Intake form

Name *

Email address *

Age group

Have you ever participated in sports gambling?

If yes, how frequently do you engage in sports gambling?

Please select at least one option.

Daily

Weekly

Monthly

Occasionally

What types of sports gambling do you participate in?

Please select at least one option.

Sports betting

Fantasy sports

Online gambling

Casino games

Have you experienced any negative effects from sports gambling?

If yes, please specify the effects you have experienced.

What resources do you think are helpful for raising awareness about sports gambling risks?

Which service or services are you interested in?

Please select at least one option.

Educational resources

Impact statistics

Support networks

Additional questions or comments

Sports Gambling Awareness