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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

[USA] 2012 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 
If someone does me a favor, I am prepared to return it ........................... 1 
2 
3 
4 
5 
If I suffer a serious wrong, I will take revenge as soon as possible,
no matter what the cost ....................................................................... 1 
2 
3 
4 
5 
If somebody puts me in a difficult position, I will do the same to him/her 1 
2 
3 
4 
5 
I go out of my way to help somebody who has been kind to me before .. 1 
2 
3 
4 
5 
If somebody offends me, I will offend him/her back ................................. 1 
2 
3 
4 
5 
I am ready to undergo personal costs to help somebody
who helped me before .......................................................................... 1 
2 
3 
4 
5 
Other people frequently tell me that what I’ve said is impolite, eventhough I think it is polite ........................................................................ 1 
2 
3 
4 
5 .
I enjoy social chit-chat .............................................................................. 1 
2 
3 
4 
5 
When I talk, it isn’t always easy for others to get a word in edgeways .... 1 
2 
3 
4 
5 
I find it easy to “read between the lines” when someone is talking to me 1 
2 
3 
4 
5 
I prefer to do things with others rather than on my own ........................... 1 
2 
3 
4 
5 
I find it hard to make new friends ............................................................. 1 
2 
3 
4 
5 
I find it easy to work out what someone is thinking or feeling justby looking at their face .......................................................................... 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
DisagreeSince the future is uncertain, it is a waste to think about it ...................... 1 

2I 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



In general, most people are trustworthy. .................................................. 1 


2 


3 
3


4 
4


5 
5

Although an economy regulated by market forces widens theincome gap between the rich and the poor, it makes people

wealthier in general; so in total, they are better off ............................... 1 
It is the government’s responsibility to take care of those who cannot

take care of themselves financially ....................................................... 1 

At work, I should follow the opinion of the group ...................................... 1 
At home, I should follow my family’s opinion ............................................ 1 


2 
2 
2

Working as a group results in greater achievement than working

Individually ............................................................................................ 1 


4 
4 
4


5 
5 
5

2



3



4



5



2



3



4



5



I am more satisfied when I achieve a goal by cooperating withothers than only by myself .................................................................... 1 


3 
3 
3

Question 2 Continued On Next Page 2212226908

[USA] 2012 Preference Parameters Study of Osaka University

Question 2 Continued

Completely
Agree

The most important factor for success in life is hard work
rather than luck and personal connections ........................................... 1 God is watching and sees all bad deeds ................................................. 1 Life after death exists ............................................................................... 1 
Spirits and Ghosts exist ........................................................................... 1 What is written in science text books is reliable ....................................... 1 The earth is not round, but it is flat ........................................................... 1 
Heaven exists ........................................................................................... 1 
It is possible to move an object by using psychokinesis .......................... 1 God or Gods exist .................................................................................... 1 I believe in fortunetelling .......................................................................... 1 
A person’s blood type indicates their character ....................................... 1 
Human beings evolved from other living things ....................................... 1 
You should place a greater value on thinking with your head thanwith your heart ...................................................................................... 1 What is broadcast in TV programs is reliable .......................................... 1 
The number “13” is unlucky...................................................................... 1 
Big Foot exists .......................................................................................... 1 
Witches do exist ....................................................................................... 1 


2 
2 
2 
2 
2 
2 
2 
2 
2 
2 
2 
2



2 
2 
2 

Completely
Disagree


3 
3 
3 
3 
3 
3 
3 
3 
3 
3 
3 
3



3 
3 
3 


4 
4 
4 
4 
4 
4 
4 
4 
4 
4 
4 
4



4 
4 
4 


5 
5 
5 
5 
5 
5 
5 
5 
5 
5 
5 
5



5 
5 
5 

2

3

4

5

2

3

4

5

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 daystoday
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

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
orReceive 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
3212226908

[USA] 2012 Preference Parameters Study of Osaka University

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

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”
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%

Option “B”

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

Option “A”

Option “B”

Guaranteed to the salary
increase by 0.5%

1



2

Guaranteed to the salary
increase by 0.5%

1



2

Guaranteed to the salary
increase by 0.5%

1



2

Guaranteed to the salary
increase by 0.5%

1



2

Guaranteed to the salary
increase by 0.5%

1



2

Guaranteed to the salary
increase by 0.5%

1



2

Guaranteed to the salary
increase by 0.5%

1



2

4








212226908

[USA] 2012 Preference Parameters Study of Osaka University

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”

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

Option “B”

orOption “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”

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








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”

12.

Option “A”
Option “B”
A 50% chance of the salary increasing by
Guaranteed to the salary
30%, but also a 50% chance of the salary12
increase by 20%
increasing by 10.5%
A 50% chance of the salary increasing by
Guaranteed to the salary
30%, but also a 50% chance of the salary12
increase by 20%
increasing by 11%
A 50% chance of the salary increasing by
Guaranteed to the salary
30%, but also a 50% chance of the salary12
increase by 20%
increasing by 13%
A 50% chance of the salary increasing by
Guaranteed to the salary
30%, but also a 50% chance of the salary12
increase by 20%
increasing by 14%
A 50% chance of the salary increasing by
Guaranteed to the salary
30%, but also a 50% chance of the salary12
increase by 20%
increasing by 15%
A 50% chance of the salary increasing by
Guaranteed to the salary
30%, but also a 50% chance of the salary12
increase by 20%
increasing by 16%
A 50% chance of the salary increasing by
Guaranteed to the salary
30%, but also a 50% chance of the salary12
increase by 20%
increasing by 18%
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

13.

14.

14a.

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

Option “B”

or



09



08



07



06



05



04



03



02



01



00



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
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
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
5212226908

[USA] 2012 Preference Parameters Study of Osaka University

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

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 

10¢
$20
$40
$80
$150
$250
$350
$500
16.

Which ONE do you prefer?
(X ONE Box For EACH Row)
Option “A”(purchase the
Option “B” (NOT
insurance)purchase the insurance)

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

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





2



2



3

4

How satisfied are you with each of the following?
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

19.


2 
2 
2 
2 
2 
2 
2 
2 

1

Which figure does not belong with the other three figures? (X ONE Box)
1

18.

2

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.

Price of the insurance

17.


2 
2 
2 
2 
2 
2 
2 

1


1
1
1
1
1
1
1

1



(X ONE Box)
Unsatisfied


2
2
2
2
2
2
2

2




3
3
3
3
3
3
3

3




4
4
4
4
4
4
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

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
6

How would you

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20.

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)
1  Got it done right away
3Worked on it daily up until the due date2  Tended to get it done early, before the4Tended to get it done toward the end
due date
5Got it done at the last minute21.

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)
1  I planned to get it done right away
4I planned to get it done rather toward the end
2  I planned to get it done rather early, before
5I planned to do get it done at the last minutethe due date6I didn’t make any plan3  I planned to work it daily up until the due date

22.

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
4To get it done toward the end
2  To get it done early, before the due date5To get it done at the last minute3  To work on it daily up until the due date23.

You won a free vacation! Flights and accommodation are set for three nights but your schedule is completely open.
You will leave in a month. How detailed is your plan for the trip? (X ONE Box)
1  I make plans for every 30 minutes
4I make plans for every half day
2  I make plans for every hour5I make plans for every day
3  I make plans for every morning,6I do not make any plans ahead
afternoon and night24.

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)%25.

Please circle ONE applicable number next to each statement to indicate the extent to which you agree or disagreewith that statement. You should rate the extent to which the pair of traits applies to you, even if one characteristic
applies more strongly than the other. (X ONE Box For EACH)
I see myself as;

DisagreeStrongly

A Extraverted, enthusiastic .................
1
B Critical, quarrelsome ........................
1
C Dependable, self-disciplined ............
1
D Anxious, easily upset .......................
1
Open to new experiences,E1
complex ........................................
F Reserved, quiet ...............................
1
G Sympathetic, warm ..........................
1
H Disorganized, careless ....................
1
I

Calm, emotionally stable..................
1

J Conventional, uncreative .................
1

26.

DisagreeModerately

Disagree A
Little


2
2
2
2
2
2
2
2
2


3
3
3
3
3
3
3
3
3

2

Neither
Agree NorDisagree

3


4
4
4
4
4
4
4
4
4
4

Agree A
Little


5
5
5
5
5
5
5
5
5
5

Agree
Moderately


6
6
6
6
6
6
6
6
6
6

Agree
Strongly


7
7
7
7
7
7
7
7
7
7

During the years 2010 and 2011, 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.
Please also choose numbers from the box below to indicate the portion of your donation for disaster relief, religious
purposes, and other purposes.
Year 2011
Year 2010
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

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27.

Did you regularly participate in volunteer activities in 2011? Please circle the most appropriate category, and writein the amount of hours spent for volunteer activities during the year. If you volunteered for 30 minutes, pleaseindicate it as 0.5 hours.
Volunteer activities are defined here as the voluntary provision of labor, skills and time to people other than family
members without payment. Volunteer activities through the organizations such as neighborhood associations,parent-teacher-associations, and labor unions, and so on, are included. Also, an activity is considered a volunteer
activity even if participants receive small amounts to cover costs such as transportation costs.

I did not regularly
participate in volunteer
activities.
1→ Go to 27a

27a.

Once In A
Month
2

Several Times
In A Month

3hours permonth onaverageOnce In A
Week



4

hours permonth onaverage

Several Times
In A Week

5hours perweek onaverage

Almost EveryDay
6hours perweek onaverage

hours perday on average

For those who regularly participated in volunteer activities, please circle the most appropriate category regarding
volunteer activities for religious purposes as well, and write in the amount of hours spent for such volunteer
activities.

I did not regularly
participate in volunteer
activities for religious
purposes.
1

Once In A
Month



2

Several Times
In A Month

3hours permonth onaverageOnce In A
Week



4

hours permonth onaverage

Several Times
In A Week

5hours perweek onaverage

Almost Every
Day



6

hours perweek onaverage

hours perday on average

28.

Did you irregularly participate in volunteer activities in 2011? Please circle the most appropriate category. Rescue
and relief activities for accident and disaster victims are included in irregular volunteer activities. If you participatedin those volunteer activities for 30 minutes or more, please count it as one day. (X ONE Box)
1  I did not irregularly participate in volunteer activities.
2  1 to 4 days a year
3  5 to 9 days a year
4  10 to 19 days a year
5  20 to 29 days a year
6  More than 30 days a year

29.

Did you participate in any volunteer activities in 2010? Please select all categories that apply to you.
(X ALL That Apply)
1 I participated in volunteer activities for rescue or relief of accident or disaster victims.
2 I participated in volunteer activities for religious purposes.
3 I participated in volunteer activities for purposes other than those above.
4 I did not participate in any volunteer activities.

30.

How often do you do the following? (X ONE Box)
Very
Often

You lend personal possessions(e.g., CDs, books, car, bicycle) toyour friends
You borrow your friends’ personal
possessions (e.g., CDs, books, car,bicycle) and do not return them
You lend money to your friends
You borrow money from your friends
and do not return it

31.

Often

Sometimes

Infrequently

Never

1



2



3



4



5



1



2



3



4



5



6

I don’t borrow myfriends’ personal
possessions


1
1


2
2


3
3


4
4


5
5

6

I don’t borrowmoney from myfriends

How do you feel about leaving an inheritance to your children? If you do not have any children, please respondon the assumption that you actually do have children. (X ONE Box)
1  I plan to leave an inheritance to my child(ren) no matter what.
2  I plan to leave an inheritance to my child(ren) only if they provide care (including nursing care) during
old age.
3  I plan to leave an inheritance to my child(ren) only if they provide financial assistance during old age.
4  I plan to leave an inheritance to my child(ren) only if they carry on the family business.
5  I do not plan to make special efforts to leave an inheritance to my child(ren) but will leave whatever isleft over.
6  I do not plan to leave an inheritance to my child(ren) under any circumstances because doing so may
reduce their will to work.
7  I do not plan to leave an inheritance to my child(ren) under any circumstances because I want to use
my wealth myself.
8  I want to leave an inheritance to my child(ren) but I won’t because I don’t have the financial capacity
to do so.
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[USA] 2012 Preference Parameters Study of Osaka University

31a.

31b.

If you answered 1 to 5 for Q.31, please continue. Otherwise, skip to Q.32.
How do you plan to divide your inheritance among your children? (X ONE Box)
1  I plan to divide my inheritance equally among my children.
2  I do not plan to divide my inheritance equally among my children.
3  I have only one child so there is no need to divide my inheritance among my children.
If you answered 2 for Q.31a, please continue. Otherwise, skip to Q.32.
Then how do you plan to divide your inheritance among your children? (X ALL That Apply)
01  I plan to leave more or all to the child (children) who lives with me.
02  I plan to leave more or all to the child (children) who lives near me.
03  I plan to leave more or all to the child (children) who helps me with housework.
04  I plan to leave more or all to the child (children) who provides nursing care.
05  I plan to leave more or all to the child (children) who provides financial assistance.
06  I plan to leave more or all to the child (children) who carries on the family business.
07  I plan to leave more or all to my eldest son or daughter even if he/she does not live with me, does notlive near me, does not help me with housework, does not provide nursing care, does not provide
financial assistance, and does not carry on the family business.
08  I plan to leave more or all to the child (children) who has less earnings capacity.
09  I plan to leave more or all to the child (children) who has greater needs.
10  I plan to leave more or all to the child (children) whom I like more.

32.

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

3



4



5



33.

Do you expect to receive 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 future? (X ALL That Apply)YES
NONO SPOUSE
Expect to receive an inheritance with a total value of
1 
2 $50,000 or more in the future from my parents.
Expect to receive an inheritance with a total value of$50,000 or more in the future from my spouse’s
parents.

3



4



5



34.

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.

35.

Do you expect to receive any monetary transfers (including real estate and financial assets) or financial support(for example, 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 future?
(X ALL That Apply)YES
NONO SPOUSE
Expect to receive a monetary transfer or financial
support with a total value of $50,000 or more in
1 
2 
the past from my parents.
Expect to receive a monetary transfer or financial
support with a total value of $50,000 or more in
3 
4 
5 
the past from my spouse's parents.

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)
1  I have a spouse (husband or wife, including common-law marriage)  (Continue)
2  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)*Please do not answer questions involving a spouse

2a.

When did you marry your spouse? (Write In #)Month __________ Year ____________________ or2b.

Do you have plans to marry, or want to marry in the future? (X ONE Box)
1  I already have plans to marry.
2  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

9

when I was __________ years old

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[USA] 2012 Preference Parameters Study of Osaka University

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 you/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 



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

AliveDeceased
1Alive2Deceased
1Alive2Deceased
1Alive2Deceased12Your motherYour spouse’s father
Your spouse’s mother5b.

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

If you got married within the last one year, please answer the following questions. Otherwise, skip to 6.
If you got married within the last one year, please indicate your spouse’s highest level of education(or equivalent) completed. If he/she is still in school, “X” the one he/she is in now. (X ONE Box)Your spouse
Grade School ........................................................................................... 1 Some High School ................................................................................... 2 Graduated from High School.................................................................... 3 Some College - no degree ....................................................................... 4 Graduated from College - Associate's Degree (2 year) ......................... 5 Graduated from College - Bachelor's Degree (4 year) ........................... 6 Some post graduate studies - no degree ................................................. 7 
Master's Degree - MS, MA, MBA, etc. ................................................... 8 Doctoral Degree - DVM, Ph.D, DDS, etc. .............................................. 9 

5c.

When are your spouse's parents’ birth years? (Write The Year For EACH)
Your spouse’s father____________________Your spouse’s mother ____________________

5d.

Please indicate the highest level of education (or equivalent) completed by your spouse’s parents.
(X ONE Box For EACH)
Your Spouse’s Father Your Spouse’s Mother
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 

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5e.

How many brothers and sisters does your spouse have who are now living? (Write In Number For EACH)

Your spouse: Older brothers ................... _______
Older sisters ........................ _______

Younger brothers .............. _______
Younger sisters ................. _______All respondents should answer the following question.
6.
Have you ever refrained from academic advancement due to financial trouble? (X ONE Box)
1Yes2No
6a.

At what point did you forgo academic advancement? (X ONE Box)
1 High school2 Technical college
3 Junior college
4 Four-year college
5 Graduate school

7.

While you were in middle school, high school and college, were you heavily involved in the following activities?
Middle School

High School

College Did not go to Did not go to Did not go to

middle school->Skip to Q8high school-> Skip to Q8college-> Skip to Q8

Yes
2No
1Yes2No
1Yes2No
1Yes2No
1Yes2No
1Yes2No
1Yes
2No

Yes
2No
1Yes2No
1Yes2No
1Yes2No
1Yes2No
1Yes2No
1Yes2No1

1. Classes

2. Team sports (such as soccer and baseball)
3. Individual sports (such as track & field andswimming)
4. Group art activities (such as orchestra andchorus)5. Individual art activities (such as painting)

6. Part-time jobs

7. Community services (e.g. volunteer activities)

Yes
2No
1Yes2No
1Yes2No
1Yes2No
1Yes2No
1Yes2No
1Yes2No
1Yes2No1

1

8. Internships (for work experience)

8.

Do you have experience in the following positions?

1. Class president
2. Captain or leader of a group activity(such as a team sport, orchestra or
academic club)
3. Member of student council

4. Manager in a workplace

5. Leader of any activity

Middle School

High School

CollegeDid not go toDid not go toDid not go to

middle school->Skip to Q9high school-> Skip to Q9college-> Skip to Q9

Yes
2No
1Yes2No
1Yes2No
1Yes2No
1Yes
2No
1

11

Yes
2No
1Yes2No
1Yes2No
1Yes2No
1Yes
2No
1

Yes
2No
1Yes2No
1Yes2No
1Yes2No
1Yes2No1

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All respondents should answer the following question.
9.
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_______________ hours per week
-Don’t work
Your spouse_______________ hours per week
+No spouse-Doesn’t work
9a.

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 spouse9b.

_______________ 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.
10.

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.
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)

11.

You
Your spouse12.

_______________ days per year_______________ days per year

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 spouse13.

_______________ 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): _______________________________________ .......... If you answered 1 to 7 for yourself and/or your spouse for Q.13, please continue.

Otherwise, skip to Q.14

13a.

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 

13b.

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): ＿＿＿＿＿＿___________________________ ............. 12212226908

[USA] 2012 Preference Parameters Study of Osaka University

13c.

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 

13d.

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 

13e.

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 

13f.

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 

13g.

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 

13h.

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 

13i.

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 
13

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[USA] 2012 Preference Parameters Study of Osaka University

All respondents should answer the following question
14. 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.14, please continue.

Otherwise, skip to Q.15.

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.
14a.

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 

14b.

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 

14c.

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 

14d.

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 

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[USA] 2012 Preference Parameters Study of Osaka University

14e.

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 
15.

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

16.

If you do not have any children, please indicate 0 in the following
Daughterchild/renchild/ren

Before your first child was born, how many children did you want to have? If you do not have any children rightnow, please indicate how many children you would like to have. (Write In Number)child/ren17.

Thinking back to when your first child was not yet born, if it had been possible to choose a son or daughter, howmany would you have wanted to have of each? If you have a preference, please select 1 and write how many you
would have wanted to have of each. If you do not have a preference, please select 2.
If you don't have any children now, would you prefer to have a son or daughter? If you have a preference, please
select 1 and write how many you would like to have of each. If you do not have a preference, please select 2.
1Have a preferenceHave No preference

2

18.

Son

child/renDaughterchild/renApproximately how much was your salary or hourly wage in 2011 (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 $_____ _____

19.

Approximately how much was the annual earned income of you and your spouse before taxes, including bonuses
and business income in 2011? (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 

20.

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)

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

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

You

1Your spouse

+
1

21.

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;

22.

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______minutes15

 Don't work
1  Doesn't work1

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[USA] 2012 Preference Parameters Study of Osaka University

23.

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

24.

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

25.

How much did you spend on durable consumer goods such as housing, cars, and expensive electric products foryour entire family in 2011? (Write In)
Approximate expense in 2011 for entire family $_________________________

25a.

Did your household purchase a house (or condo) in 2011? (X ONE Box)

 Yes

 No

1

26.

(Write In)

2

How much were the average food expenses of your entire family per month in 2011?

(Write In For EACH Row)

Approximate food expenses (excluding expenses of eating out) . $____________________ per month
Approximate expenses of eating out ............................................ $____________________ per month27.

How much were the average expenditures of your entire family per month in 2011? 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)
Approximate monthly expense in 2011 for entire family$_________________________ per month28.

In 2011 what was the approximate percentage change in your family’s total annual expenditures compared with
2010? 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%
10



09



08



07



06



05



04



03



02



01



00

29.

In 2012 what will be 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)
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%
10



09



08



07



06



05



04



03



02



01



00



30.

By what percentage do you expect consumer prices will change in 2012, 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%
10

31.



09



08



07



06



05



04



03



02



01



00



Was your mother working when you were 3 years old, 7 years old, and/or 15 years old?
Was your spouse’s mother working when your spouse was 3 years old, 7 years old, and/or 15 years old? Please
select from the following and write in the number for the proper selection. .
When you were
When you were
When you were
3 years old
7 years old
15 years oldYour motherYour spouse’s mother
1. Full time worker (a company or government institution)
2. Full time worker (self-employment)
3. Part time worker (a company or government institution)
4. Part time worker (self-employment)
5. My mother was not working then
6. Mother had passed away already or lived separately from respondent

16

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32.

If you would like to move to another state in the United States, please X box 1 and indicate in which state you
would like to live. If you would prefer to stay in your current state, please X box 2 and indicate in which state you
currently reside.
01 I would like to move to ()
02  I would continue to live in ()

33.

Why would you like to live/remain living in the state indicated above?
ranking them 1 through 4.
(Put an X
in FOUR
BOXES)


02 
03 
04 
05 
06 
07 
08 
09 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
01

33a.

Ranking(Write In a
Number from
1 to 4)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)

Please select 4 of the following reasons,High income possibilities
Better cultural environment
Better educational opportunities
Good place to raise a family
Lower risk of natural disasters
Natural environment and climate
Can live with my family
My home town
Not close to nuclear plant
High moving cost
Better welfare service
Better medical facilities
Less exposure to nuclear radiation
Convenient shopping environment
Low cost of living
Convenient transportation
Easier to find a job
No earthquakes
Other reasons

In which state were your parents and your spouse's parents born? If born in another country, please indicate
which country. (Write In For EACH)

Your father: Name of State in the United States: _______________________________________________________Name of Country: ______________________________________________________Your mother: Name of State in the United States: ______________________________________________________Name of Country: ______________________________________________________Your spouse's father: Name of State in the United States: _______________________________________________Name of Country ______________________________________________________You spouse's mother: Name of State in the United States: ______________________________________________Name of Country: ______________________________________________________
34.

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

35.

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)
1

36.

Approximately how much was the annual earned income before taxes and with bonuses included of your entire
household for 2011? (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 $100,00037.

 Government-owned housing
6  Lodgings (Hotels, Motels, etc.)
7  Dormitory, Group Quarters, etc.
8  Others5

 $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

Approximately how much household income is your goal? (If you are a student, please indicate the income of yourparents’ 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

17

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[USA] 2012 Preference Parameters Study of Osaka University

38.

About how much household income is common for people around you? (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

39.

In 2011 what was the approximate percentage change in your family’s total annual income compared with 2010?
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%
10



09



08



07



06



05



04



03



02



01



00



40.

In 2012 what will be the approximate percentage change in your family’s total annual income compared with
2011? 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 
Spouse41.

What do you estimate will be the change in total annual income of your household in 2016 compared to 2011?
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 
Spouse42.

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)
010~9%0650~59%0210~19%0760~69%
0320~29%0870~79%0430~39%0980~89%0540~49%
1090% or more

43.

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

44.

 $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

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

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[USA] 2012 Preference Parameters Study of Osaka University

45.

Please indicate which of the following financial assets you own. (X ALL That Apply)
01  Bank savings (including cooperative banks, credit unions and other associations)
02  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.46)

(Continue)

45a.

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 ................................................ __________%

46.

Does your household have a saving plan for the next one year?
1  Have plans for each month2  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

47.

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.47, please continue.
47a.

47b.

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

Otherwise, skip to Q.48.

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 2 to 9 for Q.47b, please continue.
47c.

48.

(X ONE Box)

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

Otherwise, skip to Q.48.

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

1

5

2

6

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

49.

Have you ever been rejected for a loan application (excluding housing loans)? (X ALL That Apply)
1  Yes2  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 money50.

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
10

51.



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) Excellent
2  Very good1

 Good4  Fair3

19

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[USA] 2012 Preference Parameters Study of Osaka University

52.

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)
1
2

52a.

 Yes  Continue
 No  Skip to Q.53

On average, how many times do you go to a hospital or clinic as an out-patient within a one month period?
(Write in)____________times in a month52b.

About how much did you pay for out-of-pocket medical expenses per outpatient visit for doctor or clinic visits,
including medicine? (Write in)$____________

53.

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)
1

54.

 Yes

2

 No

Do you smoke? (X ONE Box)
01  Never smoked  Skip to Q.55
02  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
06
07

If you answered 2 to 10 for Q.54, please continue.
54a.

How old were you when you started smoking?

Otherwise, skip to Q.55.

(Write in)Around ____________years old
54b.

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)

 0 minutes (I can smoke right at my seat) 1-2 minutes
3  3-5 minutes54c.

 6-10 minutes
 11 minutes or more
6  Smoking is not allowed at all at my workplace

1

4

2

5

Do you want to quit smoking? Would you like 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

If you answered 10 for Q.54, please continue.
54d.

When is the last time you smoked? (approximately)
MM

Otherwise, skip to Q.55.

(Write in)

YYaround (_______) / (_______)
54e.

How long did it take for you to finally quit smoking once you decided to quit?
about ____________days

55.

about ____________months

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

4

2

5

(Write in)about ____________years

 About once a month Don't exercise at all

56.

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

57.

Do you gamble in lotteries or at casinos or bet on sporting events or horse races?
1
2

58.

 Don't gamble at all Hardly gamble

3
4(X ONE Box)

 Several times a year or so 5  Once a week or so Once a month or so
6  Almost everyday

Please indicate if you are affiliated with any of the following religions. (X ONE Box)
01  Baptist
07  Other Protestant13  Islam
02  Episcopalian
08  Roman Catholic
14  Judaism
03  Evangelical09  Orthodox Christian
15  Scientology
04  Lutheran
10  Other Christian
16  Some other affiliation not listed above
05  Presbyterian
11  Buddhism
17  None
06  United Methodist
12  Hinduism
18  Prefer not to answer
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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