Feedback Form - Gambling Helpline

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The Purpose of the Feedback page is:

To provide a forum for users to give us current feedback.
To Gather feedback to be used to continuously improve the services we provide.

Section 1

Your reason for visiting the site today was: * reason for visiting is required

You found the site:

If other, please specify:

Section 2

Did you find what you were looking for?

If you did not find what you were looking for, please comment:

Section 3

Are you:

If other please specify:

Section 4

(Note: this section is only if you are concerned about either you or someone else's gambling)
If you are concerned about your own, or someone else’s gambling, what
types of gambling are you affected by (tick all that apply):

Pub / club gambling machines

Casino gaming machines

Sports betting

Track betting

Cards

Housie

Internet betting

Keno

Lotto

Other

If other please specify:

Section 5

Have you used the talking point forum?

yes

if yes, did you:

If Yes, did you find the talking point forum helpful?

yes

If you have not used the talking point forum, are you likely to?

yes

Do you have any comments regarding the talking point forum?

Section 6

Age *

Gender *

Ethnicity * ethnicity is required

City

Region

Country

Employment status

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