that problem Gambler Type Break Those recognizing the Problem and Sought Treatment Shoplifting Problem Mood or Anxiety Problem Total Non Gambler Sex SubClinical or Gambling Disorder Social Gambler Male Age Female 18 24 25 34 35 49 50 64 65 100 100 100 100 93 94 100 41 89 94 100 90 88 100 80 Tobacco Problem 89 87 95 79 91 85 76 100 75 100 71 Alcohol Problem 58 90 31 72 65 28 100 50 43 78 33 Drug Problem 36 67 0 100 56 0 33 33 100 0 Gambling Problem 1 0 0 12 2 0 0 0 0 0 6 Sex Problem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Shopping Problem Figure 20 Percentage of those aware of a problem that sought treatment Overall as many as 80 or more of respondents with anxiety and tobacco problems do seek treatment Shoplifting was only 1 person However only about 41 of those demonstrating a subclinical problem to a gambling disorder seek treatment for mood disorder or anxiety About 58 of respondents that identified as having an alcohol problem said they sought treatment for it and 36 of those indicating they had a drug problem indicated that they sought treatment On the other hand as many as 72 of those demonstrating a subclinical problem to a gambling disorder seek treatment for an alcohol problem and 100 of respondents sought treatment for a drug problem Overall just 1 of all respondents who thought they had a gambling problem sought treatment for it Only 12 of those categorized as having a gambling problem from the survey and who recognized that they had a gambling problem sought treatment These results indicate that few who have a gambling problem actually seek professional treatment as compared with other co occurring disorders 21 P a g e Is treatment for the other addictions more prevalent more available better advertised or less shameful Research often indicates those with a gambling problem see it as a weakness in themselves but may not see it as a medical problem in which they could obtain treatment
Sought Treatment Figure 20 presents the percentage of those who self-identified as having each of the problems listed and ...
Problem Gambling Services in North Dakota Figure 21 presents the level of awareness of problem gambling services by North Dakota adults Percent of Respondents who have heard of the following available Problem Gambler Services in North Dakota Gambler Type Break Problem Gambling Services in North Dakota BASE Gamblers Anonymous local meetings North Dakota Department of Human Services addiction counseling services Gambler ND Gamblers Anonymous telephone meeting National Council on Problem Gambling Helpline Gamblers Choice Lutheran Social Services FirstLink 2 1 1 Gam Anon Total Non Gambler Social Gambler Sex SubClinical or Gambling Disorder Age Male Female 18 24 25 34 35 49 50 64 65 500 320 159 21 245 254 42 114 115 137 92 60 59 61 62 55 64 30 47 55 76 71 57 55 62 50 52 62 42 57 59 65 51 19 15 27 18 20 18 18 18 26 20 13 17 17 19 15 15 19 9 19 13 18 25 14 12 17 33 12 17 12 9 12 25 10 11 11 9 22 11 11 6 5 9 16 13 7 7 7 5 9 0 6 11 7 4 5 4 5 9 4 5 3 6 7 3 3 Figure 21 Problem Gambling Services Awareness Overall about 60 of respondents have heard of Gambler s Anonymous and North Dakota s Department of Human Services addiction counseling services o Among all 3 gambler categories they appear to be similarly aware of these services o Those 18 24 appear less likely to be aware of these services Gambler ND is known by about 20 of respondents across almost all of the categories Overall approximately 14 have heard of the National Council on Problem Gambling Helpline and 11 have heard of Gamblers Choice Lutheran Social Services o 22 P a g e Among those who are classified as Sub Clinical or have a gambling disorder 33 are aware of the Helpline and 22 are aware of Gamblers Choice
Problem Gambling Services in North Dakota Figure 21 presents the level of awareness of problem gambling services by North ...
Reasons Why You Gamble Respondents were asked to rate the level of importance for a list of reasons as to why they gamble Figure 22 presents the reasons in descending order of importance grouped by Social Sub Clinical and Gambling Disorder GAMBLING REASONS LEVEL OF IMPORTANCE Very Important Somewhat Important Somewhat Unimportant Not at all Important SOCIAL GAMBLER 19 Support a worthy cause 42 15 Entertainment or fun 13 Socializing 23 3 As a hobby 7 59 10 18 68 7 74 3 5 2 90 2 3 4 Habit or addiction 92 2 3 W i n m o n e y t o p a y b i l l s 0 95 0 SUB CLINICAL GAMBLER 30 To win a large amount of money 22 20 As a hobby 17 12 Socializing 12 0 51 40 0 52 33 7 C u r i o s i t y 0 D i s t r a c t i o n f r o m e v e r y d a y p r o b l e m s 0 H a b i t o r a d d i c t i o n 0 55 0 22 23 54 0 17 81 14 0 69 GAMBLING DISORDER 68 Entertainment or fun As a hobby 41 0 88 0 Habit or addiction 35 0 52 19 41 0 7 0 5 Win money to pay bills 48 12 19 Entertainment or fun Support a worthy cause Excitement action or challenge 43 59 12 19 C u r i o s i t y 1 Distraction from everyday problems 39 9 26 6 To win a large amount of money 36 8 37 6 Excitement action or challenge 4 38 32 36 32 36 32 0 32 0 32 0 To win a large amount of money 32 68 0 Win money to pay bills 32 68 0 Distraction from everyday problems 32 68 Excitement action or challenge 32 36 S o c i a l i z i n g 0 0 0 32 100 0 S u p p o r t a w o r t h y c a u s e 0 68 0 32 C u r i o s i t y 0 68 0 32 Figure 22 Reasons for Gambling Social Gamblers generally find all of the reasons to gamble less important than those who have SubClinical or Gambling Disorder o 23 P a g e Supporting a worthy cause entertainment and socializing are their top three reasons Gamblers with a Sub Clinical gambling problem are more concerned with playing to win a lot of money compared with Social Gamblers
Reasons Why You Gamble Respondents were asked to rate the level of importance for a list of reasons as to why they gamble....
o Approximately half of Sub Clinical gamblers find many of the reasons to be very or somewhat important as to why they gamble There are only 3 respondents with a gambling disorder However it appears clear that most of the reasons are important factors as to why they gamble High Risk and Negative Behavior Respondents were asked if any behaviors were true for them in the past 30 days see Figure 23 During the past 30 days have you Gambling Behavior All NonGamblers Social Gambler Subclinical Gambling Disorder Base 500 320 159 18 3 Smoked cigarettes 13 13 12 37 64 Lacked self confidence or felt bad about yourself 10 11 6 28 64 Felt generally dissatisfied with life 10 11 6 19 64 Been late paying bills 7 9 2 5 68 Felt depressed or hopeless 5 6 3 5 64 Drank alcohol to excess more than you wanted to 4 3 6 15 68 Had difficulty managing responsibilities at home 3 4 2 0 68 Abused drugs 1 1 1 0 36 Figure 23 Personal Behavior 24 P a g e Although there were only 3 people who were categorized as having a Gambling Disorder it appears that all of these high risk and negative behaviors may be correlated with their gambling problem Among the Sub Clinical group smoking cigarettes excessive alcohol consumption and characteristics of mood disorder are correlated with gambling problems
o      Approximately half of Sub-Clinical gamblers find many of the reasons to be very or somewhat important as to why the...
Gambling Perception in North Dakota Respondents were asked to what level they agree with statements about gambling as a public health concern Figure 24 presents perceptions by gambler types about legalized gambling and problem gambling in North Dakota in descending order of those who Strongly Agree Non Gamblers Problem gambling is a health issue that affects people of all ages races ethnic and economic backgrounds As long as the state benefits from legal gambling it should fund prevention and treatment programs People with a gambling problem are addicted and are not able to control their gambling activity The benefits the state receives from gambling outweigh the social and economic costs Social Gamblers Problem gambling is a health issue that affects people of all ages races ethnic and economic backgrounds As long as the state benefits from legal gambling it should fund prevention and treatment programs People with a gambling problem are addicted and are not able to control their gambling activity The benefits the state receives from gambling outweigh the social and economic costs BASE 310 Strongly Somewhat Somewhat Agree Agree Disagree 58 28 8 Strongly Disagree 5 307 46 38 6 10 300 35 46 12 8 267 9 41 24 25 Strongly Somewhat Somewhat Agree Agree Disagree 58 32 5 Strongly Disagree 5 BASE 158 154 51 38 5 7 155 41 42 8 8 146 7 42 27 24 Sub Clinical Problem gambling is a health issue that affects people of all ages races ethnic and economic backgrounds People with a gambling problem are addicted and are not able to control their gambling activity As long as the state benefits from legal gambling it should fund prevention and treatment programs The benefits the state receives from gambling outweigh the social and economic costs Gambling Disorder As long as the state benefits from legal gambling it should fund prevention and treatment programs The benefits the state receives from gambling outweigh the social and economic costs Problem gambling is a health issue that affects people of all ages races ethnic and economic backgrounds People with a gambling problem are addicted and are not able to control their gambling activity BASE 17 Somewhat Somewhat Strongly Strongly Agree Disagree Disagree Agree 64 25 11 18 43 40 17 15 35 57 9 18 5 50 20 25 BASE 3 Strongly Somewhat Somewhat Agree Agree Disagree 100 25 P a g e 3 68 32 3 68 32 3 36 32 32 Figure 24 Perception of Gambling in North Dakota Strongly Disagree Overall almost 90 of North Dakota residents are in agreement that Problem Gambling is a health issue that affects people of all races ages ethnic and economic backgrounds There is also fairly strong agreement by 80 to 90 of North Dakotans that as long as the state is benefitting from legal gambling it has an obligation to fund prevention and treatment programs to those susceptible to a gambling problem Generally more than 80 of respondents recognize that people with a gambling problem are addicted and cannot control their gambling activity Less than 10 of North Dakotans strongly agree and about 40 somewhat agree that the benefits the State receives from gambling outweigh the social and economic costs That means that as many as half of ND residents tend to disagree that the benefits outweigh the risks
Gambling Perception in North Dakota Respondents were asked to what level they agree with statements about gambling as a pu...
Thoughts on Problem in North Dakota Respondents were asked to what level they feel gambling addiction is a problem in North Dakota Figure 25 presents the perceived severity of problem gambling in North Dakota In your opinion how much of a problem do you think problem gambling is in North Dakota Total Base Non Gambler Social Gambler SubClinical Gambling Disorder 501 321 159 18 3 Not a problem 7 6 9 12 32 Minor problem Respondents Base 37 35 40 40 0 Moderate problem 34 34 35 40 32 Serious problem 8 8 7 0 36 14 17 9 7 0 Don t know Figure 25 Problem Gambling Perception in North Dakota Overall just 7 of North Dakotans believe gambling addiction is not a problem About 70 believe gambling addiction is a minor to major problem in North Dakota About 8 believe gambling addiction to be a serious problem Conclusion The sample size of 500 respondents provides less power for analysis than would a larger sample increasing the size of the confidence intervals and limiting results from significance testing With that said in North Dakota 36 of survey respondents have gambled on anything in the past 12 months and 0 6 of adults were defined in this survey as having a Gambling Disorder These are both somewhat lower rates than the national average but are in line with a 2001 research study conducted for North Dakota 0 7 using past year SOGS Volberg 2001 Nationally 52 of adults stated that they have gambled in the past 12 months Gambling Impact and Behavior Study GIBSFinalReportApril1999 pdf n d and the gambling disorder rate typically ranges around 1 5 of the population Shaffer Hall 2001 Of the 500 total sample only 3 people were identified as having a clinical gambling disorder based on the DSM 5 which is in line with what would be expected In order to provide more analysis to the research the clinical and sub clinical defined sub groups were collapsed into a group having an elevated risk of problem gambling beyond that of social gamblers The survey indicated 4 Figure 8 of North Dakotans are likely to exhibit gambling behavior beyond social gambling combined Sub Clinical and Gambling Disorder The following North Dakota population subsets were more likely to fit into this higher risk problem gambler category 26 P a g e With respect to gender 6 of Males compared with just 2 for females are in this group Figure 8 This group is comprised of 72 males As many as 19 of Native Americans are in this category Figure 10
Thoughts on Problem in North Dakota Respondents were asked to what level they feel gambling addiction is a problem in Nort...
About 43 of those experiencing problems with tobacco and 16 of those with alcohol problems are in this group Figure 19 About 11 of those who have experienced depression or felt depressed are in this group Figure 19 Figure 23 Overall about 6 in 10 North Dakota adults have heard of Gamblers Anonymous and almost as many have heard of the North Dakota Department of Human Services addiction counseling services These awareness statistics are fairly consistent among gamblers and non gamblers alike Figure 21 The research does show however that a relatively low percentage of those who recognize that they have a gambling problem actually seek treatment Figure 20 This is especially true in comparison with those suffering from Mood and Anxiety disorders and Tobacco Alcohol and Drug addictions The annual per capita gambling expenditure among all gambling activities combined except the Lottery per North Dakota adult is 845 Among Social gamblers the annual expenditure is 1 083 capita This climbs dramatically to 11 992 capita among those with a Sub Clinical Gambling Disorder Figure 13 The annual per capita lottery expenditure per North Dakota adult is 54 Among Social gamblers the expenditure is 74 capita This climbs dramatically to 736 capita among those with a Sub Clinical or Gambling Disorder although it must be noted that the Sub Clinical Gambling Disorder group is comprised of 21 respondents so it can take a small number of people who spend a very large sum of money gambling to dramatically increase their per capita expenditure Bibliography Volberg R 2001 January 15 Gambling and Problem Gambling in North Dakota udLeJg pdf Retrieved March 15 2017 from http jogoremoto pt docs extra udLeJg pdf Gambling Impact and Behavior Study GIBSFinalReportApril1999 pdf n d Retrieved from http www norc org PDFs publications GIBSFinalReportApril1999 pdf Kessler R C Hwang I LaBrie R Petukhova M Sampson N A Winters K C Shaffer H J 2008 DSMIV pathological gambling in the National Comorbidity Survey Replication Psychological Medicine null 09 1351 1360 https doi org 10 1017 S0033291708002900 Potenza M N Fiellin D A Heninger G R Rounsaville B J Mazure C M 2002 Gambling an addictive behavior with health and primary care implications Journal of General Internal Medicine 17 9 721 732 Shaffer H J Hall M N 2001 Updating and Refining Prevalence Estimates of Disordered Gambling Behaviour in the United States and Canada Canadian Journal of Public Health Revue Canadienne de Sante e Publique 92 3 168 172 27 P a g e
         About 43  of those experiencing problems with tobacco and 16  of those with alcohol problems are in this group.  ...
APPENDIX SURVEY 28 P a g e
APPENDIX     SURVEY  28   P a g e
State of North Dakota Recreation Activity Survey The following Recreation Activity Survey is being conducted to assess public health needs in North Dakota Your responses are completely anonymous and the results will only be reported statistically Therefore it is very important that you answer all questions honestly Thank you Q1 Sex j Male k l m n j Female k l m n Q2 In which age category are you j 18 k l m n j 18 24 k l m n j 25 34 k l m n j 35 49 k l m n j 50 64 k l m n j 65 k l m n I would like to start this survey by asking about recreational activities related to gambling Q3 In the past 12 months have you played or bet on any activities such as Bingo raffle card games with friends the Lottery racetrack casino office pools fantasy sports Internet casino or sportsbook j Yes k l m n Go to N9 j No k l m n Q4 During the past year using the term Never several times a year about once a month or once a week or greater how often have you played the following activities read list Q4a Q4b Q4c Q4d Q4e Q4f Q4g Q4h Q4i Q4j Q4k Q4l Q4m Bingo Pull tabs Twenty One Paddlewheel or Pig Wheel Raffles including 50 50 Sports Pools or seasonal Fantasy Sports with friends Internet casino Daily Fantasy Sports such as Draft Kings or Fan Duel Calcutta Poker Office Pools Slot Machines Other casino gambling such as Black jack Roulette etc Never n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Several times Yr n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Once Mo n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Several times mo n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Once wk n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n
State of North Dakota Recreation Activity Survey  The following Recreation Activity Survey is being conducted to assess pu...
Q5 Base Played Bingo in past 12 months When you play Bingo approximately how much do you typically spend that day or night Q6 Base Played Pulltabs in past 12 months When you play Pulltabs approximately how much do you typically spend each time you play Q7 Base Played Twenty One in past 12 months When you play Twenty One approximately how much do you typically spend each time you play Q8 Base Played Paddlewheel or Pig Wheel in past 12 months When you play Paddlewheel or Pig Wheel approximately how much do you typically spend each time you play Q9 Base Raffles in past 12 months When you play Raffles approximately how much do you typically spend each time you play Q10 Base Sports Pools in past 12 months When you play Sports Pools approximately how much do you typically spend each time you play Q11 Base Internet Casino in past 12 months When you play Internet Casino approximately how much do you typically spend each time you play Q12 Base DFS in past 12 months When you play Daily Fantasy Sports approximately how much do you typically spend each time you play Q13 Base Calcutta in past 12 months When you play Calcutta approximately how much do you typically spend each time you play Q14 Base Poker in past 12 months When you play Poker approximately how much do you typically spend each time you play Q15 Base Office Pools in past 12 months When you play Office Pools approximately how much do you typically spend each time you play Q16 Base Slot machines in past 12 months When you play Slot Machines approximately how much do you typically spend each time you play
Q5   Base  Played Bingo in past 12 months  When you play Bingo, approximately how much do you typically spend that day or ...
Q17 Base Oth casino games in past 12 months When you play casino games such as Blackjack or Roulette approximately how much do you typically spend each time you play Q18 Base Played Bingo in past 12 months When you play Bingo where do you typically play it c Bingo Halls d e f g c Bars d e f g c Casinos d e f g c Online d e f g c Other d e f g Q19 Base Played Pulltabs in past 12 months When you play Pulltabs where do you typically play it c Bars d e f g c Bingo Halls d e f g c Casinos d e f g c Other d e f g Q20 Base Played Twenty One in past 12 months When you play Twenty One where do you typically play it c Bars d e f g c Casinos d e f g c Privately d e f g c Other d e f g Q21 Base Played Paddlewheel or Pig Wheel in past 12 months When you play Paddlewheel or Pig Wheel where do you typically play it c Bars d e f g c Bar Tournaments d e f g c Casinos d e f g c Other d e f g Q22 Base Raffles in past 12 months When you play Raffles where do you typically play it c Bars d e f g c Casinos d e f g c Community Events d e f g c Other d e f g Q23 Base Calcutta in past 12 months When you play Calcutta where do you typically play it c Bars d e f g c Casinos d e f g c In person at tournaments d e f g c Other d e f g Q24 Base Poker in past 12 months When you play Poker where do you typically play it c Casinos d e f g c Online d e f g c Privately family and friends d e f g c Other d e f g Q25 Have you played a Lottery game in North Dakota within the past 12 months j Yes k l m n j No k l m n
Q17   Base  Oth casino games in past 12 months  When you play casino games such as Blackjack or Roulette approximately how...
Q26 BASE Played the North Dakota Lottery in the past 12 months Which Lottery games have you played the following Lottery games do not read list Q26a Q26b Q26c Q26d Q26e Mega Millions Powerball Lucky for Life Hot Lotto 2BY2 Yes n j k l m j k l m n j k l m n j k l m n j k l m n No n j k l m j k l m n j k l m n j k l m n j k l m n MEGA MILLIONS Q27 Base Played Mega Millions in past 12 months How often do you play Mega Millions j Every drawing k l m n j One draw week k l m n j 2 3 times month k l m n j Once a month k l m n j Only when jackpot is high k l m n j A few times year k l m n j Tried it don t play anymore k l m n j Played gift tickets only k l m n Q28 Base Played Mega Millions in past 12 months When you play Mega Millions approximately how much do you typically spend each time you play POWERBALL Q29 Base Played Powerball in past 12 months How often do you play Powerball j Every drawing k l m n j One draw week k l m n j 2 3 times month k l m n j Once a month k l m n j Only when jackpot is high k l m n j A few times year k l m n j Tried it don t play anymore k l m n j Played gift tickets only k l m n Q30 Base Played Powerball in past 12 months When you play Powerball approximately how much do you typically spend each time you play LUCKY FOR LIFE Q31 Base Played Lucky 4 Life in past 12 months How often do you play Lucky for Life j Every drawing k l m n j One draw week k l m n j 2 3 times month k l m n j Once a month k l m n j A few times year k l m n j Tried it don t play anymore k l m n j Played gift tickets only k l m n
Q26   BASE  Played the North Dakota Lottery in the past 12 months  Which Lottery games have you played the following Lotte...
Q32 Base Played Lucky 4 Life in past 12 months When you play Lucky for Life approximately how much do you typically spend each time you play HOT LOTTO Q33 Base Played Hot Lotto in past 12 months How often do you play Hot Lotto j Daily k l m n j Greater than once per week k l m n j Once a week k l m n j 2 3 times a month k l m n j Once a month k l m n j Several times a year k l m n j Tried it don t play anymore k l m n j Played gift tickets only k l m n Q34 Base Played Hot Lotto in past 12 months When you play Hot Lotto approximately how much do you typically spend each time you play 2BY2 Q35 Base Played 2BY2 in past 12 months How often do you play 2 by 2 j Daily k l m n j Greater than once per week k l m n j Once a week k l m n j 2 3 times a month k l m n j Once a month k l m n j Several times a year k l m n j Tried it don t play anymore k l m n j Played gift tickets only k l m n Q37 Base Played The 2BY2 Game in past 12 months When you play 2 by 2 approximately how much do you typically spend each time you play The following finance questions are for classification purposes only There is no personally identifiable information Please respond honestly Q38 Do you have any credit cards j Yes k l m n j No k l m n Q39 BASE Have credit cards How often do you pay off your monthly credit card balance to zero j Always pay off balance in full every month k l m n j Usually pay off balance in full every month k l m n j Generally pay off an amount between the minimum to the actual balance k l m n j Generally pay off just the minimum balance required k l m n
Q32   Base  Played Lucky 4 Life in past 12 months  When you play Lucky for Life, approximately how much do you typically s...
Q40 Q40a Q40b Q40c Q40d Q40e Q40f Q40g Q40h Q40i BASE If played Lottery or other gambling activities in the past 12 months The following YES or NO questions pertain to the last 12 months In the past 12 months Have you needed to gamble with increasingly larger amounts of money in order to achieve the desired excitement Have you felt restless or irritable when attempting to cut down or stop gambling Have you made repeated unsuccessful efforts to control cut back or stop gambling Have you often been preoccupied with gambling e g having persistent thoughts of reliving past gambling experiences handicapping or planning the next venture thinking of ways to get money with which to gamble Have you often gambled when feeling distressed e g helpless guilty anxious depressed After losing money gambling do you often return another day to get even chase your losses Have you lied to conceal the extent of involvement with gambling Have you jeopardized or lost a significant relationship job or educational or career opportunity because of gambling Have you relied on others to provide money to relieve desperate financial situations caused by your gambling Yes No j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Q41 Do you know anyone who has or had a gambling problem in your community j Yes k l m n j No k l m n Q42 Do you or have you ever felt that you had a gambling problem j Yes k l m n j No k l m n Q43 Base Ever felt you had a gambling problem Have you ever sought treatment for your gambling problem j Yes k l m n j No k l m n Q44 Base Sought Treatment Have you faced barriers to accessing treatment j Yes k l m n j No k l m n Q45 Base Faced treatment barriers What barriers to access treatment did you face Unaided c Accessibility not close to you d e f g c Finances could not afford services d e f g c Knowledge of treatment facilities and services available d e f g c Language and communication ability to understand information provided d e f g c Mistrust credibility of provider d e f g c Personal choice not to seek treatment d e f g
Q40  Q40a Q40b Q40c  Q40d Q40e Q40f  Q40g Q40h Q40i   BASE  If played Lottery or other gambling activities in the past 12 ...
Q46 Do you or have you ever felt that you had any of the following problems Read list and check all that apply c Alcohol problem d e f g c Drug problem d e f g c Sex addiction d e f g c Stealing or shoplifting d e f g c Mood or Anxiety disorder d e f g c Compulsive shopping d e f g c Tobacco problem d e f g c NONE d e f g Q47 Base Ever felt you had an alcohol problem Have you ever sought treatment for your alcohol problem j Yes k l m n j No k l m n Q48 Base Ever felt you had a drug problem Have you ever sought treatment for your drug problem j Yes k l m n j No k l m n Q49 Base Ever felt you had a sex addiction problem Have you ever sought treatment for your sex addiction problem j Yes k l m n j No k l m n Q50 Base Ever had a stealing or shoplifting problem Have you ever sought treatment for stealing or shoplifting j Yes k l m n j No k l m n Q51 Base Ever had mood or anxiety disorder Have you ever sought treatment for your mood or anxiety disorder j Yes k l m n j No k l m n Q52 Base Ever had shopping problem Have you ever sought treatment for your Compulsive shopping behavior j Yes k l m n j No k l m n Q53 Base Ever had tobacco problem Have you ever tried decreasing your tobacco use j Yes k l m n j No k l m n
Q46  Do you, or have you ever, felt that you had any of the following problems   Read list and check all that apply  c Alc...
Q54 BASE Gambled in the past 12 months Using the terms Never Sometimes Most of the Time or Almost Always Q54a Q54b Have you bet more than you could really afford to lose Still thinking about the last 12 months have you needed to gamble with larger amounts of money to get the same feeling of excitement When you gambled did you go back another day to try to win back the money you lost Have you borrowed money or sold anything to get money to gamble Q54c Q54d Q54e Q54f Q54g Q54h Q54i Have you felt that you might have a problem with gambling Has gambling caused you any health problems including stress or anxiety Have people criticized your betting or told you that you had a gambling problem regardless of whether or not you thought it was true Has your gambling caused any financial problems for you or your household Have you felt guilty about the way you gamble or what happens when you gamble Never Sometimes Most of the time Almost always j k l m n j k l m n j k l m n j k l m n n j k l m j k l m n n j k l m j k l m n n j k l m j k l m n n j k l m j k l m n n j k l m j k l m n n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n n j k l m j k l m n j k l m n n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Q55 Have you heard of any of the following services for the problem gambler Q55a Q55b Q55c Q55d Q55e Q55f Q55g Q55h Gamblers Anonymous local meetings Q56 Base Gambled in past12 months in any activity How important are each of the following reasons as to why you gamble Say either Very Important Somewhat Important Somewhat Unimportant or Not AT All Important Q56a Q56b Q56c Q56d Q56e Q56f Q56g Q56h Q56i Q56j Yes n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Gamblers Anonymous telephone meeting Gam Anon National Council on Problem Gambling Helpline Gambler ND Gamblers Choice Lutheran Social Services FirstLink 2 1 1 North Dakota Department of Human Services addiction counseling services Entertainment or fun Excitement action or challenge Habit or addiction Socializing Support a worthy cause To win a large amount of money As a hobby Curiosity Win money to pay bills Distraction from everyday problems No n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Very Important n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Somewhat Important n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Somewhat Unimportant n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Not at all Important n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n
Q54   BASE  Gambled in the past 12 months  Using the terms Never, Sometimes, Most of the Time or Almost Always   Q54a Q54b...
Q57 During the past 30 days have you Q57a Q57b Q57c Q57d Q57e Q57f Q57g Q57h Been late paying bills Q58 Please rate your level of agreement with the following statements Say either Strong Agree Somewhat Agree Somehwat Disagree or Strongly Disagree Q58a Q58b Q58c Q58d Q59 Yes Had difficulty managing responsibilities at home Lacked self confidence or felt bad about yourself Felt generally dissatisfied with life Felt depressed or hopeless Abused drugs Smoked cigarettes Drank alcohol to excess more than you wanted to The benefits the state receives from gambling outweigh the social and economic costs People with a gambling problem are addicted and are not able to control their gambling activity Problem gambling is a health issue that affects people of all ages races ethnic and economic backgrounds As long as the state benefits from legal gambling it should fund prevention and treatment programs No n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n n j k l m j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n Strongly Agree Somewhat Agree Somewhat Disagree Strongly Disagree j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n j k l m n In your opinion how much of a problem do you think problem gambling is in North Dakota read list j Not a problem k l m n j Minor problem k l m n j Moderate problem k l m n j Serious problem k l m n j Don t know k l m n CLASSIFICATION Q60 What is your marital status j Single k l m n j Married k l m n j Separated k l m n j Divorced k l m n j Widowed widower k l m n j Living with another k l m n j Partnered k l m n j Refused k l m n Q61 Are you an active duty service member including full or part time Reservist or Guard member j Yes k l m n j No k l m n Q62 Base Non Active Service Members In the past have you ever served your country in any branch of military service j Yes k l m n j No k l m n
Q57  During the past 30 days, have you...  Q57a Q57b Q57c Q57d Q57e Q57f Q57g Q57h  Been late paying bills  Q58  Please ra...
Q63 What is your current employment situation j Employed for wages k l m n j Self employed k l m n j Out of work and looking for work k l m n j Out of work and not currently looking for work k l m n j A homemaker k l m n j A student k l m n j Retired k l m n j Unable to work k l m n j Other k l m n Q64 Was your household income last year less than 40 000 or greater than 40 000 j Less than 40 000 k l m n j More than 40 000 k l m n Q66 Base Less than 40K Was your annual household income last year K thousand j Less than 10K k l m n j 10K to 14K k l m n j 15K to 19K k l m n j 20K to 29K k l m n j 30K to 39K k l m n j Refused k l m n Q67 Base More than 40K Was your annual household income last year K thousand j 40K to 49K k l m n j 50 to 59K k l m n j 60 to 69K k l m n j 70K to 75K k l m n j Over 75K k l m n j Refused k l m n Q68 What is your first language the language you mostly speak at home j English k l m n j Spanish Mexican k l m n j Spanish Puerto Rican k l m n j Spanish Spain k l m n j Portuguese k l m n j French k l m n j Chinese k l m n j Japanese k l m n j Russian k l m n j Khmer k l m n j German k l m n j Polish k l m n Other language
Q63  What is your current employment situation  j Employed for wages k l m n j Self-employed k l m n j Out of work and loo...
Q69 What is the highest level of education that you completed j Less than 12 years k l m n j HS diploma or equivalent k l m n j Trade Vocational Technical School k l m n j Some College k l m n j College Degree k l m n j Graduate Degree Master s PhD etc k l m n j Professional Degree MD JD k l m n Q70 How would you describe your racial or ethnic background j White Not Hispanic k l m n j African American Black k l m n j Asian k l m n j Latino k l m n j Hispanic k l m n j Native American American Indian k l m n j Multiracial k l m n j Refused k l m n j Other k l m n Other
Q69  What is the highest level of education that you completed  j Less than 12 years k l m n j HS diploma or equivalent k ...
Q71 In what County do you live j Adams County k l m n j Barnes County k l m n j Benson County k l m n j Billings County k l m n j Bottineau County k l m n j Bowman County k l m n j Burke County k l m n j Burleigh County k l m n j Cass County k l m n j Cavalier County k l m n j Dickey County k l m n j Divide County k l m n j Dunn County k l m n j Eddy County k l m n j Emmons County k l m n j Foster County k l m n j Golden Valley County k l m n j Grand Forks County k l m n j Grant County k l m n j Griggs County k l m n j Hettinger County k l m n j Kidder County k l m n j LaMoure County k l m n j Logan County k l m n j McHenry County k l m n j McIntosh County k l m n j McKenzie County k l m n j McLean County k l m n j Mercer County k l m n j Morton County k l m n j Mountrail County k l m n j Nelson County k l m n j Oliver County k l m n j Pembina County k l m n j Pierce County k l m n j Ramsey County k l m n j Ransom County k l m n j Renville County k l m n j Richland County k l m n j Rolette County k l m n j Sargent County k l m n j Sheridan County k l m n j Sioux County k l m n j Slope County k l m n j Stark County k l m n j Steele County k l m n j Stutsman County k l m n j Towner County k l m n j Traill County k l m n j Walsh County k l m n j Ward County k l m n
Q71  In what County do you live  j Adams County k l m n j Barnes County k l m n j Benson County k l m n j Billings County ...
Q71 In what County do you live j Wells County k l m n j Williams County k l m n Q72 What is your Zip code Q73 Do you have any comments you want to share Thank you
Q71  In what County do you live  j Wells County k l m n j Williams County k l m n  Q72  What is your Zip code   Q73  Do yo...