The Public Health Institute of Western Massachusetts has led efforts to conduct the Prevention Needs Assessment Survey (PNAS) to 8th, 10th, and 12th grade students in the Springfield Public Schools. The PNAS aims to understand the prevalence of risk and protective factors and to inform school and community efforts to support youth well-being and prevent addictive behavior and substance use. This presentation focuses on PNAS gambling-related survey results from the 2025-2026 school year to understand more about youth gambling behavior and its relationship to other health issues.