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If you have a question or comment about this service or the SGS Self-administered Questionnaire, click on the button on the left to e-mail the Webmaster.

We would appreciate your taking the time to let us know the features you feel are best to protect yourself from harm while gambling.

Assuming that the following "safety net" features were offered to you at no cost, which features shown below are most desirable or valuable to you? Please enter your brief demographic information first, then enter yes or no next to each of the four (4) features listed to indicate you would or would not want the feature, and add any further comments in the "comments" box. Don't forget to click the "Send" button when complete. Your participation is appreciated!

First Name

Last Name

City

State

Country

E-mail Address

Limit your gambling losses to an amount you can afford?

Limit the time you spend gambling to a reasonable recreation period?

Provide a feature that assists to manage your winnings?

Provide Web-based tutorials that teach the details of your favorite games?

Add your requested features and/or comments here

If you have further feedback, please use the form below and explain your specific points in the comments section of the form.

First Name

Middle Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Country

Daytime Phone

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Fax

() -

E-mail Address

Comments

Company or Organization Represented

 
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