Just fill in the form below and leave the rest to us. We'll call and confirm a time.

First Name *

Last Name

Contact Phone Number*

Email *

What is your preferred day to be contacted?*
MondayTuesdayWednesdayThursdayFridaySaturday (until 1pm)

What is your preferred time to be contacted? Note that the service finishes at 1pm on Saturdays.*
9-1111-11-33-5

*This information will only be used by our staff to establish a suitable time to call you. Understandably, we may call at a time you are unable to freely speak to us. We will ask you if it’s a suitable time and if not, we will rearrange the call for another time. We’re here to help when you are ready.

Choose three preferred times that suit you to meet with one of our counsellors. Don’t worry if you don’t know just yet, we will call you to confirm these times or make other arrangements.

Choice 1

Time:
Date:

Choice 2

Time:
Date:

Choice 3:

Time:
Date:

Take the self assessment quiz

  • Is gambling becoming a problem for you?

    if you are worried about your gambling you can use
    this quiz to find out if it is becoming a problem.

  • Scoring

    For each question there are four possible responses:

    Never (score 0)
    Sometimes (score 1)
    Most of the time (score 2)
    Almost always (score 3)

  • Think about the last 12 months

  • 0

    1

    2

    3

Take the self assessment quiz - part2

  • What does your score mean?

    0You experience no issues with gambling. However, keep an eye on your gambling so it does not become a problem in the future.
    1-2A low-risk gambler - You experience few, if any issues with gambling. However, keep an eye on your gambling so it does not become a problem in the future.
    3-7A moderate-risk gambler - You experience few, if any issues with gambling. Now is the time to take a practical step to ensure your gambling remains under control. Contact Gambler's Help Southern
    8+A high-risk gambler - There are many way to get help. For immediate help call 9575 5353 or after hours on 1800 858 858 or visit gamblinghelponline.org.au. It's free, confidential and available 24 hours a day, seven days a week.
  • This Quiz is based on the problem Gambling Severity Index, part of the Canadian Problem Gambling Index and is a reliable measure of problem gambling.

Marriage Equality Statement

14 September 2017

At Connect Health & Community our values underpin what we do and how we do it, and one of our core values is respect. It means we’re committed to treating all our clients, staff and community with care, dignity and understanding. This includes showing respect for LGBTIQ people. For us this means being inclusive, supporting equal rights and equal recognition before the law. This is why we support marriage equality. We strongly believe that a fair, equitable and inclusive community has significant and positive health benefits.

 We also know that discrimination causes harm and negatively impacts people and we will support any change that removes inequality, stigma or unfairness.
In support of this, we are committed to providing quality and accessible healthcare for all of our community we want to acknowledge that this may be a difficult time for many people, either because it affects them personally or because family, friends or work-mates are affected, including by some comments in the media.
If you are adversely impacted, we encourage you to reach out for help or support to www.rainbownetwork.com.au or www.minus18.org.au (if you are under 18) or www.lgbtihealth.org.auas it is a national body and may be able to assist you. We are happy to add our voice to those of many other significant Australian organisations in support of change to our existing marriage laws.