The Nova Scotia Office of Health Promotion wishes to thank the Nova Scotia Gaming Foundation, Addiction Services’ Gambling Initiatives Group, the staff of Focal Research Consultants and the adults in Nova Scotia who participated in the study, for their contributions. [...] This Report describes the prevalence of gambling and problem gambling among adults 19 years of age and older who are permanent residents of Nova Scotia, living in private households in the province. [...] In addition to examining general gambling prevalence using the PGSI – Problem Gambling Severity Index (scored items of the CPGI) to identify problem gambling, self-reported involvement in problem gambling was also obtained independently by type of gambling activity. [...] One distinguishing feature among the regions is the location of the Sydney Casino in DHAs 7 & 8 and the Halifax Casino in DHA 9. The skewed distribution of VLTs in urban areas of the province, in particular DHA 9 which includes Halifax, may also be a factor influencing differences in problem gambling prevalence among Addictions Services Shared Service Areas. [...] Despite the skew in gambling problems towards men in the province, women still comprise about 40% of those scoring on the CPGI for Problem Gambling in Nova Scotia.