CDE Detailed Report

Disease: Parkinson's Disease
Sub-Domain: Psychiatric and Psychological Functions
CRF: South Oaks Gambling Screen (SOGS)

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CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C10441 South Oaks Gambling Screen (SOGS) - gamble more than intend indicator SOGSGmblMorThanIntndInd Indicator for whether the participant has ever gambled more than he or she intended to, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever gambled more than he or she intended to, as a part of South Oaks Gambling Screen (SOGS). Did you ever gamble more than you intend to? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10452 South Oaks Gambling Screen (SOGS) - gamble pay debt relative money indicator SOGSGmblPayDbtRelatvMoneyInd Indicator for whether the participant has ever borrowed money from other relatives or in-laws to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from other relatives or in-laws to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts did you borrow from other relatives or in laws? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10431 South Oaks Gambling Screen (SOGS) - play slot poker other machine frequency SOGSPlaySltPkerOthrMachnFreq Frequency for how often the participant has played slot machines, poker machines or other Gambling machines, as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant has played slot machines, poker machines or other Gambling machines, as a part of South Oaks Gambling Screen (SOGS). Played slot machines poker machines or other gambling machines Not at all;Less than once a week;Once a week or more Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10442 South Oaks Gambling Screen (SOGS) - criticize gamble problem indicator SOGSCriticzGmblPrblmInd Indicator for whether people have criticized the participant for betting or told him or her that he or she has a Gambling problem, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether people have criticized the participant for betting or told him or her that he or she has a Gambling problem, as a part of South Oaks Gambling Screen (SOGS). Have people criticized your betting or told you that you had a gambling problem regardless of whether or not you thought it was true? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10453 South Oaks Gambling Screen (SOGS) - gamble pay debt bank loan credit union indicator SOGSGmblPyDbtBnkLnCrdtUnionInd Indicator for whether the participant has ever borrowed money from banks, loan companies, or credit unions to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from banks, loan companies, or credit unions to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts did you borrow from banks loan companies or credit unions? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10432 South Oaks Gambling Screen (SOGS) - bowl shot pool golf other skill money frequency SOGSBwlShtPlGlfOthrSkllMnyFreq Frequency for how often the participant has bowled, shot pool, played golf or some other game of skill for money, as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant has bowled, shot pool, played golf or some other game of skill for money, as a part of South Oaks Gambling Screen (SOGS). 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 Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10443 South Oaks Gambling Screen (SOGS) - feel guilty gamble indicator SOGSFeelGuiltyGmblInd Indicator for whether the participant has ever felt guilty for the way the participant gambles or Gambling outcomes, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever felt guilty for the way the participant gambles or Gambling outcomes, as a part of South Oaks Gambling Screen (SOGS). Have you ever felt guilty about the way you gamble or what happens when you gamble? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10454 South Oaks Gambling Screen (SOGS) - gamble pay debt credit card indicator SOGSGmblPayDbtCrdtCrdInd Indicator for whether the participant has ever borrowed money from credit cards to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from credit cards to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts did you borrow from credit cards? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10433 South Oaks Gambling Screen (SOGS) - pull tab paper game frequency SOGSPullTabPaprGameFreq Frequency for how often the participant pulls tabs or "paper" games other than lotteries, as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant pulls tabs or "paper" games other than lotteries, as a part of South Oaks Gambling Screen (SOGS). Pull tabs or paper games other than lotteries Not at all;Less than once a week;Once a week or more Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10444 South Oaks Gambling Screen (SOGS) - try stop gamble but can not indicator SOGSTryStopGmblButCantInd Indicator for whether the participant has ever tried to stop Gambling or betting money, but didn't think he or she could, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever tried to stop Gambling or betting money, but didn't think he or she could, as a part of South Oaks Gambling Screen (SOGS). Have you ever felt like you would like to stop betting money or gambling but didn't think you could? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10423 South Oaks Gambling Screen (SOGS) - play card for money frequency SOGSPlayCrdForMoneyFreq Frequency for how often the participant gambled by playing cards for money, as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant gambled by playing cards for money, as a part of South Oaks Gambling Screen (SOGS). Play cards for money Not at all;Less than once a week;Once a week or more Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10455 South Oaks Gambling Screen (SOGS) - gamble pay debt loan shark indicator SOGSGmblPayDbtLoanShrkInd Indicator for whether the participant has ever borrowed money from loan sharks to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from loan sharks to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts did you borrow from loan sharks? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10434 South Oaks Gambling Screen (SOGS) - other gamble not list frequency SOGSOthrGmblNotListFreq Frequency for how often the participant has engaged in some form of Gambling not listed above, as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant has engaged in some form of Gambling not listed above, as a part of South Oaks Gambling Screen (SOGS). Some form of gambling not listed above Not at all;Less than once a week;Once a week or more Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10445 South Oaks Gambling Screen (SOGS) - hide gamble item from family friend indicator SOGSHideGmblItmFrmFamFrndInd Indicator for whether the participant has hidden betting slips, lottery tickets, Gambling money, I.O.U.s or other or other signs of Gambling from spouse, children, or other important people in the participant's life, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has hidden betting slips, lottery tickets, Gambling money, I.O.U.s or other signs of Gambling from spouse, children, or other important people in the participant's life, as a part of South Oaks Gambling Screen (SOGS). Have you ever hidden betting slips lottery tickets gambling money I.O.U.s or other signs of betting or gambling from your spouse children or other important people in your life? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10424 South Oaks Gambling Screen (SOGS) - bet horse, dog, other animal frequency SOGSBetHorsDogOthrAnimlFreq Frequency for how often the participant has gambled by betting on horses, dogs or other animals (at OTB, the track or with a bookie), as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant has gambled by betting on horses, dogs or other animals (at OTB, the track or with a bookie), as a part of South Oaks Gambling Screen (SOGS). 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 Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10456 South Oaks Gambling Screen (SOGS) - gamble pay debt stock bond other indicator SOGSGmblPyDbtStckBndInd Indicator for whether the participant has ever borrowed money from cashing in stocks, bonds, or other securities to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from cashing in stocks, bonds, or other securities to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts did you cash in stocks bonds or other securities? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10435 South Oaks Gambling Screen (SOGS) - other gamble text SOGSOthrGmblTxt Text of gambling not already listed specified by the participant, as a part of South Oaks Gambling Screen (SOGS). Text of gambling not already listed specified by the participant, as a part of South Oaks Gambling Screen (SOGS). Please specify Alphanumeric

Specify other type of gambling

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points 255

Free-Form Entry

C10446 South Oaks Gambling Screen (SOGS) - argue people about handle money indicator SOGSArgPplAbtHndlMoneyInd Indicator for whether the participant has ever argued with people that he or she lives with about how the participant handles money, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever argued with people that he or she lives with about how the participant handles money, as a part of South Oaks Gambling Screen (SOGS). Have you ever argued with people you live with over how you handle money? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10425 South Oaks Gambling Screen (SOGS) - bet sport frequency SOGSBetSprtFreq Frequency for how often the participant has gambled betting on sports (parlay cards, with a bookie, or at Jai Alai), as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant has gambled betting on sports (parlay cards, with a bookie, or at Jai Alai), as a part of South Oaks Gambling Screen (SOGS). Bet on sports parlay cards with a bookie or at Jai Alai Not at all;Less than once a week;Once a week or more Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10457 South Oaks Gambling Screen (SOGS) - gamble pay debt sold personal family property indicator SOGSGmblPyDbtSldPsnlFmPrptyInd Indicator for whether the participant has ever borrowed money from selling personal or family property to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from selling personal or family property to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts did you sell your personal or family property? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10436 South Oaks Gambling Screen (SOGS) - largest amount money gamble 1 day range SOGSLrgstAmntMnyGmbl1DayRng Range of the largest amount of money the participant has ever gambled, as a part of South Oaks Gambling Screen (SOGS). Range of the largest amount of money the participant has ever gambled, as a part of South Oaks Gambling Screen (SOGS). What is the largest amount of money you have ever gambled with on any one day? Never have gambled;$1 or less;More than $1 up to $10;More than $10 up to $100;More than $100 up to $1,000;More than $1,000 up to $10,000;More than $10,000 Never have gambled;$1 or less;More than $1 up to $10;More than $10 up to $100;More than $100 up to $1,000;More than $1,000 up to $10,000;More than $10,000 Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10447 South Oaks Gambling Screen (SOGS) - money argue about gamble indicator SOGSMoneyArgAbtGmblInd Indicator for whether the participant has ever had arguments with the people that he or she lives with centered around the participant's Gambling, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever had arguments with the people that he or she lives with centered around the participant's Gambling, as a part of South Oaks Gambling Screen (SOGS). Have money arguments ever centered on your gambling? No;Yes No;Yes Alphanumeric

Only answered if SOGS Q12 is answered Yes

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10426 South Oaks Gambling Screen (SOGS) - play dice game for money frequency SOGSPlayDiceGameForMoneyFreq Frequency for how often the participant has gambled by playing dice games (including craps, over and under or other dice games) for money, as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant has gambled by playing dice games (including craps, over and under or other dice games) for money, as a part of South Oaks Gambling Screen (SOGS). Played dice games including craps, over and under or other dice games for money Not at all;Less than once a week;Once a week or more Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10458 South Oaks Gambling Screen (SOGS) - gamble pay debt borrow check account indicator SOGSGmblPyDbtBrrwChckAccntInd Indicator for whether the participant has ever borrowed money from his or her own checking account (passed bad checks) to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from his or her own checking account (passed bad checks) to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts did you borrow on your checking account passed bad checks? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10437 South Oaks Gambling Screen (SOGS) - family friend gamble problem indicator SOGSFamFrndGmblPrblmInd Indicator for which family members and friends have a Gambling problem, as a part of South Oaks Gambling Screen (SOGS). Indicator for which family members and friends have a Gambling problem, as a part of South Oaks Gambling Screen (SOGS). Check which of the following people in your life has or had a gambling problem. Father;Mother;A brother or sister;A grandparent;My spouse or partner;My child(ren);Another relative;A friend or someone else important in my life Father;Mother;A brother or sister;A grandparent;My spouse or partner;My child(ren);Another relative;A friend or someone else important in my life Alphanumeric

Choose all that apply

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Multiple Pre-Defined Values Selected

C10448 South Oaks Gambling Screen (SOGS) - borrow money no pay back indicator SOGSBrrwMoneyNoPayBckInd Indicator for whether the participant has ever borrowed from someone and was not able to pay them back as a result of Gambling, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed from someone and was not able to pay them back as a result of Gambling, as a part of South Oaks Gambling Screen (SOGS). Have you ever borrowed from someone and not paid them back as a result of your gambling? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10427 South Oaks Gambling Screen (SOGS) - gamble casino frequency SOGSGmblCasinoFreq Frequency for how often the participant has gambled in a casino (legal or otherwise), as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant has gambled in a casino (legal or otherwise), as a part of South Oaks Gambling Screen (SOGS). Gambled in a casino legal or otherwise Not at all;Less than once a week;Once a week or more Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10459 South Oaks Gambling Screen (SOGS) - gamble pay debt credit line with bookie indicator SOGSGmblPayDbtCrdtLnWthBkeInd Indicator for whether the participant has ever borrowed money from a credit line with a bookie to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from a credit line with a bookie to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts, do you have had a credit line with a bookie? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10438 South Oaks Gambling Screen (SOGS) - gamble money back frequency SOGSGmblMoneyBckFreq Frequency for how often the participant goes back another day to gamble back the money he or she lost, as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant goes back another day to gamble back the money he or she lost, as a part of South Oaks Gambling Screen (SOGS). When you gamble how often do you go back another day to win back money you lost? Never;Some of the time (less than half the time I lost);Most of the time I lost;Every time I lost Never;Some of the time (less than half the time I lost);Most of the time I lost;Every time I lost Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10449 South Oaks Gambling Screen (SOGS) - lose time work from gamble indicator SOGSLosTimWrkFrmGmblInd Indicator for whether the participant has ever lost time from work (or school) due to betting money or Gambling, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever lost time from work (or school) due to betting money or Gambling, as a part of South Oaks Gambling Screen (SOGS). Have you ever lost time from work or school due to betting money or gambling? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10428 South Oaks Gambling Screen (SOGS) - play number bet lottery frequency SOGSPlayNumBetLotteryFreq Frequency for how often the participant has played the numbers or bet on lotteries, as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant has played the numbers or bet on lotteries, as a part of South Oaks Gambling Screen (SOGS). Played the numbers or bet on lotteries Not at all;Less than once a week;Once a week or more Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10460 South Oaks Gambling Screen (SOGS) - gamble pay debt credit line with casino indicator SOGSGmblPyDbtCrdtLnWthCasnoInd Indicator for whether the participant has ever borrowed money from a credit line with a casino to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from a credit line with a casino to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts, do you have had a credit line with a casino? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10439 South Oaks Gambling Screen (SOGS) - gamble lie indicator SOGSGmblLieInd Indicator for whether the participant claims to win money Gambling but in fact lost money, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant claims to win money Gambling but in fact lost money, as a part of South Oaks Gambling Screen (SOGS). Have you ever claimed to be winning money gambling but werent really? In fact you lost? Never (or never gamble);Yes, less than half the time I lost;Yes, most of the time Never (or never gamble);Yes, less than half the time I lost;Yes, most of the time Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10450 South Oaks Gambling Screen (SOGS) - gamble pay debt household money indicator SOGSGmblPayDbtHshldMoneyInd Indicator for whether the participant has ever borrowed money from household money to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from household money to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts did you borrow from household money? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10429 South Oaks Gambling Screen (SOGS) - play bingo money frequency SOGSPlayBingoMoneyFreq Frequency for how often the participant has played bingo for money, as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant has played bingo for money, as a part of South Oaks Gambling Screen (SOGS). Played bingo for money Not at all;Less than once a week;Once a week or more Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10461 South Oaks Gambling Screen (SOGS) - total score SOGSTotlScore Scores on the SOGS itself are determined by adding up the number of questions which show an "at risk" response, as a part of South Oaks Gambling Screen (SOGS). Scores on the SOGS itself are determined by adding up the number of questions which show an "at risk" response, as a part of South Oaks Gambling Screen (SOGS). Scores on the SOGS itself are determined by adding up the number of questions which show an "at risk" response Numeric Values

Scores on the SOGS itself are determined by adding up the number of questions which show an "at risk" response. There are 20 questions which are counted: 0-2 = no problem; 3-4 = some problem; 5 or more = probable pathological gambler

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Free-Form Entry

C10440 South Oaks Gambling Screen (SOGS) - self view gamble problem indicator SOGSSlfViewGmblPrblmInd Indicator for whether the participant feels he or she has a problem with betting money or Gambling, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant feels he or she has a problem with betting money or Gambling, as a part of South Oaks Gambling Screen (SOGS). Do you feel you have ever had a problem with betting money or gambling? No;Yes, in the past but not now;Yes No;Yes, in the past but not now;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10451 South Oaks Gambling Screen (SOGS) - gamble pay debt spouse money indicator SOGSGmblPayDbtSpseMoneyInd Indicator for whether the participant has ever borrowed money from his or her spouse to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). Indicator for whether the participant has ever borrowed money from his or her spouse to gamble or pay off debts, as a part of South Oaks Gambling Screen (SOGS). If you borrowed money to gamble or to pay gambling debts did you borrow from your spouse? No;Yes No;Yes Alphanumeric Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

C10430 South Oaks Gambling Screen (SOGS) - play stock option commodity market frequency SOGSPlayStckOptnCmmdtyMrktFreq Frequency for how often the participant has played the stock, options and/or commodities market, as a part of South Oaks Gambling Screen (SOGS). Frequency for how often the participant has played the stock, options and/or commodities market, as a part of South Oaks Gambling Screen (SOGS). Played the stock options and or commodities market Not at all;Less than once a week;Once a week or more Not at all;Less than once a week;Once a week or more Alphanumeric

Please indicate which of the following types of gambling you have done in your lifetime. Choose only one answer.

Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:1184-1188. Adult Supplemental 3.00 2013-07-22 09:34:41.527 South Oaks Gambling Screen (SOGS) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

CSV