CASE ID INTERVIEWER ID

**[EQ-5D]{.underline}**

**Health State Valuation Survey**

**Conducted by Research Triangle Institute**

**On Behalf of**

**The University of Arizona Center for Health Outcomes and
PharmacoEconomic Research**

Date of Interview: Time at Start

day month year of Interview: am/pm

form #3

**A. INTRODUCTION**

This research is being carried out by the Research Triangle Institute on
behalf of the Center for Health Outcomes and PharmacoEconomic Research
at the University of Arizona. We want to find out what people think
about different states of health and illness. We have chosen at random
some members of the general public, including yourself, to help us with
this research.

There are no right or wrong answers, I would just like to know what
[you]{.underline} think.

Anything you say as part of this interview will be kept strictly
confidential.

The interview will take about one hour.

**1. HAND \'OWN HEALTH QUESTIONS\' TO THE RESPONDENT (PAGE 1 OF
SELF-COMPLETION BOOKLET).**

First, I'm going to ask you to think about your own health today. Check
mark one box in each of the groups to show which statements best
describe your own health today. The boxes on the left are to help you
see the different levels of health within each group.

**LEAVE PAGE 1 OF THE SELF-COMPLETION BOOKLET ON THE TABLE. ASK
RESPONDENT TO COMPLETE.**

**2. TAKE OUT THE CARDS AND HAVE CARDS \'UN\' AND \'DE\' ON TOP.**

Here are some cards, each describing a state of health in the same way
as on this page. **(POINT TO OWN HEALTH QUESTIONS, PAGE 1 OF
SELF-COMPLETION BOOKLET).** Each description has one statement from each
of these groups. Although some states may appear the same, they are in
fact different. The boxes are here to help you see the differences.

The cards are in no particular order. I want you to sort them so that
the one you think is [best]{.underline} is at the top, and the one you
think is [worst]{.underline} is at the bottom. If you think that any of
these are the same, place them alongside each other.

For each of these states, I want you to imagine that [you]{.underline}
are in them. For each one imagine that it is going to last for 10 years
without any change and then you will die. This includes the card that
has \'Unconscious\' written on it.

You will see that another card has \'Immediate death\' written on it. I
would like you to rank this card along with the others.

**3. SHUFFLE THE CARDS AND HAND THEM TO THE RESPONDENT.**

Now please sort the cards into your order.

**4**. **WHEN THE RESPONDENT HAS FINISHED SORTING THE CARDS, CHECK THAT
THE**

**RESPONDENT IS HAPPY WITH THE ORDER. CHECK TO CONFIRM THEY ARE**

**ORDERED FROM BEST TO WORST.**

**5. LEAVE THE CARDS ON THE TABLE IN THEIR RANK ORDER.**

**RECORD ORDER OF STATES:**

A\) IF ONLY ONE CARD IS ALLOCATED TO A RANK, WRITE THE LETTER IN

THE DOUBLE BOX.

> B\) IF TWO OR MORE CARDS ARE RANKED EQUALLY, WRITE THE CARD LETTERS OF
> THESE CARDS ON THE SAME ROW. THEN MISS A ROW FOR EACH EXTRA STATE THAT
> HAS BEEN RANKED EQUAL TO ANOTHER.

**BEST**

1\.

2\.

3\.

4\.

5\.

6\.

7\.

8\.

9\.

10\.

11\.

12\.

13\.

14\.

15\.

**WORST**

LEAVE THE CARDS ON THE TABLE IN THEIR RANK ORDER.

**B. CATEGORY RATING EXERCISE**

6\. **HAND THERMOMETER SCALE TO THE RESPONDENT**

> **(PAGE 2 OF SELF-COMPLETION BOOKLET).**

I\'d like you to look at this scale. As you can see, the top end is

> marked 100. This is the [best]{.underline} imaginable health state
> that you can
>
> think of. The bottom end is marked 0 and this is the
> [worst]{.underline}
>
> imaginable health state you can think of.
>
> Now let\'s look at where these states **(POINT TO RANKED**
>
> **STATES**) should go on this scale. Still imagine that
> [you]{.underline} are in
>
> these states, and that they will last for 10 years without any change
>
> and then you will die.
>
> Use the scale so that states that you think are almost the same have
>
> scores that are close together. States that are very different should
>
> have scores that are further apart. It doesn\'t matter if you put the
>
> states in a different order than you did before and you may
>
> give the same score to more than one state.

7a. **INTERVIEWER CHECK:**

BEST RANKED CARD: 7a.

> **(IF RESPONDENT HAS MORE THAN ONE BEST RANKED CARD,**
>
> **CHOOSE THE ONE THAT COMES FIRST ALPHABETICALLY).**

**HAND BEST RANKED CARD TO RESPONDENT.**

> Let\'s take this card first. Mark a line across the scale to show how
>
> good or bad you think this state is. Write the code letters of the
> state
>
> next to the line. **RECORD CODE LETTERS IN BOXES FOR 7a**
>
> **AT RIGHT.**

7b. **INTERVIEWER CHECK:**

WORST RANKED CARD: 7b.

> **(IF RESPONDENT HAS MORE THAN ONE WORST RANKED**
>
> **CARD, CHOOSE THE ONE THAT COMES LAST**
>
> **ALPHABETICALLY).**
>
> **HAND WORST RANKED CARD TO RESPONDENT.**
>
> **RECORD CODE LETTERS IN BOXES FOR 7b AT**
>
> **RIGHT**.

7c. Mark a line across the scale to show how good or bad you think this

> state is. Write the code letters of the state next to the line.
>
> From these other health states, is there one that goes roughly halfway
>
> on this scale between the two states that you have just rated?
> (**POINT**
>
> **TO THE TOP AND BOTTOM CARDS).**

Yes  1 Go to **Q7d.** 7c**.** 1 Yes

> No  2 Go to **Q7i.** 2 No
>
> -4 DK
>
> **-**7 Refused

7d. **WRITE IN STATE INDICATED AT 7c.** 7d**.**

> Mark a line across the scale to show where you would rate this state.

7e. Now is there a state that goes roughly halfway on this scale between

this state. (**POINT TO CARD RATED AT 7d).** and the top one?

Yes  1 Go to **Q7f.** 7e. 1 Yes

> No  2 Go to **Q7g.** 2 No
>
> -4 DK
>
> -7 Refused

7f. **WRITE IN STATE INDICATED AT 7e.** 7f.

> Mark a line across the scale to show where you would rate this state.

7g. Now is there a state that goes roughly halfway on this scale between

this state. (**POINT TO CARD RATED AT 7d).** and the bottom

one?

Yes  1 Go to **Q7h.** 7g. 1 Yes

No  2 Go to **Q7i.** 2 No

-4 DK

-7 Refused

7h. **WRITE IN STATE INDICATED AT 7g.** 7h.

> Mark a line across the scale to show where you would rate this state.

7i. Now please mark a line across the scale to show where you would rate

> each of these other states on the scale. Write the code letters of
> each
>
> state next to each line.

8\. Now, if you like, you can take a moment or two to look over what

> you have done before we go on to the next question. Tell me when
>
> you are ready.

**CHECK THAT EACH CARD IS SHOWN WITH ITS CODE LETTER**

> **AND THAT YOU CAN READ OFF THE SCORE FOR EACH STATE.**

**GATHER UP THE CARDS AND PUT AWAY CARDS \'AP\' AND \'DE\'.**

9\. **HAND \'OWN HEALTH SCALE\' (PAGE 3 OF SELF-**

> **COMPLETION BOOKLET) TO RESPONDENT.**
>
> Mark a line across this scale to show me how good or bad you think
>
> [your own]{.underline} health state is [today]{.underline}. Write
> \'ME\' next to this line.
>
> **C. TIME TRADE OFF**
>
> TIME AT START OF TIME TRADE OFF EXERCISE. TIME START

10\. **SHUFFLE THE 13 REMAINING CARDS.** AM/PM

> **MAKE SURE THAT NEITHER CARD \'XT\' NOR CARD \'UN\' IS**
>
> **ON TOP.**
>
> **HAVE TTO BOARD SIDE \'1\' FACING UPWARDS.**
>
> **SET BOARD MARKER FOR LIFE A TO 10 YEARS.**

11\. Now I\'m going to show you the same states that you have seen

> before, and ask you to make a choice between this health state
>
> at the top which is Life A and one of the other states which will
>
> be Life B. The pink scale and the green scale show the number
>
> of years you would be in each state. Remember, I want you
>
> to imagine that [you]{.underline} are in these states.

12\. **INTERVIEWER CHECK:**

12a. FIRST CARD: 12a.

**PASS FIRST CARD TO THE RESPONDENT.**

> Please read this card carefully.
>
> **RECORD CODE LETTERS IN BOXES FOR 12a AT RIGHT.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MAKE SURE THAT BOARD MARKER FOR LIFE A IS AT**
>
> **10 YEARS.**

12b. At the moment, each scale says 10 years. This means that you

> would either live in Life A for 10 years and then die, or you would
>
> live in Life B for 10 years and then die. Would you prefer Life
>
> A or Life B, or are they the same?

Life A  1 Go to **Q13.** 12b. 1 Life A

> Life B  2 Ask **Q12c.** 2 Life B
>
> The Same  3 Ask **Q12d.** 3 Same

12c. **IF \'Life B\' AT 12b.:** Does this mean that you would rather
live in

Life B for 10 years than in Life A for 10 years?

Yes  1 Go to **Q13.** 12c. 1 Yes

No (First Time)  2 Repeat **Q12b.** 2 No

No (Second Time)  3 Go to **Q13.** -4 DK

-7 Refused

12d. **IF \'The Same\' AT 12b.:** Does this mean that you living in Life

> B for 10 years would be the same as living in Life A for 10 years?
>
> Yes  1 Go to **Q13.** 12d. 1 Yes
>
> No (First Time)  2 Repeat **Q12b.** 2 No
>
> No (Second Time)  3 Go to **Q13.** -4 DK
>
> -7 Refused
>
> 13\. **CONTINUE WORKING WITH THE FIRST CARD.**
>
> 13a. **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 13b. Now you would either die immediately, or you would live in Life
>
> B for 10 years and then die. Would you prefer to die immediately
>
> or to have Life B, or are they the same?
>
> Life A  1 Go to **Q13h**. (STATE WORSE THAN DEATH) 13b. 1 Life A
>
> Life B  2 Go to **Q13c**. (STATE BETTER THAN DEATH) 2 Life B
>
> The Same  3 Go to **Q14**. 3 Same

13c. **ASK IF \'LIFE B\' (code 2) AT 13b.**

**[STATE BETTER THAN DEATH]{.underline}** 13c. **+/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH            ● 

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

##  SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5). {#set-board-marker-for-life-a-to-5-years-t5. .sub-heading}

13d. Now you would either live in Life A for \'t\' years and then die,

> or you would live in Life B for ten years and then die. Would
>
> you prefer Life A or Life B, or are they the same?
>
> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q13d**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT Q**13d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q14**.
>
> **REPEAT 13d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q14** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q13e**.
>
> 13e. **ASK IF 13d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**

**LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**

> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q14.** 13e. 1 Life A
>
> Life B  2 Go to **Q13f.** 2 Life B
>
> The Same  3 Go to **Q14.** 3 Same

13f. **IF \'LIFE B\' (code 2) AT 13e.**

**INTERVIEWER CHECK:**

IF THERE [IS]{.underline} A "X" UNDER 9  1 Go to **Q13g.**

IF THERE IS [NOT]{.underline} A "X" UNDER 9  2 Go to **Q14.**

13g. **ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

Would you be prepared to sacrifice [any]{.underline} time in order to
avoid Life B?

IF YES: How many weeks?

Yes  1 Go to **Q14.** 13g. 1 Yes

No  2 Go to **Q14.** Number of Weeks

2 No

-4 DK

-7 Refused

13h. **ASK IF \'LIFE A\' (code 1) AT b.**

**[STATE WORSE THAN DEATH]{.underline}** 13h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 13i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.

IF A: **√** UNDER \'t MOVE MARKER 1 YEAR TO THE

> **RIGHT.** REPEAT **Q13i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT**
>
> REPEAT **Q13i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q14.**
>
> **REPEAT 13i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q14** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q13j**.
>
> 13j. **ASK IF 13i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**

> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same?
>
> Life A  1 Go to **Q14.** 13j. 1 Life A
>
> Life B  2 Go to **Q14.** 2 Life B
>
> The Same  3 Go to **Q14.** 3 Same
>
> 14\. **TAKE OUT NEXT CARD.**
>
> 14a. **ENTER LETTERS OF THE CARD IN BOXES FOR 14a AT** 14a.
>
> **RIGHT.**
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 14b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or
>
> to have Life B, or are they the same?
>
> Life A  1 Go to **Q14h**. (STATE WORSE THAN DEATH) 14b. 1 Life A
>
> Life B  2 Go to **Q14c**. (STATE BETTER THAN DEATH) 2 Life B
>
> The Same  3 Go to **Q15.** 3 Same

14c. **ASK IF \'LIFE B\' (code 2) AT 14b.**

**[STATE BETTER THAN DEATH]{.underline}** 14c. **+/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

          

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

14d. Now you would either live in Life A for \'t\' years and then die,
or

> you would live in Life B for ten years and then die. Would you
>
> prefer Life A or Life B, or are they the same?
>
> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **LEFT.** REPEAT **Q14d**. WITH \'t\' 1 **LESS**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q14d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q15.**
>
> **REPEAT 14d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q15** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q14e**.
>
> 14e. **ASK IF 14d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X' AND**
>
> **CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q15.** 14e. 1 Life A
>
> Life B  2 Go to **Q14f.** 2 Life B
>
> The Same  3 Go to **Q15.** 3 Same

14f. **IF \'LIFE B\' (code 2) AT 14e.**

**INTERVIEWER CHECK:**

IF THERE [IS]{.underline} A "X" UNDER 9  1 Go to **Q14g.**

IF THERE IS [NOT]{.underline} A "X" UNDER 9  2 Go to **Q15.**

14g. **ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

Would you be prepared to sacrifice [any]{.underline} time in order to
avoid Life B?

IF YES: How many weeks?

> Yes  1 Go to **Q15.** 14g. 1 Yes
>
> No  2 Go to **Q15.** Number of Weeks

2 No

-4 DK

-7 Refused

14h. **ASK IF 'LIFE A' AT (Code 1) 14b.**

**[STATE WORSE THAN DEATH]{.underline}** 14h**. +/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

          

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 14i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q14i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT**
>
> REPEAT **Q14i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q15**.
>
> **REPEAT 14i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q15** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q14j.**
>
> 14j. **ASK IF 14i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**

> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same?
>
> Life A  1 Go to **Q15.** 14j. 1 Life A
>
> Life B  2 Go to **Q15.** 2 Life B
>
> The Same  3 Go to **Q15.** 3 Same
>
> 15\. **TAKE OUT NEXT CARD.**
>
> 15a. **ENTER LETTERS OF THE CARD IN BOXES FOR 15a AT** 15a. **RIGHT.**
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 15b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or
>
> to have Life B, or are they the same?
>
> Life A  1 Go to **Q15h.** (STATE WORSE THAN DEATH) 15b. 1 Life A
>
> Life B  2 Go to **Q15c.** (STATE BETTER THAN DEATH) 2 Life B
>
> The Same  3 Go to **Q16.** 3 Same

15c**. ASK IF \'LIFE B\' (code 2) AT 15b.**

**[STATE BETTER THAN DEATH]{.underline}** 15c. **+/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

> 15d. Now you would either live in Life A for \'t\' years and then die,
> or
>
> you would live in Life B for ten years and then die. Would you
>
> prefer Life A or Life B, or are they the same?
>
> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q15d**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q15d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME
>
> IF SAME: =UNDER \'t\' GO TO **Q16.**
>
> **REPEAT 15d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q16** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q15e**.

15e**. ASK IF 15d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**

> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q16.** 15e. 1 Life A
>
> Life B  2 Go to **Q15f.** 2 Life B
>
> The Same  3 Go to **Q16.** 3 Same

15f. **IF \'LIFE B\' (code 2) AT 15e.**

**INTERVIEWER CHECK:**

IF THERE [IS]{.underline} A 'X' UNDER 9  1 Go to **Q15g.**

IF THERE IS [NOT]{.underline} A 'X' UNDER 9  2 Go to **Q16.**

15g. **ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

Would you be prepared to sacrifice [any]{.underline} time in order to
avoid Life B?

IF YES: How many weeks?

Yes  1 Go to **Q16.** 15g. 1 Yes

No  2 Go to **Q16.** Number of Weeks

2 No

-4 DK

-7 Refused

15h. **ASK IF \'LIFE A\' (code 1) AT 15b.**

[**STATE WORSE THAN DEATH**]{.underline} 15h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 15i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q15i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q15i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q16.**
>
> **REPEAT 15i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q16** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q15j.**
>
> 15j. **ASK IF 15i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**

> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same?
>
> Life A  1 Go to **Q16.** 15j. 1 Life A
>
> Life B  2 Go to **Q16.** 2 Life B
>
> The Same  3 Go to **Q16.** 3 Same
>
> 16\. **TAKE OUT NEXT CARD.**
>
> 16a. **ENTER LETTERS OF THE CARD IN BOXES FOR 16a AT** 16a. **RIGHT.**
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 16b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or
>
> to have Life B, or are they the same?
>
> Life A  1 Go to **Q16h.** (STATE WORSE THAN DEATH) 16b. 1 Life A
>
> Life B  2 Go to **Q16c.** (STATE BETTER THAN DEATH) 2 Life B
>
> The Same  3 Go to **Q17.** 3 Same

16c**. ASK IF \'LIFE B\' (code 2) AT 16b.**

**[STATE BETTER THAN DEATH]{.underline}** 16c. +/-

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

> 16d. Now you would either live in Life A for \'t\' years and then die,
>
> or you would live in Life B for ten years and then die. Would
>
> you prefer Life A or Life B, or are they the same?
>
> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q16d**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q16d.** WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q17**.
>
> **REPEAT 16d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q17** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q16e**.
>
> 16e. **ASK IF 16d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X' AND**
>
> **CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same.
>
> Life A  1 Go to **Q17.** 16e. 1 Life A
>
> Life B  2 Go to **Q16f.** 2 Life B
>
> The Same  3 Go to **Q17.** 3 Same

16f. **IF \'LIFE B\' (code 2) AT 16e.**

**INTERVIEWER CHECK:**

> IF THERE [IS]{.underline} A 'X' UNDER 9  1 Go to **Q16g**.

IF THERE IS [NOT]{.underline} A 'X' UNDER 9  2 Go to **Q17.**

**ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

16g. Would you be prepared to sacrifice [any]{.underline} time in order
to avoid Life B?

IF YES: How many weeks?

Yes  1 Go to **Q17.** 16g. 1 Yes

No  2 Go to **Q17.** Number of Weeks

2 No

-4 DK

-7 Refused

16h. **ASK IF \'LIFE A\' (code 1) AT 16b.**

**[STATE WORSE THAN DEATH]{.underline}** 16h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 16i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.
>
> IF A: √ UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q16i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q16i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q17**.
>
> **REPEAT 16i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q17** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q16j**.
>
> 16j. **ASK IF 16i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**

**CARD)** followed by \'10-t\' years in this other state **(POINT TO
THE**

**PINK CARD)**. Or instead of that you could choose to die immediately

**(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,

or are they the same?

> Life A  1 Go to **Q17.** 16j. 1 Life A
>
> Life B  2 Go to **Q17.** 2 Life B
>
> The Same  3 Go to **Q17.** 3 Same
>
> 17\. **TAKE OUT NEXT CARD.**
>
> 17a. **ENTER LETTERS OF THE CARD IN BOXES FOR 17a AT** 17a.
>
> **RIGHT.**
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 17b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or

to have Life B, or are they the same?

> Life A  1 Go to **Q17h.** (STATE WORSE THAN DEATH) 17b. 1 Life A
>
> Life B  2 Go to **Q17c.** (STATE BETTER THAN DEATH) 2 Life B
>
> The Same  3 Go to **Q18.** 3 Same

17c**. ASK IF \'LIFE B\' (code 2) AT 17b.**

**[STATE BETTER THAN DEATH]{.underline}** 17c**. +/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

          

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

17d. Now you would either live in Life A for \'t\' years and then die,
or

> you would live in Life B for ten years and then die. Would you
>
> prefer Life A or Life B, or are they the same?
>
> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q17d**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q17d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q18**.
>
> **REPEAT 17d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q18** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q17e**.
>
> 17e. **ASK IF 17d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q18.** 17e. 1 Life A
>
> Life B  2 Go to **Q17f.** 2 Life B
>
> The same  3 Go to **Q18.** 3 Same

17f. **IF \'LIFE B\' (code 2) AT 17e.**

**INTERVIEWER CHECK:**

If THERE [IS]{.underline} A 'X' UNDER 9  1 Go to **Q17g.**

IF THERE IS [NOT]{.underline} A 'X' UNDER 9  2 Go to **Q18.**

17g. **ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

Would you be prepared to sacrifice [any]{.underline} time in order to
avoid Life B?

IF YES: How many weeks?

Yes  1 Go to **Q18.** 17g. 1 Yes

No  2 Go to **Q18.** Number of Weeks

2 No

-4 DK

-7 Refused

17h. **ASK IF \'LIFE A\' (code 1) AT 17b.**

**[STATE WORSE THAN DEATH]{.underline}** 17h**.** **+/-**

#########  MARK \'√\' UNDER 0 ON SCALE BELOW. 

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

          

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS.**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 17i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q17i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q17i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q18.**
>
> **REPEAT 17i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q18** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q17j**.
>
> 17j. **ASK IF 17i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**

> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same?
>
> Life A  1 Go to **Q18.** 17j. 1 Life A
>
> Life B  2 Go to **Q18.** 2 Life B
>
> The Same  3 Go to **Q18.** 3 Same
>
> 18\. **TAKE OUT NEXT CARD.**
>
> 18a. **ENTER LETTERS OF THE CARD IN BOXES FOR 18a AT** 18a.
>
> **RIGHT. OF THE CARD:**
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 18b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately
>
> or to have Life B, or are they the same?
>
> Life A  1 Go to **Q18h.** (STATE WORSE THAN DEATH) 18b. 1 Life A
>
> Life B  2 Go to **Q18c.** (STATE BETTER THAN DEATH) 2 Life B
>
> The Same  3 Go to **Q19.** 3 Same

18c**. ASK IF \'LIFE B\' (code 2) AT 18b.**

**[STATE BETTER THAN DEATH]{.underline}** 18c**.** **+/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

> 18d. Now you would either live in Life A for \'t\' years and then die,
> or
>
> you would live in Life B for ten years and then die. Would you
>
> prefer Life A or Life B, or are they the same?
>
> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q18d**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q18d**. WITH \'t\' 1 MORE
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q19**.
>
> **REPEAT 18d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q19** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q18e**.
>
> 18e. **ASK IF d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or
>
> you would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q19.** 18e. 1 Life A
>
> Life B  2 Go to **Q18f.** 2 Life B
>
> The Same  3 Go to **Q19.** 3 Same

18f. **IF \'LIFE B\' (code 2) AT 18e.**

**INTERVIEWER CHECK:**

If THERE [IS]{.underline} A 'X' UNDER 9  1 Go to **Q18g.**

IF THERE IS [NOT]{.underline} A 'X' UNDER 9  2 Go to **Q19.**

18g. Would you be prepared to sacrifice [any]{.underline} time in order
to avoid Life B?

**ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

IF YES: How many weeks?

> Yes  1 Go to **Q19.** 18g. 1 Yes

No  2 Go to **Q19.** Number of Weeks

2 No

-4 DK

-7 Refused

18h. **ASK IF \'LIFE A\' (code 1) AT 18b.**

**[STATE WORSE THAN DEATH]{.underline}** 18h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 18i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q18i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q18i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q19**.
>
> **REPEAT 18i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q19** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q18j**.

18j. **ASK IF 18i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**

**LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**

> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**

> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same?
>
> Life A  1 Go to **Q19.** 18j. 1 Life A
>
> Life B  2 Go to **Q19.** 2 Life B
>
> The Same  3 Go to **Q19.** 3 Same
>
> 19\. **TAKE OUT NEXT CARD.**
>
> 19a. **ENTER LETTERS OF THE CARD IN BOXES FOR 19a AT** 19a.
>
> **RIGHT. OF THE CARD:**
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 19b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or
>
> to have Life B, or are they the same?
>
> Life A  1 Go to **Q19h.** (STATE WORSE THAN DEATH) 19b. 1 Life A
>
> Life B  2 Go to **Q19c.** (STATE BETTER THAN DEATH) 2 Life B
>
> The Same  3 Go to **Q20.** 3 Same

19c**. ASK IF \'LIFE B\' (code 2) AT 19b.**

**[STATE BETTER THAN DEATH]{.underline}** 19c**. +/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

> 19d. Now you would either live in Life A for \'t\' years and then die,
> or you
>
> would live in Life B for ten years and then die. Would you prefer Life
>
> A or Life B, or are they the same? **CONTINUE TO WRITE ON SCALE**
>
> **[ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT**
>
> REPEAT **Q19d.** WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q19d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q20**.
>
> **REPEAT 19d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q20** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q19e**.
>
> 19e. **ASK IF 19d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q20.** 19e. 1 Life A
>
> Life B  2 Go to **Q19f.** 2 Life B
>
> The same  3 Go to **Q20.** 3 Same

19f. **IF \'LIFE B\' (code 2) AT 19e.**

**INTERVIEWER CHECK:**

If THERE [IS]{.underline} A 'X' UNDER 9  1 Go to **Q19g.**

IF THERE IS [NOT]{.underline} A 'X' UNDER 9  2 Go to **Q20.**

19g. **ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

Would you be prepared to sacrifice [any]{.underline} time in order to
avoid Life B?

IF YES: How many weeks?

Yes  1 Go to **Q20.** 19g. 1 Yes

No  2 Go to **Q20.** Number of Weeks

2 No

-4 DK

-7 Refused

19h. **ASK IF \'LIFE A\' (code 1) AT 19b.**

**[STATE WORSE THAN DEATH]{.underline}** 19h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 19i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.

IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE

> **RIGHT.** REPEAT **Q19i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q19i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q20**.
>
> **REPEAT 19i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q20** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q19j.**
>
> **ASK IF 19i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

19j. What if Life A was \'t\' years of this state. **(POINT TO THE
GREEN**

> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same?
>
> Life A  1 Go to **Q20.** 19j. 1 Life A
>
> Life B  2 Go to **Q20.** 2 Life B
>
> The Same  3 Go to **Q20.** 3 Same
>
> 20\. **TAKE OUT NEXT CARD.**
>
> 20a. **ENTER LETTERS OF THE CARD IN BOXES FOR 20a AT** 20a.
>
> **RIGHT. OF THE CARD:**
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 20b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or
>
> to have Life B, or are they the same?
>
> Life A  1 Go to **Q20h.** (STATE WORSE THAN DEATH) 20b. 1 Life A
>
> Life B  2 Go to **Q20c.** (STATE BETTER THAN DEATH) 2 Life B
>
> The Same  3 Go to **Q21.** 3 Same

20c**. ASK IF \'LIFE B\' (code 2) AT 20b.**

**[STATE BETTER THAN DEATH]{.underline}** 20c**.** **+/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

> 20d. Now you would either live in Life A for \'t\' years and then die,
>
> or you would live in Life B for ten years and then die. Would
>
> you prefer Life A or Life B, or are they the same?

**CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.

> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q20d**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q20d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q2**1.
>
> **REPEAT 20d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q21** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q20e**.
>
> 20e. **ASK IF 20d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q21.** 20e. 1 Life A
>
> Life B  2 Go to **Q20f.** 2 Life B
>
> The Same  3 Go to **Q21.** 3 Same

20f. **IF \'LIFE B\' (code 2) AT 20e.**

**INTERVIEWER CHECK:**

If THERE [IS]{.underline} A 'X' UNDER 9  1 Go to **Q20g.**

IF THERE IS [NOT]{.underline} A 'X' UNDER 9  2 Go to **Q21.**

20g. **ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

Would you be prepared to sacrifice [any]{.underline} time in order to
avoid Life B?

IF YES: How many weeks?

Yes  1 Go to **Q21.** 20g. 1 Yes

No  2 Go to **Q21.** Number of Weeks

2 No

-4 DK

-7 Refused

20h. **ASK IF \'LIFE A\' (code 1) AT 20b.**

**[STATE WORSE THAN DEATH]{.underline}** 20h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 20i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q20i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q20i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q21**.
>
> **REPEAT 20i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q21** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q20j.**
>
> **ASK IF 20i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

20j. What if Life A was \'t\' years of this state. **(POINT TO THE
GREEN**

> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same?

Life A  1 Go to **Q21.** 20j. 1 Life A

> Life B  2 Go to **Q21.** 2 Life B
>
> The Same  3 Go to **Q21.** 3 Same
>
> 21\. **TAKE OUT NEXT CARD.**
>
> 21a. **ENTER LETTERS OF THE CARD IN BOXES FOR 21a AT** 21a**.**
>
> **RIGHT. OF THE CARD:** .
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 21b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or
>
> to have Life B, or are they the same?
>
> Life A  1 Go to **Q21h.** (STATE WORSE THAN DEATH) 21b. 1 Life A Life
> B  2 Go to **Q21c.** (STATE BETTER THAN DEATH) 2 Life B
>
> The same  3 Go to **Q22.** 3 Same

21c**. ASK IF \'LIFE B\' (code 2) AT 21b.**

**[STATE BETTER THAN DEATH]{.underline}** 21c**. +/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10 THAN DEATH           

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

21d. Now you would either live in Life A for \'t\' years and then die,
or

> you would live in Life B for ten years and then die. Would you

prefer Life A or Life B, or are they the same?

> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **LEFT.** REPEAT **Q21d**. WITH \'t\' 1 **LESS**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q21d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q22**.
>
> **REPEAT 21d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q22** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q21e**.
>
> 21e. **ASK IF d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q22.** 21e. 1 Life A
>
> Life B  2 Go to **Q21f.** 2 Life B
>
> The Same  3 Go to **Q22.** 3 Same

21f. **IF \'LIFE B\' (code 2) AT 21e.**

**INTERVIEWER CHECK:**

If THERE [IS]{.underline} A 'X' UNDER 9 1  Go to **Q21g.**

IF THERE IS [NOT]{.underline} A 'X' UNDER 9 2  Go to **Q22.**

21g. **ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

Would you be prepared to sacrifice [any]{.underline} time in order to
avoid Life B?

IF YES: How many weeks?

Yes  1 Go to **Q22.** 21g. 1 Yes

No  2 Go to **Q22.** Number of Weeks

2 No

-4 DK

-7 Refused

21h. **ASK IF \'LIFE A\' (code 1) AT 21b.**

**[STATE WORSE THAN DEATH]{.underline}** 21h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 21i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q21i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q21i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q22**.
>
> **REPEAT 21i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q22** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q21j**.
>
> 21j. **ASK IF 21i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**

> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same?
>
> Life A  1 Go to **Q22.** 21j. 1 Life A
>
> Life B  2 Go to **Q22.** 2 Life B
>
> The Same  3 Go to **Q22.** 3 Same
>
> 22\. **TAKE OUT NEXT CARD.**
>
> 22a. **ENTER LETTERS OF THE CARD IN BOXES FOR 22a AT** 22a.
>
> **RIGHT. OF THE CARD:**
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 22b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or
>
> to have Life B, or are they the same?
>
> Life A  1 Go to **Q22h.** (STATE WORSE THAN DEATH) 22b. 1 Life A
>
> Life B  2 Go to **Q22c.** (STATE BETTER THAN DEATH) 2 Life B
>
> The Same  3 Go to **Q23.** 3 Same

22c**. ASK IF \'LIFE B\' (code 2) AT 22b.**

**[STATE BETTER THAN DEATH]{.underline}** 22c**. +/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

> 22d. Now you would either live in Life A for \'t\' years and then die,
> or
>
> you would live in Life B for ten years and then die. Would you
>
> prefer Life A or Life B, or are they the same?
>
> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **LEFT.** REPEAT **Q22d**. WITH \'t\' 1 **LESS**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q22d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q2**3.
>
> **REPEAT 22d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q23** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q22e**.
>
> 22e. **ASK IF 22d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'AND**
>
> **CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q23.** 22e. 1 Life A
>
> Life B  2 Go to **Q22f.** 2 Life B
>
> The Same  3 Go to **Q23.** 3 Same

**IF \'LIFE B\' (code 2) AT 22e.**

22f. **INTERVIEWER CHECK:**

If THERE [IS]{.underline} A 'X' UNDER 9  1 Go to **Q22g.**

IF THERE IS [NOT]{.underline} A 'X' UNDER 9  2 Go to **Q23.**

**ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

22g. Would you be prepared to sacrifice [any]{.underline} time in order
to avoid Life B?

IF YES: How many weeks?

Yes  1 Go to **Q23.** 22g. 1 Yes

No  2 Go to **Q23.** Number of Weeks

2 No

-4 DK

-7 Refused

22h. **ASK IF \'LIFE A\' (code 1) AT 22b.**

**[STATE WORSE THAN DEATH]{.underline}** 22h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 22i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.

IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE

> **RIGHT.** REPEAT **Q22i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q22i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q23**.
>
> **REPEAT 22i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q23** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q22j**.

22j. **ASK IF 22i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**

**LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**

> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**
>
> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same?
>
> Life A  1 Go to **Q23.** 22j. 1 Life A
>
> Life B  2 Go to **Q23.** 2 Life B
>
> The Same  3 Go to **Q23.** 3 Same
>
> 23\. **TAKE OUT NEXT CARD.**
>
> 23a. **ENTER LETTERS OF THE CARD IN BOXES FOR 23a AT** 23a.
>
> **RIGHT. OF THE CARD:**
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 23b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or
>
> to have Life B, or are they the same?
>
> Life A  1 Go to **Q23h.** (STATE WORSE THAN DEATH) 23b. 1 Life A
>
> Life B  2 Go to **Q23c.** (STATE BETTER THAN DEATH) 2 Life B
>
> The same  3 Go to **Q24.** 3 Same

23c**. ASK IF \'LIFE B\' (code 2) AT 23b.**

**[STATE BETTER THAN DEATH]{.underline}** 23c. **+/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

23d. Now you would either live in Life A for \'t\' years and then die,
or

> you would live in Life B for ten years and then die. Would you
>
> prefer Life A or Life B, or are they the same?
>
> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q23d**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q23d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q24**.
>
> **REPEAT 23d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q24** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q23e**.
>
> 23e. **ASK IF 23d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or
>
> you would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q24.** 23e. 1 Life A
>
> Life B  2 Go to **Q23f.** 2 Life B
>
> The Same  3 Go to **Q24**. 3 Same

**IF \'LIFE B\' (code 2) AT 23e.**

23f. **INTERVIEWER CHECK:**

If THERE [IS]{.underline} A 'X' UNDER 9  1 Go to **Q23g.**

IF THERE IS [NOT]{.underline} A 'X' UNDER 9  2 Go to **Q24.**

**ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

23g. Would you be prepared to sacrifice [any]{.underline} time in order
to avoid Life B?

IF YES: How many weeks?

Yes  1 Go to **Q24.** 23g. 1 Yes

No  2 Go to **Q24.** Number of Weeks

2 No

-4 DK

-7 Refused

23h. **ASK IF \'LIFE A\' (code 1) AT 23b.**

**[STATE WORSE THAN DEATH]{.underline}** 23h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

23i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
CARD)**

> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q23i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q23i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q24**.
>
> **REPEAT 23i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q24** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q23j.**
>
> 23j. **ASK IF 23i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**
>
> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,

or are they the same?

> Life A  1 Go to **Q24.** 23j. Life A
>
> Life B  2 Go to **Q24.** Life B
>
> The Same  3 Go to **Q24.** Same
>
> 24\. **TAKE OUT NEXT CARD.**
>
> 24a. **ENTER LETTERS OF THE CARD IN BOXES 24a AT** 24a
>
> **RIGHT. OF THE CARD:** .
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 24b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or
>
> to have Life B, or are they the same?
>
> Life A  1 Go to **Q24h.** (STATE WORSE THAN DEATH) 24b. Life A
>
> Life B  2 Go to **Q24c.** (STATE BETTER THAN DEATH) Life B
>
> The Same  3 Go to **Q25.** Same

24c. **ASK IF \'LIFE B\' (code 2) AT 24b.**

**[STATE BETTER THAN DEATH]{.underline}** 24c. **+/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

> 24d. Now you would either live in Life A for \'t\' years and then die,
> or
>
> you would live in Life B for ten years and then die. Would you
>
> prefer Life A or Life B, or are they the same?
>
> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q24d**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q24d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q25**.
>
> **REPEAT 24d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q25** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q24e**.
>
> 24e. **ASK IF 24d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q25.** 24e. 1 Life A
>
> Life B  2 Go to **Q24f.** 2 Life B
>
> The Same  3 Go to **Q25.** 3 Same

**IF \'LIFE B\' (code 2) AT 24e.**

24f. **INTERVIEWER CHECK:**

If THERE [IS]{.underline} A 'X' UNDER 9  1 Go to **Q24g.**

IF THERE IS [NOT]{.underline} A 'X' UNDER 9  2 Go to **Q25.**

**ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

24g. Would you be prepared to sacrifice [any]{.underline} time in order
to avoid Life B?

IF YES: How many weeks? .

Yes  1 Go to **Q25.** 24g. 1 Yes

No  2 Go to **Q25.** Number of Weeks

2 No

-4 DK

-7 Refused

24h. **ASK IF \'LIFE A\' (code 1) AT 24b.**

**[STATE WORSE THAN DEATH]{.underline}** 24h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 24i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q24i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q24i**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q25**.
>
> **REPEAT 24i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q25** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q24j**.
>
> 24j. **ASK IF 24i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**

**CARD)** followed by \'10-t\' years in this other state **(POINT TO
THE**

**PINK CARD)**. Or instead of that you could choose to die immediately

**(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,

or are they the same?

> Life A  1 Go to **Q25.** 24j. 1 Life A
>
> Life B  2 Go to **Q25.** 2 Life B
>
> The Same  3 Go to **Q25.** 3 Same
>
> 25\. **TAKE OUT NEXT CARD.**
>
> 25a. **ENTER LETTERS OF THE CARD IN BOXES FOR 25a AT** 25a.
>
> **RIGHT OF THE CARD:**
>
> **PASS CARD TO THE RESPONDENT.**
>
> Please read this card through carefully.
>
> **HAVE TTO BOARD WITH SIDE \'1\' FACING UPWARDS.**
>
> **PLACE CARD IN POCKET FOR LIFE B.**
>
> **MOVE BOARD MARKER FOR LIFE A TO 0 YEARS.**
>
> 25b. Now you would either die immediately, or you would live in Life B
>
> for 10 years and then die. Would you prefer to die immediately or
>
> to have Life B, or are they the same?
>
> Life A  1 Go to **Q25h**. (STATE WORSE THAN DEATH) 26b. 1 Life A
>
> Life B  2 Go to **Q25c.** (STATE BETTER THAN DEATH) 2 Life B
>
> The Same  3 Go to **Q26a.** 3 Same

25c**. ASK IF \'LIFE B\' (code 2) AT 25b.**

**[STATE BETTER THAN DEATH]{.underline}** 25c. **+/-**

**MARK \'X\' UNDER 0 ON SCALE BELOW**.

**BETTER** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**CONTINUE TO USE TIME BOARD WITH SIDE \'1\' UPWARDS. FOR OFFICE USE
ONLY**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

> 25d. Now you would either live in Life A for \'t\' years and then die,
> or
>
> you would live in Life B for ten years and then die. Would you
>
> prefer Life A or Life B, or are they the same?
>
> **CONTINUE TO WRITE ON SCALE [ABOVE ON THIS PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q25d**. WITH \'t\' 1 **LESS** THAN
>
> LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q25d**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF SAME: =UNDER \'t\' GO TO **Q26a**.
>
> **REPEAT 25d. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q26a** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q25e**.
>
> 25e. **ASK IF 25d. ENDED WITH \'X\' AND \'√\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**
>
> What if you would either live in Life A for \'t\' and then die, or you
>
> would live in Life B for ten years and then die. Would you prefer
>
> Life A or Life B, or are they the same?
>
> Life A  1 Go to **Q26a.** 25e. 1 Life A
>
> Life B  2 Go to **Q25f.** 2 Life B
>
> The Same  3 Go to **Q26a.** 3 Same

25f. **IF \'LIFE B\' (code 2) AT 25e.**

**INTERVIEWER CHECK:**

IF THERE [IS]{.underline} A 'X' UNDER 9 1  Go to Q 25g.

IF THERE IS [NOT]{.underline} A 'X' UNDER 9 2  Go to Q 26a.

25g. **ASK IF THERE IS \'X\' UNDER 9 AND \'√\' UNDER 10.**

Would you be prepared to sacrifice [any]{.underline} time in order to
avoid Life B? .

IF YES: How many weeks?

Yes  1 Go to **Q26a.** 25g. 1 Yes

No  2 Go to **Q26a.** Number of Weeks

2 No

-4 DK

-7 Refused

25h. **ASK IF \'LIFE A\' (code 1) AT 25b.**

**[STATE WORSE THAN DEATH]{.underline}** 25h. **+/-**

**MARK \'√\' UNDER 0 ON SCALE BELOW.**

**WORSE** 0 1 2 3 4 5 6 7 8 9 10

THAN DEATH           

SCALE

**TURN TTO BOARD SIDE \'2\' UPWARDS. FOR OFFICE USE ONLY**

**MOVE GREEN CARD TO TOP LEFT POCKET ON SIDE \'2\'.**

**SET BOARD MARKER FOR LIFE A TO 5 YEARS (t=5).**

Now here is a different choice.

> 25i. Life A is now \'t\' years of this state. **(POINT TO THE GREEN
> CARD)**
>
> followed by \'10-t\' years in this other state **(POINT TO THE PINK**
>
> **CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same? **WRITE ON SCALE [ABOVE ON THIS
> PAGE]{.underline}**.
>
> IF A: **√** UNDER \'t\' MOVE MARKER 1 YEAR TO THE
>
> **RIGHT.** REPEAT **Q25i**. WITH \'t\' 1 **MORE**
>
> THAN LAST TIME.
>
> IF B: **X** UNDER \'t\' MOVE MARKER 1 YEAR TO THE **LEFT.**
>
> REPEAT **Q25i**. WITH \'t\' 1 LESS THAN
>
> LAST TIME.
>
> IF SAME: **=**UNDER \'t\' GO TO **Q26a**.
>
> **REPEAT 25i. UNTIL:**
>
> A\) YOU ENTER \'=\' Go to **Q26a** [**OR**]{.underline}
>
> B\) \'X\' AND \'√\' APPEAR NEXT TO EACH OTHER Go to **Q25j**.
>
> 25j. **ASK IF 25i. ENDED WITH \'√\' AND \'X\' NEXT TO EACH OTHER.**
>
> **LET \'t\' NOW BE HALFWAY BETWEEN THE ADJACENT 'X'**
>
> **AND CHECK MARK, I.E. \'SOMETHING AND 6 MONTHS\'.**

What if Life A was \'t\' years of this state. **(POINT TO THE GREEN**

> **CARD)** followed by \'10-t\' years in this other state **(POINT TO
> THE**
>
> **PINK CARD)**. Or instead of that you could choose to die immediately
>
> **(POINT TO LIFE B).** Would you prefer Life A, or to die immediately,
>
> or are they the same?
>
> Life A  1 Go to **Q26a.** 25j. 1 Life A
>
> Life B  2 Go to **Q26a.** 2 Life B
>
> The Same  3 Go to **Q26a.** 3 Same
>
> 26a. **FINISH TIME OF TTO**
>
> AM/PM
>
> 26b. **TIME TAKEN FOR TTO**
>
> Minutes
>
> D. **BACKGROUND SECTION**

Now, I have some questions regarding your background. Remember, there
are no right or wrong answers and you have the right to "refuse" to
answer any question or may give "don't know" as a response.

27. What is your date of birth?

month day year

> **REFUSED** **. . . . . . . . . . . . -**7
>
> **DON\'T KNOW. . . . . . . . . -4**

28. **RECORD GENDER. IF NECESSARY ASK**: What is your sex?

> MALE **. . . . . . . . . . . . . .** 1
>
> FEMALE **. . . . . . . . . . . .** 2
>
> **REFUSED . . . . . . . . . . . -**7

29a. Do you consider yourself to be...

> **...READ OUT...**
>
> **CODE FIRST THAT APPLIES:**
>
> American Indian/Native American **. . . . . . . . .** 1
>
> Aleut/Eskimo**. . . . . . . . . . . . . . . . . . . . . . .** 2
>
> Asian or Pacific Islander**.** **. . . . . . . . . . . . . . .** 3 (GO
> TO Q30)
>
> Black/African American (Non-Hispanic) **. . . . .** 4
>
> White (Non-Hispanic) **. . . . . . . . . . . . . . . .** 5

Hispanic/Latino **. . . . . . . . . . . . . . . . . . . . .** 6 (ASK
Q29b)

**OTHER. . . . . . . . . . . . . . . . . . . . . . . . . . 91**

**REFUSED** **. . . . . . . . . . . . . . . . . . . . . . . . -7** (GO
TO Q30)

**DON\'T KNOW** **. . . . . . . . . . . . . . . . . . . . -4**

29b. If you consider yourself to be Hispanic/Latino, do you consider
yourself to be...

> **...READ OUT...**
>
> **CODE FIRST THAT APPLIES:**
>
> Puerto Rican**.** **. . . . .** **. . . . . . . . . . . . . . . . . .
> . . .** 1
>
> Cuban/Cuban American **. . . . . . . . . . . . . . . . . . . .** 2
>
> Mexican/Mexican American/Mexicano/Chicano**. . . . .** 3

Latin American. **. . . . . . . . . . . . . . . . . . . . . . . . .** 4

**OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91**

> **REFUSED. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
> -7**

**DON\'T KNOW** **. . . . . . . . . . . . . . . . . . . . . . . . . -4**

30\. At the present time are you

> **...READ OUT...**
>
> **CODE FIRST THAT APPLIES:**
>
> Married**. . . . . . . . . . . . . . . . . . . . . . .** 1
>
> Living with partner (not married) **. . . . . .** 2
>
> Widowed**. . . . . . . . . . . . . . . . . . . . . .** 3
>
> Divorced**. . . . . . . . . . . . . . . . . . . . . .** 4
>
> Separated**. . . . . . . . . . . . . . . . . . . . . .** 5
>
> Never married **. . . . . . . . . . . . . . . . . .** 6
>
> **REFUSED. . . . . . . . . . . . . . . . . . . . . -7**
>
> **DON\'T KNOW** **. . . . . . . . . . . . . . . . . -4**

31\. How many people, including yourself, live in your household?

##  WRITE IN 

> **REFUSED. . . . . . . . . . . . . . . . . -7**
>
> **DON\'T KNOW . . . . . . . . . . . . . -4**

32\. Please look at this card and tell me which is the **highest** grade
or year of **regular** school that

> you have ever **completed**. **HAND R SHOWCARD 32.**

**CODE FIRST THAT APPLIES:**

Never attended school/kindergarten only**. . . . . . . . . . .** 0

Elementary

> First grade **. . . . . . . . . . . . . . . . . . . . . . . . .** 1
>
> Second grade**. . . . . . . . . . . . . . . . . . . . . . . .** 2
>
> Third grade**. . . . . . . . . . . . . . . . . . . . . . . . .** 3
>
> Fourth grade**. . . . . . . . . . . . . . . . . . . . . . . .** 4

Fifth grade **. . . . . . . . . . . . . . . . . . . . . . . . .** 5

> Sixth grade**. . . . . . . . . . . . . . . . . . . . . . . . .** 6
>
> Seventh grade **. . . . . . . . . . . . . . . . . . . . . . .** 7
>
> Eight grade**. . . . . . . . . . . . . . . . . . . . . . . . .** 8
>
> High School
>
> Ninth grade**. . . . . . . . . . . . . . . . . . . . . . . . .** 9

Tenth grade**. . . . . . . . . . . . . . . . . . . . . . . . .** 10

Eleventh grade**. . . . . . . . . . . . . . . . . . . . . . .** 11

Twelfth grade **. . . . . . . . . . . . . . . . . . . . . . .** 12

College

First year **. . . . . . . . . . . . . . . . . . . . . . . . . .** 13

Second year**. . . . . . . . . . . . . . . . . . . . . . . . .** 14

Third year**. . . . . . . . . . . . . . . . . . . . . . . . . .** 15

Fourth year**. . . . . . . . . . . . . . . . . . . . . . . . .** 16

Five or more years **. . . . . . . . . . . . . . . . . . . .** 17

**REFUSED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .**
**-7**

**DON\'T KNOW** **. . . . . . . . . . . . . . . . . . . . . . . . . .
.** **-4**

33a. Please read this card and tell me which of the following **best**
describes your current employment

status. **HAND R SHOWCARD 33a**.

**CODE FIRST THAT APPLIES:**

> Paid or self-employed (≥35 hours/week)**. . . . . . . . . . . .** 1
> (GO TO Q33b)
>
> Paid or self-employed (\<35 hours/week) **. . . . . . . . . . .** 2
>
> Unemployed, actively looking for work)**. . . . . . . . . . . .** 3
>
> Unemployed, not actively looking for work**. . . . . . . . . .** 4
>
> Unemployed, unable to work**. . . . . . . . . . . . . . . . . . .** 5
>
> Retired **. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
> . . .** 6
>
> Full-time student**. . . . . . . . . . . . . . . . . . . . . . . . . .
> .** 7 (GO TO Q34).
>
> Housewife/househusband**. . . . . . . . . . . . . . . . . . . . . .**
> 8
>
> **OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
> .** 91
>
> **REFUSED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
> .** **-7**

**DON\'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . .**
**-4**

33b. Thinking about your current job, please read this card and tell me
which of the following **best** describes your job or occupation. **HAND
R SHOWCARD 33b**.

**CODE FIRST THAT APPLIES:**

Management/administration (e.g., executive, public official) **. . . . .
. . .** 1

> Professional (e.g., engineer, teacher, health professional) **. . . .
> . . . . . .** 2
>
> Technical (e.g., computer programmer, health technician) **. . . . . .
> . . .** 3
>
> Sales (e.g., sales representative, cashier) **. . . . . . . . . . . .
> . . . . . . . .** 4
>
> Services (e.g., waitress, child care, custodian) **. . . . . . . . . .
> . . . . . . .** 5
>
> Clerical (e.g., secretary, receptionist, bookkeeper) **. . . . . . . .
> . . . . . .** 6
>
> Skilled labor (e.g., carpenter, electrician, plumber, truck driver)**.
> . . . . .** 7
>
> Unskilled labor (e.g., factory worker, equipment cleaner) **. . . . .
> . . . . .** 8
>
> **OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
> . . . . . . . . . . .** 91
>
> **REFUSED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
> . . . . . . . . .** **-7**

**DON\'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . .** **-4**

34\. What is your total annual household income **before** deductions
for taxes or anything else (e.g., social security, child support)?
**HAND R SHOWCARD 34**.

**CODE FIRST THAT APPLIES:**

\$5,000 or less**. . . . . . . . . . . . . . .** 1

\$5,001 to \$10,000**. . . . . . . . . . . .** 2

\$10,001 to \$20,000**. . . . . . . . . . .** 3

\$20,001 to \$40,000**. . . . . . . . . . .** 4

\$40,001 to \$75,000**. . . . . . . . . . .** 5

More than \$75,000**. . . . . . . . . . .** 6

> **REFUSED. . . . . . . . . . . . . . . .** **-7**

**DON\'T KNOW. .. . . . . . . . . . . .** **-4**

35a. Do you currently smoke cigarettes?

**IF NEEDED, CLARIFY THAT ITEM REFERS TO CIGARETTES ONLY.**

> YES **. . . . . . . . . . . . . . . .** 1 (GO TO Q35c)

NO **. . . . . . . . . . . . . . . .** 2

> **REFUSED. . . . . . . . . . . .** **-7** (ASK Q35b)

**DON\'T KNOW. . . . . . . .** **-4**

35b. Have you ever smoked cigarettes?

**IF NEEDED, CLARIFY THAT ITEM REFERS TO CIGARETTES ONLY.**

> YES **. . . . . . . . . . . . . . . .** 1 (ASK Q35c)

NO **. . . . . . . . . . . . . . . .** 2

> **REFUSED. . . . . . . . . . .** **-7** (GO TO Q36a)

**DON\'T KNOW. . . . . . . .** **-4**

35c. How many years in total have you smoked cigarettes?

> **WRITE IN**
>
> **REFUSED. . . . . . . . . . . . . . . .** **-7**
>
> **DON\'T KNOW . . . . . . . . . . . . .** **-4**

35d. When smoking, how many cigarettes do or did you usually smoke each
day? (There are typically 20 cigarettes in a pack).

**WRITE IN**

> **REFUSED. . . . . . . . . . . . . . . .** **-7**
>
> **DON\'T KNOW . . . . . . . . . . . . .** **-4**

36a. How often do you have a drink containing alcohol (e.g., can of
beer, glass of wine, shot of hard liquor)? Would you say...

Never**. . . . . . . . . . . . . . .** 1 (GO TO Q37)

Monthly or less **. . . . . . . .** 2

2 to 4 times a month**. . . . . .** 3 (ASK Q36b)

2 to 3 times a week **. . . . . .** 4

4 or more times a week**. . . .** 5

> **REFUSED. . . . . . . . . . . .** **-7** (GO TO Q37)

**DON\'T KNOW** **. . . . . . . .** **-4**

36b. How many drinks containing alcohol do you have on a typical day
when you are drinking? Would you say...

1 or 2 **. . . . . . . . . . . . . . .** 1

3 or 4 **. . . . . . . . . . . . . . .** 2

5 or 6 **. . . . . . . . . . . . . . .** 3

7 to 9 **. . . . . . . . . . . . . . .** 4

10 or more**. . . . . . . . . . . .** 5

> **REFUSED. . . . . . . . . . . .** **-7**

**DON\'T KNOW. . . . . . . .** **-4**

37. How would you describe your **primary** health insurance coverage?
    **HAND R SHOWCARD 37.**

**PROBE AS NECESSARY.**

Private health insurance plan from employer or workplace **. . . . .** 1

Private health insurance plan purchased directly**. . . . . . . . . . .
.** 2

Medicaid**. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .** 3

Medicare**. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .** 4

Medicare plus any other health insurance **. . . . . . . . . . . . . . .
.** 5

Military health care/VA **. . . . . . . . . . . . . . . . . . . . . . .
. . . .** 6

CHAMPUS/TRICARE/CHAMP-VA**. . . . . . . . . . . . . . . . . . .** 7

Indian Health Service**. . . . . . . . . . . . . . . . . . . . . . . . .
. . . .** 8

No health insurance**. . . . . . . . . . . . . . . . . . . . . . . . . .
. . . .** 9

**OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . .** 91

**REFUSED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . .** **-7**

**DON\'T KNOW** **. . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . .** **-4**

38a. Have you ever had direct experience taking care of people who were
ill or not fully able to take care of themselves?

> YES **. . . . . . . . . . . . . . . .** 1

NO **. . . . . . . . . . . . . . . .** 2

> **REFUSED. . . . . . . . . . . .** **-7**

**DON\'T KNOW. . . . . . . .** **-4**

38b. Please read this card and tell me if you have ever been told by a
health professional that

you have any of the following conditions. Examples are given in
parentheses.

**HAND R SHOWCARD 38b**.

  ----- --------------------------------------------- ------------------- ------------------ ---- ----------------------- ----------------------
        **READ AND CODE ALL THAT APPLY:**                                                                                 

        Have you ever been told you had...            [Yes]{.underline}   [No]{.underline}        **[Ref]{.underline}**   **[DK]{.underline}**

        Hypertension, also called high blood pressure 1                   2                       **-7**                  **-4**

        Arthritis                                     1                   2                       **-7**                  **-4**

        Diabetes, also called sugar diabetes          1                   2                       **-7**                  **-4**

        Congestive heart failure                      1                   2                       **-7**                  **-4**

        Angina, also called angina pectoris           1                   2                       **-7**                  **-4**

        Heart attack, also called myocardial          1                   2                       **-7**                  **-4**
        infarction                                                                                                        

        Stroke                                        1                   2                       **-7**                  **-4**

        Chronic bronchitis                            1                   2                       **-7**                  **-4**

        Emphysema                                     1                   2                       **-7**                  **-4**

        Asthma                                        1                   2                       **-7**                  **-4**

        Depression                                    1                   2                       **-7**                  **-4**

        Migraine headaches                            1                   2                       **-7**                  **-4**

        Sinusitis                                     1                   2                       **-7**                  **-4**

        Hay fever                                     1                   2                       **-7**                  **-4**

        Ulcer; this could be stomach, duodenal, or    1                   2                       **-7**                  **-4**
        peptic ulcer                                                                                                      

        Any kind of liver condition                   1                   2                       **-7**                  **-4**

        Weak or failing kidneys -- Do not include     1                   2                       **-7**                  **-4**
        kidney stones, bladder infections, or                                                                             
        incontinence                                                                                                      

        Cancer or malignancy of any kind              1                   2                       **-7**                  **-4**
  ----- --------------------------------------------- ------------------- ------------------ ---- ----------------------- ----------------------

39a. When you were judging the health states, did you have in mind your
own experience, that of

> someone else, both, or neither? **READ OUT...**

Self only **. . . . . . . . . . . . .** 1 (GO TO Q40)

Someone else only**. . . . . . .** 2 (ASK Q39b)

Self **and** someone else **. . . .** 3

Neither **. . . . . . . . . . . . . .** 4

> **REFUSED. . . . . . . . . . . .** **-7** (GO TO Q40)

**DON\'T KNOW. . . . . . . . -4**

39b. If you were thinking of someone else, was this person a close
friend or family member who has or had a serious illness?

> YES **. . . . . . . . . . . . . . . .** 1

NO **. . . . . . . . . . . . . . . .** 2

> **REFUSED. . . . . . . . . . . .** **-7**

**DON\'T KNOW. . . . . . . .** **-4**

40\. Do you believe in life after death? Would you say....

> Yes, definitely **. . . . . . . . .** 1
>
> Yes, probably**. . . . . . . . . .** 2

No, probably not**. . . . . . . .** 3

> No, definitely not**. . . . . . . .** 4
>
> **REFUSED. . . . . . . . . . . .** **-7**

**DON\'T KNOW . . . . . . . .** **-4**

41a. How would you rate the difficulty of [ranking]{.underline} the
health states? Would you say....

> Very easy**. . . . . . . . . . . . .** 1

Easy**. . . . . . . . . . . . . . . .** 2

Neither easy nor difficult**. . .** 3

Difficult**. . . . . . . . . . . . . .** 4

Very difficult **. . . . . . . . . .** 5 **REFUSED. . . . . . . . . . .
.** **-7**

**DON\'T KNOW . . . . . . . .** **-4**

41b. How would you rate the difficulty of [rating]{.underline} the
health states [on the visual analog scale]{.underline} (i.e., ordering
the health states from best to worst on the thermometer)? Would you
say...

> Very easy**. . . . . . . . . . . . .** 1

Easy**. . . . . . . . . . . . . . . .** 2

Neither easy nor difficult**. . .** 3

Difficult**. . . . . . . . . . . . . .** 4

Very difficult **. . . . . . . . . .** 5 **REFUSED. . . . . . . . . . .
.** **-7**

**DON\'T KNOW . . . . . . . .** **-4**

41c. How would you rate the difficulty of the [Time Trade-Off
exercise]{.underline} (i.e., the exercise in

which you used the board to compare Life A and Life B)? Would you say...

> Very easy**. . . . . . . . . . . . .** 1

Easy**. . . . . . . . . . . . . . . .** 2

Neither easy nor difficult**. . .** 3

Difficult**. . . . . . . . . . . . . .** 4

Very difficult **. . . . . . . . . .** 5 **REFUSED . . . . . . . . . .
.** **-7**

**DON\'T KNOW . . . . . . . .** **-4**

**PLEASE ASK THE RESPONDENT TO COMPLETE THE HUI NOW.**

**INTERVIEWER REMARKS**

> TIME INTERVIEW COMPLETED
>
> a.m. / p.m.
>
> HOURS MINUTES
>
> TIME TAKEN FOR WHOLE INTERVIEW
>
> MINUTES

**PLEASE REMEMBER TO COMPLETE INTERVIEWER REMARKS.**

42a. HOW WOULD YOU RATE THE DIFFICULTY OF RANKING THE HEALTH STATES FOR
THE RESPONDENT?

> VERY EASY**. . . . . . . . . .** 1

EASY**. . . . . . . . . . . . . . .** 2

INTERMEDIATE**. . . . . . .** 3

DIFFICULT**. . . . . . . . . . .** 4

VERY DIFFICULT **. . . . . ....** 5 REFUSED. . . . . . . . . . . ...\...
-7

DON\'T KNOW. . . . . . . . . -4

42b. HOW WOULD YOU RATE THE DIFFICULTY OF [RATING]{.underline} THE
HEALTH STATES [ON THE VISUAL ANALOG SCALE]{.underline} FOR THE
RESPONDENT?

> VERY EASY**. . . . . . . . . .** 1

EASY**. . . . . . . . . . . . . . .** 2

INTERMEDIATE**. . . . . . .** 3

DIFFICULT**. . . . . . . . . . .** 4

VERY DIFFICULT **. . . . .... .** 5 REFUSED**. . . . . . . . . .......
.** -7

DON\'T KNOW**. . . . . . . . .** -4

42c. HOW WOULD YOU RATE THE DIFFICULTY OF [THE TIME TRADE-OFF
EXERCISE]{.underline} FOR THE RESPONDENT?

> VERY EASY**. . . . . . . . . .** 1

EASY**. . . . . . . . . . . . . . .** 2

INTERMEDIATE**. . . . . . .** 3

DIFFICULT**. . . . . . . . . . .** 4

VERY DIFFICULT **.... . . . . .** 5 REFUSED**. . ....... . . . . . . .
.** -7

DON\'T KNOW**. . . . . . . . .** -4

43\. PLEASE FEEL FREE TO ADD ANY ADDITIONAL COMMENTS ABOUT THE
INTERVIEW.

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