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Shaping the Future with Your Opinions

212226908*

Dear MySurvey Member,
Would you please give this questionnaire to the person in your household whose age and sex are
indicated above (this may be you)? Thank you!
TO THE HOUSEHOLD PANEL MEMBER HELPING WITH THIS STUDY:
Today's survey covers a wide variety of topics, such as your current lifestyle and choices you would
make given different situations. You may remember doing a similar survey last year.
I would like to assure you that your answers will be completely confidential. Your answers will betabulated with information from thousands of other participants and only the total results will be used
for academic research purposes.
The survey is lengthy. To pace yourself, you can answer the booklet in sections if you like. Most of
the questions can be easily answered by simply placing an “X” in the appropriate box or boxes. In thequestions that ask you to write in your answers, please be as specific as possible. Please take yourtime to read each question thoroughly and be sure to answer all the questions. Remember that there
are no right or wrong answers to this survey. We are just interested in your opinions.
Once you have finished, please return the questionnaire to me in the enclosed postage-paid envelope.
As a token of my appreciation, I have enclosed a $5 and a $2 bill.
Thank you for your continued cooperation.
Sincerely,
Carol Adams

1

[USA] 2013 Preference Parameters Study of Osaka University

Section A
1.

How true for you is each of the following statements? Answer for each on a scale from 1 to 5, where “1” means it isparticularly true for you and “5” means “it doesn't hold true at all for you. (X ONE Box For EACH)
Doesn’t Hold
Particularly
True At All
True For Me
For MeMy daily life is fulfilling .............................................................................. 1 
2 
3 
4 
5 
I plan to spend a lot of money or plan to purchase expensive
items in the future ................................................................................. 1 
2 
3 
4 
5 
I don’t feel uncomfortable borrowing money ............................................ 1 
2 
3 
4 
5 
I am so occupied with my daily life that I cannot save much money ....... 1 
2 
3 
4 
5 
Even if I make plans, I end up procrastinating ......................................... 1 
2 
3 
4 
5 
If there is something that I want, I need to buy it ..................................... 1 
2 
3 
4 
5 
I always plan things before I actually do them ......................................... 1 
2 
3 
4 
5 
If I have work that can wait to be done tomorrow,
I wait until tomorrow to do it ................................................................ 1 
2 
3 
4 
5 
I have anxieties about my health ............................................................. 1 
2 
3 
4 
5 
I am deeply religious................................................................................. 1 
2 
3 
4 
5 
I have been feeling stressed lately ......................................................... 1 
2 
3 
4 
5 
I have been feeling depressed lately ....................................................... 1 
2 
3 
4 
5 
I haven’t been sleeping well lately ........................................................... 1 
2 
3 
4 
5 
I have been feeling lonely lately ............................................................... 1 
2 
3 
4 
5 
I have anxieties about my ‘life after I am 65 years old’*(For those who are already aged 65 or above, ‘life in future’) ............ 1 
2 
3 
4 
5 
I want to bequeath as much of my inheritance as possible
to my spouse......................................................................................... 1 
2 
3 
4 
5 
Behaving similarly to people around me makes me feel comfortable .... 1 
2 
3 
4 
5 
When I am faced with a problem, I usually act before I think .................. 1 
2 
3 
4 
5 
I never cut into a line of people ................................................................ 1 
2 
3 
4 
5 
I always keep my promise ........................................................................ 1 
2 
3 
4 
5 
I am never late for appointments/deadlines ........................................... 1 
2 
3 
4 
5 
Work is something to live for .................................................................... 1 
2 
3 
4 
5 
Work is for making money........................................................................ 1 
2 
3 
4 
5 
I enjoy competing with others................................................................... 1 
2 
3 
4 
5 
I plan tasks carefully................................................................................. 1 
2 
3 
4 
5 
I plan trips well ahead of time .................................................................. 1 
2 
3 
4 
5 
I am self controlled ................................................................................... 1 
2 
3 
4 
5 
I am a careful thinker................................................................................ 1 
2 
3 
4 
5 
I plan for job security ................................................................................ 1 
2 
3 
4 
5 
I say things without thinking ..................................................................... 1 
2 
3 
4 
5 
I take nutritional content into account when choosing foods ................... 1 
2 
3 
4 
5 
I take my time to properly chew my food ................................................. 1 
2 
3 
4 
5 
I always eat my meals at the same time .................................................. 1 
2 
3 
4 
5 

2.

To what extent do you agree with each of the following statements? Answer on a scale from 1 to 5, where “1” means
you agree completely and “5” means you disagree completely. Of course, you may choose any number in between.
(X ONE Box For EACH)
Completely
Completely
Agree
DisagreeIn general, most people are trustworthy. .................................................. 1 

2



3



4



5



I feel happy when I do a good deed that I think benefits
others (such as picking up trash in a park) ......................................... 1 

2



3



4



5



2



3



4



5



2



3



4



5



2



3



4



5



It is the government’s responsibility to take care of those who cannot
take care of themselves financially………………………………………..1 Child(ren) should take care of their parents when they requirelong-term care.. ..................................................................................... 1 
If I had child(ren), I would want my child(ren) to take care of me
when I require long-term care.. ............................................................. 1 
3.

Suppose that you are to receive money from someone. You can either choose to receive the money today, or 7days from today, but the amounts will be different. Compare the amounts and dates below in Option “A” andOption “B”, and indicate which option you prefer for each of the nine choices.
Option “A”
Option “B”
Which ONE do you prefer?
(X
ONE Box For EACH Row)
Receiveor
Receive
7
days
today
Option “A”
Option “B”
from today$30.05$30.141
2
$30.03$32.971
2
$30.08$30.371
2
$30.00$30.001
2
$30.05$59.511
2
$30.09$30.681
2
$30.01$31.191
2
$30.02$29.961
2
$30.08$30.111
2

2

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[USA] 2013 Preference Parameters Study of Osaka University

4.

Now, suppose that you are to receive money from someone and you can choose either to receive the money 90
days from today, or 97 days from today, but the amounts will be different. Compare the amounts and dates
below in Option “A” and Option “B” and indicate which option you prefer for each of the nine choices.
Option “A”
Option “B”
Which ONE do you prefer?
(X ONE Box For EACH Row)
Receive 90
Receive 97
or
days
days
Option “A”
Option “B”
from today
from today$30.00$31.181
2
$30.06$30.001
2
$30.00$30.091
2
$30.07$33.011
2
$30.06$30.351
2
$30.02$30.051
2
$30.07$59.551
2
$30.01$30.011
2
$30.07$30.661
2

5.

Now, suppose that you are to receive money from someone and you can choose either to receive the money today,or 28 days from today, but the amounts will be different. Compare the amounts and dates below in Option “A” andOption “B” and indicate which option you prefer for each of the nine choices.
Option “A”
Option “B”
Which ONE do you prefer?
(X ONE Box For EACH Row)
Receive 28
or
Receive today
days
Option “A”
Option “B”
from today$30.04$32.401
2
$30.00$30.001
2
$30.05$30.171
2
$30.01$147.691
2
$30.06$31.221
2
$30.07$34.791
2
$30.02$29.781
2
$30.09$41.871
2
$30.07$30.4212

6.

Let’s assume that you are required to spend 3 hours (=180 Minutes) once a year cleaning a park. Today is yourassigned work day, but it seems that the park has less litter than expected. Now you have the choice to shorten
your work hours either today or on the next available day, which is 7 days from today. Please look at Option“A” and Option “B” below for the work date and minutes you can choose, and indicate which you prefer for each of
the eight choices.
Option “A”
Option “B”
Which ONE do you prefer?
(X ONE Box For EACH Row)or
Reduce my working time
Reduce my working time 7
todaydays from today
Option “A”
Option “B”
60 Minutes reduction
74 Minutes reduction1
2
59 Minutes reduction
61 Minutes reduction1
2
58 Minutes reduction
48 Minutes reduction12
60 Minutes reduction
90 Minutes reduction1
2
59 Minutes reduction
59 Minutes reduction1
2
58 Minutes reduction
64 Minutes reduction1
2
59 Minutes reduction
68 Minutes reduction1
2
61 Minutes reduction
55 Minutes reduction
1
2

7.

Now, let’s assume that you are required to spend 3 hours (=180 Minutes) once a year cleaning a park. Your assigned
work day is 90 days from today, but it seems that the park will have less litter than expected. You now have thechoice to shorten the work hours either on that day, 90 days from today, or on the next available day, which is
97 days from today. Please look at Option “A” and Option “B” below for the work date and minutes you canchoose, and indicate which you prefer for each of the eight choices.
Option “A”
Option “B”
Which ONE do you prefer?
(X ONE Box For EACH Row)or
Reduce my working time
Reduce my working time
90 days from today
97 days from today
Option “A”
Option “B”
61 Minutes reduction
63 Minutes reduction12
60 Minutes reduction
90 Minutes reduction1
2
58 Minutes reduction
48 Minutes reduction1
2
59 Minutes reduction
65 Minutes reduction12
60 Minutes reduction
54 Minutes reduction1
2
58 Minutes reduction
72 Minutes reduction1
2
59 Minutes reduction
59 Minutes reduction12
60 Minutes reduction
69 Minutes reduction
1
2

3

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[USA] 2013 Preference Parameters Study of Osaka University

8.

Let’s assume that you are required to spend 3 hours (=180 Minutes) once a year cleaning a park. Today is yourassigned day, but it seems that the park has less litter than expected. Now you have the choice to shorten the work
hours either today or on the next available day, which is 28 days from today. Please look at Option “A” andOption “B” below for the work date and minutes you can choose, and indicate which you prefer for each of the eightchoices.
Option “A”
Option “B”
Which ONE do you prefer?
Reduce my working(X ONE Box For EACH Row)or
Reduce my working
time 28 days fromtime today
Option “A”
Option “B”
today
61 Minutes reduction
99 Minutes reduction12
60 Minutes reduction
36 Minutes reduction1
2
58 Minutes reduction
58 Minutes reduction1
2
59 Minutes reduction
177 Minutes reduction12
60 Minutes reduction
67 Minutes reduction1
2
58 Minutes reduction
82 Minutes reduction1
2
61 Minutes reduction
119 Minutes reduction1
2
59 Minutes reduction
18 Minutes reduction
1
2

9.

In which of the following two ways would you prefer to receive your monthly salary? Assume that your job
assignment is the same for each scenario. If you are a dependent (e.g. student, housewife, etc.) and not working,please answer based on the assumption that your monthly income equals your current actual living expenses.
(X ONE Box)
Option “A”

Option “B”

or

A 50% chance of the salary doubling, butalso a 50% chance of the salarydecreasing by 60%
A 50% chance of the salary doubling, butalso a 50% chance of the salarydecreasing by 50%
A 50% chance of the salary doubling, butalso a 50% chance of the salarydecreasing by 45%
A 50% chance of the salary doubling, butalso a 50% chance of the salarydecreasing by 30%
A 50% chance of the salary doubling, butalso a 50% chance of the salarydecreasing by 10%
A 50% chance of the salary doubling, butalso a 50% chance of the salarydecreasing by 5%
A 50% chance of the salary doubling, butalso a 50% chance of the salarydecreasing by 1%

Guaranteed to the salary
increase by 0.5%
Guaranteed to the salary
increase by 0.5%
Guaranteed to the salary
increase by 0.5%
Guaranteed to the salary
increase by 0.5%
Guaranteed to the salary
increase by 0.5%
Guaranteed to the salary
increase by 0.5%
Guaranteed to the salary
increase by 0.5%

Which ONE do you prefer?
(X ONE Box For Each ROW)

Option “A”

Option “B”

1



2

1



2

1



2

1



2

1



2

1



2



2

1









10. In which of the following two ways would you prefer to receive your monthly salary? Assume that your job
assignment is the same for each scenario. If you are a dependent (e.g. student, housewife, etc.) and not working
please answer based on the assumption that your monthly income equals your current actual living expenses.
(X ONE Box)
Option “A”
A 50% chance of the salary decreasing by
30%, but also a 50% chance of the salarydecreasing by 19%
A 50% chance of the salary decreasing by
30%, but also a 50% chance of the salarydecreasing by 17%
A 50% chance of the salary decreasing by
30%, but also a 50% chance of the salarydecreasing by 15%
A 50% chance of the salary decreasing by
30%, but also a 50% chance of the salarydecreasing by 13%
A 50% chance of the salary decreasing by
30%, but also a 50% chance of the salarydecreasing by 12%
A 50% chance of the salary decreasing by
30%, but also a 50% chance of the salarydecreasing by 11%
A 50% chance of the salary decreasing by
30%, but also a 50% chance of the salarydecreasing by 10%

Option “B”

orWhich ONE do you prefer?
(X ONE Box For Each ROW)

Option “A”

Option “B”

Guaranteed to the salarydecrease by 20%

1



2

Guaranteed to the salarydecrease by 20%

1



2

Guaranteed to the salarydecrease by 20%

1



2

Guaranteed to the salarydecrease by 20%

1



2

Guaranteed to the salarydecrease by 20%

1



2

Guaranteed to the salarydecrease by 20%

1



2

Guaranteed to the salarydecrease by 20%

1



2

4









212226908

[USA] 2013 Preference Parameters Study of Osaka University

11. In which of the following two ways would you prefer to receive your monthly salary? Assume that your job
assignment is the same for each scenario. If you are a dependent (e.g. student, housewife, etc.) and not working
please answer based on the assumption that your monthly income equals your current actual living expenses.
(X ONE Box)
Option “A”
A 50% chance of the salary increasing by
30%, but also a 50% chance of the salary
increasing by 10.5%
A 50% chance of the salary increasing by
30%, but also a 50% chance of the salary
increasing by 11%
A 50% chance of the salary increasing by
30%, but also a 50% chance of the salary
increasing by 13%
A 50% chance of the salary increasing by
30%, but also a 50% chance of the salary
increasing by 14%
A 50% chance of the salary increasing by
30%, but also a 50% chance of the salary
increasing by 15%
A 50% chance of the salary increasing by
30%, but also a 50% chance of the salary
increasing by 16%
A 50% chance of the salary increasing by
30%, but also a 50% chance of the salary
increasing by 18%
12.

Which ONE do you prefer?
(X ONE Box For Each ROW)

Option “B”

orOption “A”

Option “B”

Guaranteed to the salary
increase by 20%

1



2

Guaranteed to the salary
increase by 20%

1



2

Guaranteed to the salary
increase by 20%

1



2

Guaranteed to the salary
increase by 20%

1



2

Guaranteed to the salary
increase by 20%

1



2

Guaranteed to the salary
increase by 20%

1



2

Guaranteed to the salary
increase by 20%

1



2









Overall, how happy would you say you are currently? Using a scale from 0 - 10 where “10” is “very happy” and “0”is “very unhappy”, how would you rate you current level of happiness? (X ONE Box)
Very Happy
Very Unhappy
10



09



08



07



06



05



04



03



02



01



00



13.

Compared to 1 year ago, do you think that you are happier now than you were then? (X ONE Box)
1 Happier than 1 year ago
3 Less happy than 1 year ago
2 
About the same as 1 year ago
4 
Don't know

14.

How does your standard of living compare with that of the people around you? (X ONE Box)
1  Theirs is much lower than mine
4 Theirs is somewhat higher than mine
2  Theirs is somewhat lower than mine
5 Theirs is much higher than mine
3  Theirs is about the same as mine

14a.

In Q.14, with whom did you compare your standard of living? (X ONE Box)
01  Neighbor
02  Your own classmates when you were in school
03  Relatives
04  Families of your children’s classmates
05  Worker in your company who is in your age group, has similar academic background, or who started
working in the same year
06  Worker in your company who is assigned to a similar job as yours, regardless of their age, academic
background, year in which he or she joined the company.
07  Worker in another company in the same industry who belongs to the same age group, has similar
academic background, or who started working in the same year
08  Worker in another company in the same industry who is assigned to a similar job as yours, regardlessof his or her age, academic background, and year in which he or she joined a company
09  Average person in the US
10  Average person in the world
11  Friend or acquaintance excluding above choices
12  Others (Specify): _________________________
13  I don’t know

15.

Suppose that there is a “speed lottery” with a 50% chance of winning $1000. If you win, you get the prize rightaway. If you lose, you get nothing. How much would you spend to buy a ticket for this lottery? Choose Option “A”
if you would buy it at that price, and choose Option “B” if you would not buy the ticket at that price.
(X ONE Box For EACH Row)
Price of the “speed
lottery” ticket
10¢
$20
$40
$80
$150
$250
$350
$500

Which ONE do you prefer?
(X ONE Box For EACH Row)
Option “A”(buy the “speed lottery” Option “B” (DO NOT buy
ticket)the “speed lottery” ticket)


1 
1 
1 
1 
1 
1 
1 
1

5


2 
2 
2 
2 
2 
2 
2 
2

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[USA] 2013 Preference Parameters Study of Osaka University

16.

Assume that you know there is a 50% chance of losing $1000 on a given day. You can take out insurance tocover this amount in case of loss. If an insurance policy is sold as listed below, would you purchase it? You may
choose Option “A”, to purchase the insurance, or Option “B”, not to purchase the insurance. Please indicate
which option you prefer for each of the nine insurance prices.
Which ONE do you prefer?
(X ONE Box For EACH Row)
Option “A”(purchase the
Option “B” (NOT
insurance)purchase the insurance)

Price of the insurance



1 
1 
1 
1 
1 
1 
1 

$10
$50
$100
$150
$200
$300
$400
$450
$500
17.

How satisfied are you with each of the following?



2 
2 
2 
2 
2 
2 
2 

1

2

1

2

(X ONE Box)

SatisfiedYour life overall
The place you live inYour non-work activities
The current financial situation ofyour household
Relationships with your friends
Work
Relationship with your spouse
Relationships with your family
member(s), except for your
spouse


1
1
1
1
1
1
1

1



Unsatisfied


2
2
2
2
2
2


3
3
3
3
3
3

2

2


4
4
4
4
4
4

3



3

4



4




5
5
5
5
5
5
5

5



 Don’t work
6  Don’t have spouse
6  Don’t have any family
6

except for spouse

18.

Imagine that you have just found out that something you said carelessly hurt a friend’s feelings.
feel? (X ONE Box)
1  I would feel guilty but would not feel very ashamed
2  I would feel guilty and would feel somewhat ashamed
3  I would feel both guilty and ashamed
4  I would feel ashamed and feel somewhat guilty
5  I would feel ashamed but would not feel very guilty
6  I would feel neither guilty nor ashamed

19.

Thinking about when you were a child and were given an assignment during school vacation, how early did you
usually finish up the assignment? (X ONE Box)12

 Got it done right away
 Tended to get it done early, before the Got it done at the last minuteGot it done after the deadline
7Did not do it
8There was no assignment
5
6

due date Worked on it daily up until the due date
4  Tended to get it done toward the end
320.

How would you

Thinking about when you were a child and were given an assignment during school vacation, how early did youplan to finish the assignment? (X ONE Box)12

 I planned to get it done right away
 I planned to get it done rather early, before
the due date I planned to work it daily up until the due date4  I planned to get it done rather toward the end
5  I planned to get it done at the last minute3

I planned to get it done after the deadline
I did not to plan to do it
8I did not make any plan
9There was no assignment
6
7

21.

Thinking about when you were a child and were given an assignment during school vacation, when did you think
was the ideal time to finish up the assignment? (X ONE Box)
1  To get it done right away
5To get it done at the last minute2  To get it done early, before the due date6 To get it done after the deadline
3  To work on it daily up until the due date
7Not to do it
4  To get it done toward the end

22.

How high does the chance of rain have to be before you will bring an umbrella with you when you go out?
(Write In Number From 0 - 100)%6212226908

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23.

During the year 2012, how much money did you donate? Please choose a number from the box below to choose
the most appropriate category and write in the number to indicate the total amount of donation you made. Pleasealso choose numbers from the box below to indicate the portion of your donation for disaster relief, religious
purposes, and other purposes.
Year 2012
Total value of annual donation（Of the total value）
A：Disaster relief(for example, donations to disaster victims and disaster relief
organizations)
B：Religious purposes(for example, donations to religious organizations such as
churches, synagogues, mosques, etc. Please do NOT
include payments for services.)
Other (Neither A nor B)

I did not donate for any purpose2 .1 cent to $49.99
3 $50.00 to $99.99
4 $100.00 to $499.99
1

$500.00 to $999.99
6  $1,000.00 to $4,999.99
7  $5,000.00 to $9,999.99
8  More than $10,000.00
5

Have you received any inheritances (including real estate and financial assets) with a total value of $50,000 or
more from your parents or your spouse’s parents in the past? (X ALL That Apply)YES
NONO SPOUSE
Received an inheritance with a total value of $50,000
1 
2 
or more in the past from my parents.

24.

Received an inheritance with a total value of $50,000
or more in the past from my spouse's parents.

3



4



5



Have you received any monetary transfers (including real estate and financial assets) or financial support (forexample, for educational expenses in college/graduate school, housing purchase, marriage expenses, etc.) with a
total value of $50,000 or more from your parents or your spouse’s parents in the past? (X ALL That Apply)YES
NONO SPOUSE
Received a monetary transfer or financial support witha total value of $50,000 or more in the past from1 
2 
my parents.
Received a monetary transfer or financial support witha total value of $50,000 or more in the past from
3 
4 
5 
my spouse's parents.

25.

26. Does your household currently have any bank deposits, financial assets, or other savings for the following motives?
Please circle either “1=Yes” or “2=No.” Furthermore, did you increase or decrease your savings for the following motives
during the past year? Please circle either “1=increased,” “2=decreased,” or “3=neither increased nor decreased.”
Do you currently haveany savings for thismotive?

1
2
3
4
5
6
7
8
9
10
11
12
13

For illness, natural disasters, and otherunexpected expenditures
For one’s children’s educational expenses
For one’s own marriage expenses
For one’s children’s marriage expenses
For the purchase, construction, or renovationof one’s own home (including land)
For living expenses during old age
For nursing and other expenses when one
requires long-term care
For the purchase of consumer durables suchas cars, furniture, electrical appliances, etc.
For leisure such as travel, sports, etc.
In order to leave a gift or bequest to mychildren
For a motive or motives not listedabove
I have no specific saving motives but forpeace of mind
I currently have no savings

7

Did you 1=increased,
2=decreased, or
3=neither increased nor
decreased the amount ofsavings for this motive
during the past year?

1（Yes） ・ 2（No）

1 ・ 2 ・ 3

1（Yes） ・ 2（No）
1（Yes） ・ 2（No）
1（Yes） ・ 2（No）

1 ・ 2 ・ 3
1 ・ 2 ・ 3
1 ・ 2 ・ 3

1（Yes） ・ 2（No）

1 ・ 2 ・ 3

1（Yes） ・ 2（No）

1 ・ 2 ・ 3

1（Yes） ・ 2（No）

1 ・ 2 ・ 3

1（Yes） ・ 2（No）

1 ・ 2 ・ 3

1（Yes） ・ 2（No）

1 ・ 2 ・ 3

1（Yes） ・ 2（No）

1 ・ 2 ・ 3

1（Yes） ・ 2（No）

1 ・ 2 ・ 3

1（Yes） ・ 2（No）

1 ・ 2 ・ 3

1（Yes） ・ 2（No）

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27.

If, because of an accident, you suffered pain, do you think that that pain is for your own good (for example, that ithelps develop a better personality)? Please circle one number. For example, please circle “0%” if you think“The pain is definitely not for my own,” circle “50%” if you think “The pain is for my own good with about a 50%
probability” and “circle “100%” if you think “The pain is definitely for my own good.”
Definitely not
Definitely
for my own goodfor my own good
0%

28.



10%



20%



30%



40%



50%



60%



70%



80%



90%



100%



Suppose you know that there are ten red and ten white balls in a bag. Now you can either choose options (A) or (B).
If you choose (A), you have to draw a ball from the bag blindly. If the drawn ball is red, you receive $10 (if the drawnball is white, you get nothing). If you choose (B), you receive a certain amount of money without drawing a ball fromthe bag. Indicate which option you prefer for each of the seven options.
Option “A”
If you draw a red ball

Option “B”I
Without drawing a ball,
you receiveorWhich ONE do you prefer?
(X ONE Box For Each ROW)

Option “A”


1
1
1
1
1
1

5¢ for sure$2.00 for sure$4.00 for sure$6.00 for sure$8.00 for sure$10.00 for sure$20.00 for sure

Receive $10.00
Receive $10.00
Receive $10.00
Receive $10.00
Receive $10.00
Receive $10.00
Receive $10.00

1

Option “B”


2
2
2
2
2
2
2

29. Suppose you know that there are twenty red and white balls in all and do not know how many balls of eachcolor are in the bag. Now you can either choose options (A) or (B). If you choose (A), you have to draw a ball fromthe bag blindly. If the drawn ball is red, you receive $10 (f the drawn ball is white, you get nothing). If you choose (B),you receive a certain amount of money without drawing a ball from the bag. Indicate which option you prefer for eachof the seven options.
Option “A”
If you draw a red ball

Option “B”I
Without drawing a ball, you
receiveor

Option “A”

5¢ for sure$2.00 for sure$4.00 for sure$6.00 for sure$8.00 for sure$10.00 for sure$20.00 for sure

Receive $10.00
Receive $10.00
Receive $10.00
Receive $10.00
Receive $10.00
Receive $10.00
Receive $10.00
30.

Which ONE do you prefer?
(X ONE Box For Each ROW)



1
1
1
1
1

Option “B”



2
2
2
2
2

1

2

1

2

What kind of lessons did you take during your preschool years and/or during elementary school, including lessons
from your parents? (X ALL That Apply For Each)
During yourDuringpreshool years
elementary school
Swimming ...................................................................................................... 01
01
Baseball, football, tennis ............................................................................... 02
02
Martial arts (karate, fencing, judo, etc.) ......................................................... 03
03
Gymnastics Training with gym equipment .................................................... 04
04
Dancing (ballet, folk dancing, ballroom dancing, etc.) .................................. 05
05
Musical instruments (guitar, piano, violin, etc.) ............................................. 06
06
Singing or chorus .......................................................................................... 07
07
Painting, sculpture, handicrafts ..................................................................... 08
08
Calligraphy .................................................................................................... 09
09
Game of go.................................................................................................... 10
10
Chess ............................................................................................................ 11
11
Foreign language .......................................................................................... 12
12Math problems and language dectation ........................................................ 13
13
Cram school for entrance examinations
including standardized examinations .......................................... 14
14
Cram school for supplementary lesson ......................................................... 15
15
Correspondence courses with periodic delivery of course materials ............ 16
16
Other () ........................................................................................ 17
17

Section B - The following questions are about you and your family.

 Male Female1.

Your gender:

2.

Please answer about your marital status. (X ONE Box)12

 I have a spouse (husband or wife, including common-law marriage)  (Continue)
 I am not currently married, having divorced or separated  (Continue)
3  I am an unattached widow or widower  (Continue)
4  I have never married  (Skip to Q.2b)
5  I am currently separated in the process of divorce  (Continue)
6  I am not married but living with significant other*  (Skip to Q.2b)
12*Please do not answer questions involving a spouse
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If you answered 1-3 or 5 for Q.2, please continue.
2a.

When did you marry your spouse? (Write In #)Month __________ Year ____________________ or

Otherwise, skip to Q.2b.

when I was __________ years old

All respondents should answer the following question2b.

Do you have plans to marry, or want to marry in the future? (X ONE Box)

 I already have plans to marry I do not have any plans to marry but would like to
3  I do not have any plans to marry and do not want to
4  I already have married
1
2

3.

What is your height and weight? (Write In #)Height:feet
inches,
Weight:poundsPlease answer the following questions for you and your spouse (if applicable)
4.
When were you born? (Write In Number for Month and Year)
You, yourself: Month _____ _____ Year _____ _____ _____ _____Your spouse:Month _____ _____ Year _____ _____ _____ _____+  No spouse
5.

5a.

In case you and/or your wife attended college, what is your/your spouse’s major?
You
Did not attend college ............................................................................. * 
Law .......................................................................................................... 01 
Political Science ...................................................................................... 02 
Economics ............................................................................................... 03 
Business/Management............................................................................ 04 
International Relations ............................................................................ 05 
Sociology ................................................................................................. 06 
Humanities/Literature .............................................................................. 07 
Education ................................................................................................ 08 
Medicine .................................................................................................. 09 
Dentistry .................................................................................................. 10 
Pharmacology ......................................................................................... 11 
Nursing ..................................................................................................... 12 
Health ...................................................................................................... 13 
Science.................................................................................................... 14 Engineering ............................................................................................. 15 
Agriculture ............................................................................................... 16 Home Economics .................................................................................... 17 
Art ............................................................................................................ 18 
Other ....................................................................................................... 19 AliveDeceased
1Alive2Deceased
1Alive2Deceased
1Alive2Deceased12Your motherYour spouse’s father
Your spouse’s mother

5c.



2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
*

01
0
0
0
0
0
0
0
0

Are your/your spouse’s parents alive? (X ONE Box) If they are alive, indicate their age. If they are deceased,
indicate their age of death. (Write In For EACH)
Your father

5b.

(X ONE Box For Each)Your Spouse__________ years old__________ years old__________ years old__________ years old__________ years old__________ years old__________ years old__________ years old

Please indicate the highest level of education (or equivalent) completed by you and by your spouse. If you are still inschool, “X” the one you are in now. (X ONE Box For EACH)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ Grade School ........................................................................................... 1 
1 Some High School ................................................................................... 2 
2 Graduated from High School.................................................................... 3 
3 Some College - no degree ....................................................................... 4 
4 
Graduated from College - Associate's Degree (2 year) ......................... 5 
5 Graduated from College - Bachelor's Degree (4 year) ........................... 6 
6 Some post graduate studies - no degree ................................................. 7 
7 
Master's Degree - MS, MA, MBA, etc. ................................................... 8 
8 
Doctoral Degree - DVM, Ph.D, DDS, etc. .............................................. 9 
9 
When are you and your spouse's parents’ birth years? (Write The Year For EACH)
Your father____________________Your mother ____________________Your spouse’s father ____________________ Your spouse’s mother ____________________

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[USA] 2013 Preference Parameters Study of Osaka University

5d.

Please indicate the highest level of education (or equivalent) completed by your parents and by your spouse's
parents. (X ONE Box For EACH)
Your
Your
Your Spouse’s Your Spouse’s
FatherMotherFatherMotherNo spouse……………………………………………………………………………………. + + Grade School ................................................................. 1 
1 
1 
1 
Some High School ......................................................... 2 
2 
2 
2 
Graduated from High School.......................................... 3 
3 
3 
3 
Some College - no degree ............................................. 4 
4 
4 
4 
Graduated from College - Associate's Degree (2 year) 5 
5 
5 
5 
Graduated from College - Bachelor's Degree (4 year) . 6 
6 
6 
6 
Some post graduate studies - no degree ....................... 7 
7 
7 
7 
Masters Degree - MS, MA, MBA, etc. .......................... 8 
8 
8 
8 
Doctoral Degree - DVM, Ph.D, DDS, etc. .................... 9 
9 
9 
9 

5e.

How many brothers and sisters do you and your spouse have who are now living? (Write In Number For EACH)
Older brothers ................... _______
Older sisters ........................ _______

Younger brothers .............. _______
Younger sisters ................. _______Your spouse: Older brothers ................... _______
Older sisters ........................ _______

Younger brothers .............. _______
Younger sisters ................. _______

Yourself:

5f.

Please indicate the type of the school you and your spouse attended. (Write In Number For EACH)

You:
Elementary School ___Your spouse: Elementary School ___Junior High School ___Junior High School ___High School ___High School ___University ___University ___0: Did not attend; 1: Private; 2: Public
6.

About how many hours per week do you and your spouse usually work including overtime work? If you don’t
work outside the home, X “don’t work”. If you don’t have a spouse, X “no spouse” and if your spouse doesn’t
work outside the home, X “doesn’t work”. (Write In A Number For EACH Row)
You
Your spouse

6a.

Don’t work
No spouse-+

Doesn’t work-

About how many hours per week in paid overtime do you and your spouse work? (Write in a number in each row)
If you or your spouse do not work overtime, please write zero.
You
Your spouse6b.

_______________ hours per week_______________ hours per week_______________ hours per week_______________ hours per week

Don’t work
No spouse-+

Doesn’t work-

About how many hours per week in unpaid overtime do you and your spouse work? (Write in a number in eachrow. If you or your spouse do not work overtime please write zero.)YouYour spouse_______________ hours per week_______________ hours per week

-Don’t work
+No spouse-Doesn’t work

Please answer if you don’t work.
7.

If you were working, what do you estimate you would be making per hour? (Write In)$_______________ per hour

All respondents should answer the following question.
8.

About how many days in a year do you and your spouse work? If you don’t work outside the home, X “don’t work”.
If you don’t have a spouse, X “no spouse” and if your spouse doesn’t work outside the home, X “doesn’t work”.
(Write In Number For EACH Row)
You
Your spouse9.

Don’t work
No spouse-+

Doesn’t work-

To what age do you and your spouse plan to work? If you are already retired, write in your age at the time ofretirement. If you haven’t worked outside the home, X “haven’t worked”. If you don’t have a spouse, X “nospouse” and if your spouse hasn’t worked outside the home, X “hasn’t worked”.
(Write In Number For EACH Row)
You
Your spouse10.

_______________ days per year_______________ days per year_______________ years old_______________ years oldHaven’t worked
No spouse+Hasn’t worked-

What is your occupation and what is your spouse's occupation (Including part-time work)?
(X ONE Box For EACH)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ 
Office and administrative support ........................................................... 01 
01 
Sales and related occupations ................................................................ 02 
02 Management, business, and financial operations ................................... 03 
03 Professional and related occupations ..................................................... 04 
04 Service occupations (healthcare support/protective service,or food preparation and serving-related, security guards, etc.) .......... 05 
05 
Construction, extraction, and maintenance ............................................. 06 
06 
Farming, fishing, and forestry.................................................................. 07 
07 
Housewives/Househusbands ................................................................ 08 
08 
Student .................................................................................................... 09 
09 Retired (excluding housewives/househusbands) .................................. 10 
10 
Unemployed (excluding housewives/househusbands)..................... 11 
11 
Other (Specify): _______________________________________ .......... 10212226908

[USA] 2013 Preference Parameters Study of Osaka University

If you answered 1 to 7 for yourself and/or your spouse for Q.10, please continue.
Otherwise, skip to Q.11
10a.

10b.

What is the type of employment of you and of your spouse?

(X ONE Box)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ 
Employee of private company or organization ..........................................1 
1 Government employee ..............................................................................2 
2 Management position ................................................................................3 
3 Self-employed ...........................................................................................4 
4 
Family employee (in self-employed business) ..........................................5 
5 What is your employment status, and what is your spouse’s employment status? (X ONE Box)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ Full-time employee ....................................................................................1 
1 
Part-time employee ...................................................................................2 
2 Student part-time employee ......................................................................3 
3 Temporary work (sent to a company from a temporary job agency,
internship, specific project for a company, etc.) ....................................4 
4 Contract worker .........................................................................................5 
5 
Other (Specify): ＿＿＿＿＿＿___________________________ ............. 


10c.

Have you and your spouse worked for a job introduced by a temporary staffing agency in the past two years?
(X ONE Box that best describes the type of work.)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ Mostly jobs lasting one day .......................................................................1 
1 Mostly jobs lasting two to less than ten days ............................................2 
2 Mostly jobs lasting ten days to less than three months ............................3 
3 Mostly jobs lasting three months or more .................................................4 
4 
I did not take any dispatched employment................................................5 
5 

10d.

For how many years have you been working for your present employer? And for how many years has your spousebeen working for his or her present employer? (X ONE Box)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ Less than a year ........................................................................................1 
1 
A year to less than 5 years........................................................................2 
2 
5 years to less than 10 years ....................................................................3 
3 
10 years to less than 20 years ..................................................................4 
4 
20 years to less than 30 years ..................................................................5 
5 
30 years to less than 40 years ..................................................................6 
6 More than 40 years ...................................................................................7 
7 

10e.

Approximately how many employees are working for the company that employs you, and how many are working
for the company that employs your spouse? Indicate the approximate numbers including the head office, allbranch offices, branch stores, sales offices and factories. If the employer is a government organization, select"Government employee." (X ONE Box)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ 
1 to 5 people .............................................................................................1 
1 
6 to 29 people ...........................................................................................2 
2 
30 to 99 people .........................................................................................3 
3 
100 to 299 people .....................................................................................4 
4 
300 to 499 people .....................................................................................5 
5 
500 to 999 people .....................................................................................6 
6 
1,000 to 4,999 people ...............................................................................7 
7 
5,000 or more people ................................................................................8 
8 
Government employee ..............................................................................9 
9 

10f.

Which one of the following best describes the industry in which you work, and which one best describes theindustry in which your spouse works? (X ONE Box)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ 
Agriculture and related industries ........................................................... 01 
01 Mining ...................................................................................................... 02 
02 
Construction ............................................................................................ 03 
03 
Manufacturing ......................................................................................... 04 
04 Wholesale trade/Retail trade ................................................................... 05 
05 Finance and insurance ............................................................................ 06 
06 
Real estate .............................................................................................. 07 
07 Transportation/Telecommunications ....................................................... 08 
08 
Utilities ..................................................................................................... 09 
09 
Professional and business services ........................................................ 10 
10 
Others...................................................................................................... 11 
11 

10g.

To what extent is your salary or wage based on your work performance, and to what extent is your spouse’s salaryor wage based on his or her work performance? (X ONE Box)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ 
The wage is based almost entirely on performance .................................1 
1 
The wage is based mostly on performance ..............................................2 
2 
The wage is based slightly on performance..............................................3 
3 
The wage is not at all based on performance ...........................................4 
4 
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10h.

About how hard do you work each day, and about how hard does your spouse work each day? Please answer
based on the amount of work done per hour. (X ONE Box)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ 
Could not work any harder than currently .................................................1 
1 Work hard and continuously......................................................................2 
2 Work continuously but not hard ................................................................3 
3 Work but have some downtime .................................................................4 
4 Work but have a lot of downtime ...............................................................5 
5 

10i.

What is the possibility that you or your spouse will be unemployed (or in the case of running your own business,
will discontinue the business) within the next two years? (X ONE Box)
Yourself
Your SpouseNo spouse ........................................................................................................................................+ 
Strong possibility .......................................................................................1 
1 Some possibility ........................................................................................2 
2 
Little possibility ..........................................................................................3 
3 Don't know.................................................................................................4 
4 

All respondents should answer the following question
11.

What is the occupation of the longest job in your career and what is the occupation of the longest job in your spouse’s
career? (X ONE Box For EACH) Please do not regard "Housewife/Househusband," "Student," "Retired (except
Housewife/Househusband)," "Unemployed (except Housewife/Househusband)” as occupations for the purposes ofthis question.
Yourself
Your SpouseNo spouse .............................................................................................................................................+ 
Office and administrative support ................................................................. 01 
01 
Sales and related occupations ..................................................................... 02 
02 Management, business, and financial operations ........................................ 03 
03 Professional and related occupations .......................................................... 04 
04 Service occupations (healthcare support/protective service,or food preparation and serving-related, security guards, etc.) ................... 05 
05 
Construction, extraction, and maintenance .................................................. 06 
06 
Farming, fishing, and forestry ....................................................................... 07 
07 Have/Has never worked ............................................................................. 08 
08 
Other (Specify):____________________________________ .................... 09 
09 

If you answered 1 to 7 for yourself and/or your spouse for Q.11, please continue.
Otherwise, skip to Q.12.
If you have had more than one employer in the occupation of your longest job, please answer about the one in which
you worked/have worked the longest.
11a.

What is the type of employment of you and of your spouse in the occupation of your/his/her longest job?
(X ONE Box)
Yourself
Your SpouseNo spouse .............................................................................................................................................+ 
Employee of private company or organization ..............................................1 
1 Government employee ..................................................................................2 
2 Management position ....................................................................................3 
3 Self-employed ................................................................................................4 
4 
Family employee (in self-employed business)...............................................5 
5 

11b.

What is your employment status, and what is your spouse’s employment status in the occupation of your/his/herlongest job? (X ONE Box)
Yourself
Your SpouseNo spouse .............................................................................................................................................+ Full-time employee .........................................................................................1 
1 
Part-time employee ........................................................................................2 
2 Student part-time employee ...........................................................................3 
3 Temporary work (sent to a company from a temporary job agency,
internship, specific project for a company, etc.) .............................................4 
4 Contract worker ..............................................................................................5 
5 
Other (Specify): ＿＿＿＿＿＿.......................................................................6 
6 

11c.

For how many years did you work (have you been working) in the occupation of your longest job? And for how
many years did your spouse work (or has your spouse been working) in the occupation of his/her longest job?
(X ONE Box)
Yourself
Your SpouseNo spouse .............................................................................................................................................+ Less than a year .............................................................................................1 
1 
A year to less than 5 years .............................................................................2 
2 
5 years to less than 10 years .........................................................................3 
3 
10 years to less than 20 years .......................................................................4 
4 
20 years to less than 30 years .......................................................................5 
5 
30 years to less than 40 years .......................................................................6 
6 More than 40 years ........................................................................................7 
7 

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[USA] 2013 Preference Parameters Study of Osaka University

11d.

Approximately how many employees were/are working for the company of the occupation of your longest job, andhow many were/are working for the company of the occupation of your spouse’s longest job? Indicate theapproximate numbers including the head office, all branch offices, branch stores, sales offices and factories. If
the employer is a government organization, select "Government employee." (X ONE Box)
Yourself
Your SpouseNo spouse .............................................................................................................................................+ 
1 to 5 people ..................................................................................................1 
1 
6 to 29 people ................................................................................................2 
2 
30 to 99 people ..............................................................................................3 
3 
100 to 299 people ..........................................................................................4 
4 
300 to 499 people ..........................................................................................5 
5 
500 to 999 people ..........................................................................................6 
6 
1,000 to 4,999 people ....................................................................................7 
7 
5,000 or more people .....................................................................................8 
8 
Government employee ..................................................................................9 
9 Which one of the following best describes the industry in which you worked/work in the occupation of yourlongest job, and which one best describes the industry in which your spouse worked/works in the occupation of
his/her longest job? (X ONE Box)
Yourself
Your SpouseNo spouse .............................................................................................................................................+ 
Agriculture and related industries ................................................................ 01 
01 Mining .......................................................................................................... 02 
02 
Construction ................................................................................................. 03 
03 
Manufacturing .............................................................................................. 04 
04 Wholesale trade/Retail trade ....................................................................... 05 
05 Finance and insurance ................................................................................ 06 
06 
Real estate ................................................................................................... 07 
07 Transportation/Telecommunications ........................................................... 08 
08 
Utilities ......................................................................................................... 09 
09 
Professional and business services ............................................................ 10 
10 Education .................................................................................................... 11 
11 
Others .......................................................................................................... 12 
12 
11e.

All respondents should answer the following question
12.

How many sons and daughters do you have?
boxes. (Write In Number)
Son

13.

child/ren

If you do not have any children, please indicate 0 in the following
Daughterchild/renApproximately how much was your salary or hourly wage in 2012 (including business income if you are
self-employed), and approximately how much was your spouse’s salary or hourly wage? (Write In)
You:

Salary per month $_____ _____ _____ _____or Wage per hour $_____ _____Your spouse:

Salary per month $_____ _____ _____ _____or Wage per hour $_____ _____

14.

Approximately how much was the annual earned income of you and your spouse before taxes, including bonuses
and business income in 2012? (X ONE Box)
Yourself
Your SpouseNo spouse ..............................................................................................................................+ None .............................................................................................. 01 
01 
Less than $10,000......................................................................... 02 
02 
$10,000 to less than $20,000 ........................................................ 03 
03 
$20,000 to less than $40,000 ........................................................ 04 
04 
$40,000 to less than $60,000 ........................................................ 05 
05 $60,000 to less than $80,000 ........................................................ 06 
06 
$80,000 to less than $100,000 ...................................................... 07 
07 $100,000 to less than $120,000 .................................................... 08 
08 
$120,000 to less than $140,000.................................................... 09 
09 
$140,000 or more .......................................................................... 10 
10 

15.

Are you or your spouse currently seeking jobs? (Please answer regardless of whether you presently have a job.)(X ONE Box For EACH Row). If you and your spouse are seeking jobs, please indicate the duration of yoursearch. If it is more than one month, please write in a specific duration.

 Seeking a job
2 Not seeking a job

1.Less than a month 2.More than a month (___year/s ___month/s)
skip to 16.

 No spouse Seeking a job
2 Not seeking a job

1.Less than a month 2.More than a month (___year/s___month/s)
skip to 16.

You

1

Your spouse

+
1

16.

How much time do you and your spouse spend doing housework everyday? Please answer an average amount oftime per day for weekdays and weekends. (Write In)
You:
week days: ____hours______minutes;Your spouse: week days: ____hours______minutes;

17.

week ends: ____hours______minutes
week ends: ____hours______minutes

How long does it take for you, and for your spouse, to commute? (Write In)
You:Your spouse:____hours______minutes;____hours______minutes13

 Don't work
1  Doesn't work1

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[USA] 2013 Preference Parameters Study of Osaka University

18.

Which of the following best describes your current household? (X ONE Box) Single You and your parent(s)3  You and your spouse
4  You, your spouse and your children
5  You and your children (no spouse)
6  You, your spouse, and your (or your spouse's) parent(s)7  You, your spouse, your children and your (or your spouse's) parent(s)8  You, your spouse, your children and your (or your spouse's) parent(s)/sibling(s)9  You and your friend(s) Others (Specify):__________________
1
2

19.

How many people are currently living in your household including yourself?
# of people: _____ _____

20.

How much did you spend on durable consumer goods such as housing, cars, and expensive electric products foryour entire family in 2012? (Write In)
Approximate expense in 2012 for entire family $_________________________
Did your household purchase a house (or condo) in 2012? (X ONE Box)

20a.

 Yes

(Write In)

 No

1

2

How much were the average food expenses of your entire family per month in 2012?

21.

(Write In For EACH Row)

Approximate food expenses (excluding expenses of eating out) . $____________________ per month
Approximate expenses of eating out ............................................ $____________________ per month
How much were the average expenditures of your entire family per month in 2012? Exclude durable consumer
goods purchased such as housing, cars, expensive electronic products, taxes, insurance premiums, andmortgage interest. Include costs of public utilities and energy bills. (Write In)

22.

Approximate monthly expense in 2012 for entire family$_________________________ per month

In 2012 what was the approximate percentage change in your family’s total annual expenditures compared with
2011? Select the most appropriate response from the following list. (X ONE Box)
Increased Increased Increased Increased
by at
by at
by at
by at
Changed Decreased Decreased Decreased Decreased
least
least
least
least
by less by at least by at least by at least by at least
Increased
7%
5%
3%
1%
than 1%1%
3%
5%
7%
Decreasedby at least but less but less but less but less in either but lessbut lessbut lessbut less by at least
9%
than 9% than 7% than 5% than 3% direction than 3%
than 5%than 7%than 9%
9%
23.

10



09



08



07



06



05



04



03



02



01



00

In 2013 what will be the approximate percentage change in your family’s total annual expenditures compared with
2012? Select the most appropriate response from the following list. (X ONE Box)
Increase Increase Increase Increase
by at
by at
by at
by at
Change Decrease Decrease Decrease Decrease
least
least
least
least
by less
by at
by at
by at
by at
Increase
7%
5%
3%
1%
than 1% least 1% least 3% least 5% least 7% Decreaseby at
but less but less but less but less in either but less but less but less but lessby atleast 9% than 9% than 7% than 5% than 3% direction than 3% than 5% than 7% than 9% least 9%

24.

10



09



08



07



06



05



04



03



02



01



00



By what percentage do you expect consumer prices will change in 2013, compared with the previous year?
(X ONE Box)
Increase Increase Increase Increase
Decrease Decrease Decrease Decrease
by at
by at
by at
by at
Change
by at
by at
by at
by at
least
least
least
least
by less
least
least
least
least
Increase
3.5%
2.5%
1.5%
0.5%
than
0.5%
1.5%
2.5%
3.5%
Decreaseby at
but less but less but less but less 0.5% in but less but less but less but less
by at
least
than
than
than
than
either
than
than
than
than
least
4.5%
4.5%
3.5%
2.5%
1.5%
direction
1.5%
2.5%
3.5%
4.5%
4.5%

25.

10

26.



09



08



07



06



05



04



03



02



01



00



Now, we would like to ask you about dependents in your family. Here, a dependent (one supported) is anyone
claimed as such on the last tax return. Are you ... (X ONE Box) Supporting someone in the family.
 Supported by someone in your family.
3  Neither supporting nor being supported. (single-person household included)
1
2

27.

What is the nature of your residence?

(X ONE Box) Your own house (a single-family house)
2  Your own condominium
3  Private rented house (a single house or an apartment)
4  Supplied house (a company house or an official residence)
128.

 Government-owned housing
6  Lodgings (Hotels, Motels, etc.)
7  Dormitory, Group Quarters, etc.
8  Others
5

Approximately how much was the annual earned income before taxes and with bonuses included of your entire
household for 2012? (If you are a student, please indicate the income of your parents' entire household.)(X ONE Box) Less than $10,000
 $10,000 to less than $20,000
03  $20,000 to less than $40,000
04  $40,000 to less than $60,000
05  $60,000 to less than $80,000
06  $80,000 to less than $100,000

 $100,000 to less than $120,000
 $120,000 to less than $140,000
09  $140,000 to less than $160,000
10  $160,000 to less than $180,000
11  $180,000 to less than $200,000
12  $200,000 or more

01

07

02

08

14

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[USA] 2013 Preference Parameters Study of Osaka University

Approximately how much household income is your goal? (If you are a student, please indicate the income of yourparents’ entire household.) (X ONE Box)

29.

 Less than $10,000
 $10,000 to less than $20,000
03  $20,000 to less than $40,000
04  $40,000 to less than $60,000
05  $60,000 to less than $80,000
06  $80,000 to less than $100,000

 $100,000 to less than $120,000
 $120,000 to less than $140,000
09  $140,000 to less than $160,000
10  $160,000 to less than $180,000
11  $180,000 to less than $200,000
12  $200,000 or more

01

07

02

08

About how much household income is common for people around you? (X ONE Box)
01  Less than $10,000
07  $100,000 to less than $120,000
02  $10,000 to less than $20,000
08  $120,000 to less than $140,000
03  $20,000 to less than $40,000
09  $140,000 to less than $160,000
04  $40,000 to less than $60,000
10  $160,000 to less than $180,000
05  $60,000 to less than $80,000
11  $180,000 to less than $200,000
06  $80,000 to less than $100,000
12  $200,000 or more

30.

In 2012 what was the approximate percentage change in your family’s total annual income compared with 2011?
Select the most appropriate response from the following list. (If you are a student, please answer for the incomeof your parents' entire household.) (X ONE Box)
Increased Increased Increased Increased
Decreased Decreased Decreased Decreased
by at
by at
by at
by at
Changed
by at
by at
by at
by at
least
least
least
least
by less
least
least
least
least
Increased
7%
5%
3%
1%
than 1%1%
3%
5%
7%
Decreasedby at
but less but less but less but less in either but less but less but less but lessby atleast 9% than 9% than 7% than 5% than 3% direction than 3% than 5% than 7% than 9% least 9%

31.

10



09



08



07



06



05



04



03



02



01



00



In 2013 what will be the approximate percentage change in your family’s total annual income compared with
2012? Select the most appropriate response from the following list. Please answer your entire household, for you
and for your spouse. (If you are a student, please answer for the income of your parents' entire household.)(X ONE Box for EACH Row)
Increase Increase Increase Increase
by at
by at
by at
by at
least
least
least
least
Decrease Decrease Decrease Decrease
7%
5%
3%
1%
Change
by at
by at
by at
by at
Increase
but
but
but
but
by less
least
least
least
least
by at
less
less
less
less
than 1%1%
3%
5%
7%
Decrease
least
than
than
than
than in either but less but less but less but less
by at
9%
9%
7%
5%
3%
direction than 3% than 5% than 7% than 9% least 9%
Entire
10 
09 
08 
07 
06 
05 
04 
03 
02 
01 
00 
Household
You
10 
09 
08 
07 
06 
05 
04 
03 
02 
01 
00 
Your
10 
09 
08 
07 
06 
05 
04 
03 
02 
01 
00 
Spouse32.

What do you estimate will be the change in total annual income of your household in 2017 compared to 2012?
Please circle ONE applicable number for your entire household, ONE for you, and ONE for your spouse. (If you
are a student, please answer for the income of your parents' entire household.) (X ONE Box for EACH Row)
Increase Increase Increase Increase
by at
by at
by at
by at
Decrease Decrease Decrease
least
least
least
least
Decrease by at
by at
by at
15%
10%
6%
2%
Change
by at
least
least
least
Increase
but
but
but
but
by less
least
6%
10%
15% Decrease
by at
less
less
less
less
than 2%
2%
but less but less but less by at
least
than
than
than
than
in either but less
than
than
than
least
20%
20%
15%
10%
6%
direction than 6%
10%
15%
20%
20%
Entire
10 
09 
08 
07 
06 
05 
04 
03 
02 
01 
00 
Household
You
10 
09 
08 
07 
06 
05 
04 
03 
02 
01 
00 
Your
10 
09 
08 
07 
06 
05 
04 
03 
02 
01 
00 
Spouse33.

34.

After you are retired, what proportion of the living expenses of you and your spouse do you think you will be able
to cover using Social Security income? (X ONE Box)

0~9%
10~19%0320~29%
0430~39%
0540~49%35.

50~59%
60~69%0870~79%
0980~89%
1090% or more

01

06

02

07

Approximately how much is the present appraised value of all housing and property owned by your entire
household? (If you are a student, please answer about the housing and property owned by your parents' entire
household.) (X ONE Box) Do not possess housing or properties Less than $50,000
03  $50,000 to less than $100,000
04  $100,000 to less than $150,000
05  $150,000 to less than $200,000

 $200,000 to less than $300,000
 $300,000 to less than $400,000
08  $400,000 to less than $500,000
09  $500,000 to less than $1,000,000
10  $1,000,000 or more

01

06

02

07

15

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[USA] 2013 Preference Parameters Study of Osaka University

36.

Approximately how much is the balance of financial assets (savings, stocks, bonds, insurance, etc.) of your entire
household? (If you are a student, please indicate the balance of financial assets of your parents' entire
household.) (X ONE Box)
01  Less than $25,000
06  $150,000 to less than $200,000
02  $25,000 to less than $50,000
07  $200,000 to less than $300,000
03  $50,000 to less than $75,000
08  $300,000 to less than $500,000
04  $75,000 to less than $100,000
09  $500,000 to less than $1,000,000
05  $100,000 to less than $150,000
10  $1,000,000 or more

37.

Please indicate which of the following financial assets you own. (X ALL That Apply) Bank savings (including cooperative banks, credit unions and other associations) Corporate bonds
03  Life insurance
04  Stocks
05  Investment Trusts
06  Foreign currency deposits
07  Futures / Options
08  U.S. Government bonds
09  Government bonds of foreign countries
10  Private individual pensions (from life insurance companies, etc.)
11  Company pensions
12  Cash
13  None  (Skip To Q.38)
01
02

37a.

(Continue)

What percentage of the financial assets of your entire household are in the following ... (Write In % For EACH)
Bank savings, cash, U.S. government bonds ................................................................. __________%
Investment trusts, stocks, futures/options, corporate bonds, foreign currency
deposits, government bonds of foreign countries ................................................ __________%All respondents should answer the following question
38.

Does your household have a saving plan for the next one year?

 Have plans for each month Have plans for each 3 month period
3  Have plans for each 6 month period
4  Have plans for the whole year
5  Don’t have any saving plans for the next year

If so, how detailed is the plan? (X ONE Box)

1
2

39.

Do you currently have any debts? Debts here include housing loans, car loans and any other installment
payments on which you have to pay interest charges. (X ONE Box)
1
2

 No debts
 Yes, have debts

If you answered 2 for Q.39, please continue.
39a.

39b.

Otherwise, skip to Q.40.

If you are paying off housing loan(s), what is the current balance of your housing loan(s)?

 Less than $25,000
 $25,000 to less than $50,000
3  $50,000 to less than $75,000
4  $75,000 to less than $100,000
5  $100,000 to less than $150,000

 $150,000 to less than $200,000
 $200,000 to less than $300,000
8  $300,000 or more
9  No housing loans

1

6

2

7

Do you have any debts other than housing loan(s), including car loans and any other installment payments on
which you have to pay interest charges (X ONE Box) No loans other than housing loans
 Less than $5,000
3  $5,000 to less than $10,000
4  $10,000 to less than $20,000
5  $20,000 to less than $30,000

 $30,000 to less than $50,000
 $50,000 to less than $75,000
8  $75,000 to less than $100,000
9  $100,000 or more

1

6

2

7

If you answered 1 to 9 for Q.39b, please continue.
39c.

(X ONE Box)

What debts do you currently have? (X ALL That Apply)
1  Car loan(s)2  Installment payment(s) for consumption
3  Education loan(s)4  Borrowing for living and/or medical expenses

Otherwise, skip to Q.40

Borrowing for business fund(s)Borrowing for entertainment expenses
7 Borrowing to pay off debts
8 Other5
6

All respondents should answer the following question40.

Do you use credit cards? If you do, how do you use them? (X ALL That Apply) For payments in full
 For payments in installments with no interest
3  For payments in installments with interest charges
4  For revolving payments
5  I have a credit card or cards but do not use it or them
6  I do not have a credit card
1
2

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[USA] 2013 Preference Parameters Study of Osaka University

Have you ever been rejected for a loan application (excluding housing loans)? (X ALL That Apply)

41.

 Yes
 No, but I did not get approved for the full amount for which I applied, only for a reduced amount3  Did not apply because I did not think I would be approved
4  No, I have always been able to borrow the amount I applied for5  I have never attempted to borrow money
1
2

On a scale of 0-10 with “10” being “Highest” and “0” being “Lowest”, please indicate what you think your standardof living is. (X ONE Box)
HighestLowest

42.

10



09



08



07



06



05



04



03



02



01



00



How would you describe your current health status: Is it excellent, very good, good, fair, or poor? (X ONE Box)

43.

 Excellent
2  Very good1

 Good4  Fair35

 Poor

Do you visit a doctor on a regular basis either in a hospital or clinic (including dental clinics) because of a chronic
disease or injury? This also includes a home visit by a doctor. (X ONE Box)

44.

1
2

 Yes  Continue
 No  Skip to Q.45

If you answered 1 for Q.44, please continue.

Otherwise, skip to Q.45

On average, how many times do you go to a hospital or clinic as an out-patient within a one month period?
(Write in)44a.

____________times in a month
About how much did you pay for out-of-pocket medical expenses per outpatient visit for doctor or clinic visits,
including medicine? (Write in)44b.

$____________All respondents should answer the following question
During the last 12 months, have you been in a hospital or clinic as an in-patient overnight or longer? This includes
childbirth. (X ONE Box)

45.

1

46.

 Yes

Do you smoke?

2

 No

(X ONE Box) Never smoked  Skip to Q.47
 Hardly smoke
03  Occasionally smoke
04  I smoke about 1 to 5 cigarettes a day
05  I smoke about 6 to 10 cigarettes a day I smoke about 11 to 20 cigarettes a day I smoke about 21 to 30 cigarettes a day
08  I smoke about 31 to 40 cigarettes a day
09  I smoke 41 cigarettes or more a day
10  I used to smoke, but I quit

01

06

02

07

If you answered 2 to 10 for Q.46, please continue.

Otherwise, skip to Q.47.

46a.

How long does it take to get to a smoking area in your work place? If you are not working, please answer aboutsmoking at the place you spend most of the day. (X ONE Box)
1  0 minutes (I can smoke right at my seat)4  6-10 minutes
2  1-2 minutes
5  11 minutes or more
3  3-5 minutes
6  Smoking is not allowed at all at my workplace46b.

Do you want to quit smoking? (X ONE Box) Yes, I want to quit smoking
 I want to reduce the amount of cigarettes I smoke
3  No, I don’t want to quit smoking
4  I don’t know
5  I don’t smoke
1
2

All respondents should answer the following question47.

Do you exercise? (X ONE Box) Almost everyday
 A few times a week
3  About once a week
1

4

2

5

 About once a month Don't exercise at all48.

Do you drink alcoholic beverages? (X ONE Box)
1  Don't drink at all
2  Hardly drink (a few times a month or less)3  Drink sometimes (a few times a week)
4  A can of beer (12 oz.) or its equivalent a day, almost everyday
5  3 cans of beer (12 oz. x 3) or its equivalent a day, almost everyday
6  5 cans of beer (12 oz. x 5) or its equivalent a day, almost everyday

49.

Do you gamble in lotteries or at casinos or bet on sporting events or horse races?

 Don't gamble at all
2  Hardly gamble
1(X ONE Box)

 Several times a year or so 5  Once a week or so
4  Once a month or so
6  Almost everyday
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[USA] 2013 Preference Parameters Study of Osaka University

Please indicate if you are affiliated with any of the following religions. (X ONE Box)

50.

 Baptist Episcopalian
03  Evangelical04  Lutheran
05  Presbyterian
06  United Methodist

 Other Protestant Roman Catholic
09  Orthodox Christian
10  Other Christian
11  Buddhism
12  Hinduism

 Islam Judaism
15  Scientology
16  Some other affiliation not listed above
17  None
18  Prefer not to answer

01

07

13

02

08

14

Do you usually have breakfast, lunch, and dinner on weekdays? (X ONE Box For EACH)

51.

Almosteveryday

Do not have 2-3
days a week
1

Breakfast
Lunch
DinnerDo not have 4-5
days a week
2Hardly have



3



4

1

2

3

4

1

2

3

4

When do you usually wake up, go to bed, and take meals (breakfast, lunch, dinner)? (X ONE Box For EACH)

52.

Morning
0:00
0:30
1:00
1:30
2:00
2:30
3:00
3:30
4:00
4:30
5:00
5:30
6:00
6:30
7:00
7:30
8:00
8:30
9:00
9:30
10:00
10:30
11:00
11:30

Wake
up

Have
breakfast

Have
lunch

Have
dinner

Go to
bed

1

1

1

1

1

2

2

2

2

2

3

3

3

3

3

4

4

4

4

4

5

5

5

5

5

6

6

6

6

6

7

7

7

7

7

8

8

8

8

8

9

9

9

9

9

10

10

10

10

10

11

11

11

11

11

12

12

12

12

12

13

13

13

13

13

14

14

14

14

14

15

15

15

15

15

16

16

16

16

16

17

17

17

17

17

18

18

18

18

18

19

19

19

19

19

20

20

20

20

20

21

21

21

21

21

22

22

22

22

22

23

23

23

23

23

24

24

24

24

24

Afternoon

Wake
up

Have
breakfast

Have
lunch

Have
dinner

Go to
bed

25

25

25

25

25

26

26

26

26

26

27

27

27

27

27

28

28

28

28

28

29

29

29

29

29

30

30

30

30

30

31

31

31

31

31

32

32

32

32

32

33

33

33

33

33

34

34

34

34

34

35

35

35

35

35

36

36

36

36

36

37

37

37

37

37

38

38

38

38

38

39

39

39

39

39

40

40

40

40

40

41

41

41

41

41

42

42

42

42

42

43

43

43

43

43

44

44

44

44

44

45

45

45

45

45

46

46

46

46

46

47

47

47

47

47

48

48

48

48

48

12:00
12:30
13:00
13:30
14:00
14:30
15:00
15:30
16:00
16:30
17:00
17:30
18:00
18:30
19:00
19:30
20:00
20:30
21:00
21:30
22:00
22:30
23:00
23:30

Who lives with your/your spouse’s parents? (X ALL THAT APPLY FOR EACH)
Note: If the parent has already passed away, please pick 5.
0=No spouse
Your own
Your spouse’sYour spouse’sYour own father
1=You/ your spousemotherfathermother2=Your brother/sister or your spouse’s0
brother / sister
1 
1 
1 
1 
3=The spouse of the parent
2 
2 
2 
2 
4=Other family member
3 
3 
3 
3 
5=No one
53.

4
5




4
5




4
5




4
5




Who lives near your/your spouse’s parents? (X ALL THAT APPLY FOR EACH)
Note: If the parent has already passed away, please pick 50=No spouse
Your own
Your spouse’sYour spouse’sYour own father
1=You/ your spousemotherfathermother2=Your brother/sister or your spouse’s0
brother / sister
1 
1 
1 
1 
3=The spouse of the parent
2 
2 
2 
2 
4=Other family member
3 
3 
3 
3 
5=No one
53a.

4
5




4
5

18




4
5




4
5




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[USA] 2013 Preference Parameters Study of Osaka University

53b. Who provides/provided financial assistance to your/your spouse’s parents? (X ALL THAT APPLY FOR EACH)
0=No spouse
1=You/ your spouse
2=Your brother/sister or your spouse’s
brother / sister
3=The spouse of the parent
4=Other family member
5=Other
6=No one

54.

Your own father

Your own
motherYour spouse’s
fatherYour spouse’s
mother

0



3 
4 
5 
6 



3 
4 
5 
6 



3 
4 
5 
6 



3 
4 
5 
6 

1

1

1

1

2

2

2

2

Please reply concerning your own parents and your spouse’s parents.
Do your parents or your spouse’s parents require (or did they require) physical care and/or help with housework?
Please choose one response from among choices 1 through 4 for each parent. (X ONE Box For EACH)
Your own
Your spouse’sYour spouse’s
0=No spouse
Your own father
motherfathermother1=Currently necessary
2=Alive but not currently necessary0
3=Already passed away but necessary
while alive
1 
2 
1 
2 
1 
2 
1 
2 
4=Already passed away and not
3 
4 
3 
4 
3 
4 
3 
4 
necessary while alive54a.

If you answered 1,2 or 3 even once in Q.54, please continue. Otherwise, please skip to Q.55.
First, who is/are, or was/were, the caregiver(s) for that parent? Please pick all that apply from among choices 1
through 8 for each parent. (X ALL THAT APPLY FOR EACH)
Do or did you live with him/her because he/she requires care? Do or did you live near to him/her because he/she
requires care? Do or did you provide financial assistance to him/her because he/she requires care? (X EITHERYES OR NO FOR EACH)
Note: If you picked choice 2 in Q.54, please indicate what you plan to do when that parent requires care.

0=No spouse
1=You
2=Your spouse
3=Your brother/sister or your spouse’s
brother / sister
4=The spouse of the parent requiring care
5=Other family member
6=Nursing home or assisted living home
7=Home helper
8=OtherYour own father

Your own
motherYour spouse’s
fatherYour spouse’s
mother



0



3 
4 
5 
6 
7 
8 



3 
4 
5 
6 
7 
8 



3 
4 
5 
6 
7 
8 



3 
4 
5 
6 
7 
8 

1

1

1

1

2

2

2

2

Do/did you live with that parent?

Yes ・ NoYes ・ NoYes ・ NoYes ・ No

Do/did you live near to that parent?

Yes ・ NoYes ・ NoYes ・ NoYes ・ No

Do/did you provide financial assistance to thatparent?

Yes ・ NoYes ・ NoYes ・ NoYes ・ No

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[USA] 2013 Preference Parameters Study of Osaka University

55.

Please tell us about all your children ever born. For columns G through J, please use the number codes
associated with each question in the box below.

G: 0=Preschool; 1=First grade; 2=Second grade; 3=Third grade; 4=Fourth grade; 5=Fifth grade;
6=Sixth grade; 7=Seventh grade; 8=Eighth grade; 9=Ninth grade; 10=Tenth grade;
11=Eleventh grade; 12=Twelfth grade; 13=Diploma/certificate course; 14=College (undergraduate):
15=Graduate school; 16=others.
H: 17=Junior high (intermediate) school; 18=High school;
19=College - Associate's Degree (2Year); 20=College - Bachelor's Degree (4 year);
21=Master's degree - MS, MA, MBA, etc; 22=Doctoral degree - DVM, Ph.D, DDS. etc;
23=no idea.
I: 24=not working/no plans to work; 25=Office and administrative support;
26=sales and related occupations; 27=management, business, and financial operations;
28= professional and related occupations;
29=service occupations (healthcare support/protective service, or food preparation andserving-related, security guard, etc.);
30= Construction, extraction, and maintenance; 31= Farming, fishing, and forestry;
32= Housewives / Househusbands
J: 33=not attending/no plans to enroll; 34=public school; 35=private school (secular);
36=private school (parochial); 37=other (specify).

A.
Birth date
ID

B.
Still
alive?
If Not,fill intheyearof
death.

D. Marital
StatusC. Sex1=male2=female0=nevermarried,
1=married
2=widow
widower,
3=divorced
separated

Birth
month

Birth
year

Year
of
death

F.
Currently
attendingschool?

E. Living
together inthe samehousehold?
1=yes,
0=no(1=yes,0=no->
skip toH)
G.
Current
class(code)FG

H. Completed
educationlevel(if have notalready
completed, enter
the code forwhich grade towhich you expect
the child to study)1=already
completed2=
expect tocompletecode

I. Occupation(if the child is a
student, enter thecode for theoccupation you
expect the child tochoose)1=
actualoccupation2=
expected
occupationcode

J. Type of
secondary school(Class X to XII)
(If not alreadyattending, enter
the code forwhich type doyou expect thechild to enter)1=
actuallyattending2=
expect toattend

code

1
2
3
4
5
6
7
8

Thank you for your help with this study. Please return your completed
questionnaire in the enclosed postage-paid envelope as soon as possible.

20

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