[China-Urban Panel] 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 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 me1 □
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 □In general, most people are trustworthy. ..................................................1 □□2 □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 □
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 □

2

3

4

5

At work, I should follow the opinion of the group ......................................1 □

2

3

4

5

At home, I should follow my family’s opinion ............................................1 □

□
□
2 □

□
□
3 □

□
□
4 □

□
□
5 □

Working as a group results in greater achievement than working
Individually ............................................................................................1 □

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 □Question 2 Continued On Next Page 1[China-Urban Panel] 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 □What is written in science textbooks is reliable ........................................1 □It is possible to move an object by using psychokinesis ..........................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 □Completely
Disagree

□
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

□
□

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
60.10 Yuan
60.28 Yuan
1□
2□
60.06 Yuan
65.94 Yuan
1□
2□
60.16 Yuan
60.74 Yuan
1□
2□
60.00 Yuan
60.00 Yuan
1□
2□
60.10 Yuan
119.02 Yuan
1□
2□
60.18 Yuan
61.36 Yuan
1□
2□
60.02 Yuan
62.38 Yuan
1□
2□
60.04 Yuan
59.92 Yuan
1□
2□
60.16 Yuan
60.22 Yuan
1□
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
60.00 Yuan
62.36 Yuan
1□
2□
60.12 Yuan
60.00 Yuan
1□
2□
60.00 Yuan
60.18 Yuan
1□
2□
60.14 Yuan
66.02 Yuan
1□
2□
60.12 Yuan
60.70 Yuan
1□
2□
60.04 Yuan
60.10 Yuan
1□
2□
60.14 Yuan
119.10 Yuan
1□
2□
60.02 Yuan
60.02 Yuan
1□
2□
60.14 Yuan
61.32 Yuan
1□
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
60.08 Yuan
64.80 Yuan
1□
2□
60.00 Yuan
60.00 Yuan
1□
2□
60.10 Yuan
60.34 Yuan
1□
2□
60.02 Yuan
295.38 Yuan
1□
2□
60.12 Yuan
62.44 Yuan
1□
2□
60.14 Yuan
69.58 Yuan
1□
2□
60.04 Yuan
59.56 Yuan
1□
2□
60.18 Yuan
83.74 Yuan
1□
2□
60.14 Yuan
60.84 Yuan
1□
2□

2

[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

6.

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”

7.

Option “B”

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

Option “A”

A 50% chance of the salary doubling, but also a
50% chance of the salary decreasing by 60%

Guaranteed to the salary
increase by 0.5%

1

□

2

□

A 50% chance of the salary doubling, but also a
50% chance of the salary decreasing by 50%

Guaranteed to the salary
increase by 0.5%

1

□

2

□

A 50% chance of the salary doubling, but also a
50% chance of the salary decreasing by 45%

Guaranteed to the salary
increase by 0.5%

1

□

2

□

A 50% chance of the salary doubling, but also a
50% chance of the salary decreasing by 30%

Guaranteed to the salary
increase by 0.5%

1

□

2

□

A 50% chance of the salary doubling, but also a
50% chance of the salary decreasing by 10%

Guaranteed to the salary
increase by 0.5%

1

□

2

□

A 50% chance of the salary doubling, but also a
50% chance of the salary decreasing by 5%

Guaranteed to the salary
increase by 0.5%

1

□

2

□

A 50% chance of the salary doubling, but also a
50% chance of the salary decreasing by 1%

Guaranteed to the salary
increase by 0.5%

1

□

2

□

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”

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

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%
8.

Option “B”

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

□

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%

Option “B”

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

Option “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

□

3

[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

9.

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 □

10.

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

11.

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

11a.

In Q.11, 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 China
10 □ Average person in the world
11 □ Friend or acquaintance excluding above choices
12 □ Others (Specify): _________________________
13 □ I don’t know

12.

Suppose that there is a “speed lottery” with a 50% chance of winning 2,000 Yuan. If you win, you get the prize
right away. 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)
Which ONE do you prefer?
(X ONE Box For EACH Row)
Price of the “speed
Option “A”
lottery” ticket(buy the “speed lottery” Option “B” (DO NOT buy
ticket)the “speed lottery” ticket)
2 Jiao1 □
2 □40 Yuan1 □
2 □80 Yuan1 □
2 □160 Yuan
1 □
2 □300 Yuan
1 □
2 □500 Yuan
1 □
2 □700 Yuan
1 □2 □1000 Yuan
1 □
2 □

13.

Which figure does not belong with the other three figures? (X ONE Box)
1□
2□
3□
4□

14.

How satisfied are you with each of the following?
SatisfiedYour life overall
The place you live inYour non-work activities
The current financial situation of yourhousehold
Relationships with your friends
Work
Relationship with your spouse
Relationships with your family member(s),except for your spouse

□
1 □
1 □
1

1

□

□
□
1 □

(X ONE Box)
Unsatisfied

□
2 □
2 □
2

2

□

□
□
2 □

□
3 □
3 □
3

3

□

□
□
3 □

□
4 □
4 □
4

4

□

□
□
4 □

□
5 □
5 □
5

5

□
□
5 □

1

2

3

4

5

1

2

3

4

5

1

□

2

□
4

3

□

4

□

□

5

□

□ Don’t work
6 □ Don’t have spouse
6 □ Don’t have any family
except for spouse
6

[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

15.

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

16.

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 minute

17.

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 date18.

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 date19.

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)%

20.

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;

A

Extraverted, enthusiastic .................

B

Critical, quarrelsome ........................

C

Dependable, self-disciplined ............

D

Anxious, easily upset .......................

E

Open to new experiences, complex .

F

Reserved, quiet................................

G

Sympathetic, warm ..........................

H

Disorganized, careless ....................

I

Calm, emotionally stable ..................

J

Conventional, uncreative .................

21.

DisagreeStrongly

□
1 □
1 □
1 □
1 □
1 □
1 □
1 □
1 □
1 □
1

DisagreeModerately

Disagree A
Little

□
2 □
2 □
2 □
2 □
2 □
2 □
2 □
2 □
2 □

Neither
Agree NorDisagree

□
3 □
3 □
3 □
3 □
3 □
3 □
3 □
3 □
3 □

2

Agree A
Little

□
4 □
4 □
4 □
4 □
4 □
4 □
4 □
4 □
4 □

3

□
5 □
5 □
5 □
5 □
5 □
5 □
5 □
5 □
5 □

4

Agree
Moderately

□
6 □
6 □
6 □
6 □
6 □
6 □
6 □
6 □
6 □

5

6

Agree
Strongly

□
7 □
7 □
7 □
7 □
7 □
7 □
7 □
7 □
7 □
7

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

Often

Sometimes

Infrequently

Never

You lend personal possessions (e.g.,CDs, books, car, bicycle) to your friends

1

□

2

□

3

□

4

□

5

□

You borrow your friends’ personal
possessions (e.g., CDs, books, car,bicycle) and do not return them

1

□

2

□

3

□

4

□

5

□

You lend money to your friends

1

□

2

□

3

□

4

□

5

□

You borrow money from your friends
and do not return it

1

□

2

□

3

□

4

□

5

□

22.

How would you

66□I don’t borrow myfriends’ personal
possessions□I don’t borrow moneyfrom my friends

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.
6

[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

22a.

22b.

23.

If you answered 1 to 5 for Q.22, please continue. Otherwise, skip to Q.23.
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.22a, please continue. Otherwise, skip to Q.23.
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.
Have you received any inheritances (including real estate and financial assets) with a total value of 100,000 Yuanor more from your parents or your spouse’s parents in the past? (X ALL That Apply)
YES
NO
Received an inheritance with a total value of 100,000
1 □2 □Yuan or more in the past from my parents.
Received an inheritance with a total value of 100,000
Yuan or more in the past from my spouse's
parents.

3

□

4

□

24.

Do you expect to receive any inheritances (including real estate and financial assets) with a total value of
100,000 Yuan or more from your parents or your spouse’s parents in the future? (X ALL That Apply)
YES
NO
Expect to receive an inheritance with a total value of
100,000 Yuan or more in the future from my
1 □2 □parents.
Expect to receive an inheritance with a total value of
100,000 Yuan or more in the future from my3 □4 □spouse’s parents.

25.

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 100,000 Yuan or more from your parents or your spouse’s parents in the past? (X ALL That
Apply)YESNO
Received a monetary transfer or financial support witha total value of 100,000 Yuan or more in the past
1 □2 □from my parents.
Received a monetary transfer or financial support witha total value of 100,000 Yuan or more in the past
3 □4 □from my spouse's parents.

26.

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 100,000 Yuan or more from your parents or your spouse’s parents in the future?
(X ALL That Apply)
YES
NO
Expect to receive a monetary transfer or financial
support with a total value of 100,000 Yuan or1 □2 □more in the past from my parents.
Expect to receive a monetary transfer or financial
support with a total value of 100,000 Yuan or3 □4 □more in the past from my spouse's parents.

Section B - The following questions are about you and your family.
1.

In which city did you register for your census registration?
1□Shanghai
2□Beijing
3□Chengdu
4□Guangzhou
5□Shenyang
6□Wuhan7□Other(_________________)

1aWhat category is your permanent census registration classified? (X ONE Box)
1□Agricultural
2□Non-agricultural
3□Other(_________________)
8

[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

1b

Do you have a temporal census registration? If you have one, please indicate a city of your registration.
0□I do not have one
1□Shanghai
2□Beijing
3□Chengdu
4□Guangzhou
5□Shenyang
6□Wuhan7□Other(_________________)

2.

Your gender:

3.

Please answer about your marital status. (X ONE Box)1

 Male2

 Female□ 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.4)
5 □ I am currently separated in the process of divorce  (Continue)
6 □ I am not married but living with significant other*  (Skip to Q.4)
*Please do not answer questions involving a spouse
1
2

3a.

When did you marry your spouse? (Write In #)Year
Month________ or when I was __________ years old

All respondents should answer the following question.
4.

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.

5.

What is your height and weight? (Write In #)Height:cm,
Weight:kg

Please answer the following questions for you and your spouse (if applicable)
6.
When were you born? (Write In Number for Month and Year)
You, yourself: Year _____ _____ _____ _____Your spouse:Year _____ _____ _____ _____+ □ No spouseQ7 to Q7b are for those who are continuous respondents from last year.
7.





7a.

If you got married within the last one year, please answer the following questions. Otherwise, skip to 8.
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
Unable to read and write. ......................................................................... 1 □Able to read and write, but did not go or complete a grade school.......... 2 □Grade school. ........................................................................................... 3 □Middle school ........................................................................................... 4 □Graduated from high school ..................................................................... 5 □Graduated from college - Associate’s degree (2 year) ............................ 6 □Some University (including old-education-system high school)– no degree .......................................................................................... 7 □Graduated from college – general .......................................................... 8 □Graduated from college – special ............................................................ 9 □Don’t know............................................................................................... 10 □Please indicate the highest level of education (or equivalent) completed by your spouse’s parents.
(X ONE Box For EACH)

Your Spouse’s Father
Unable to read and write .......................................................................... 1 □Able to read and write, but did not go or complete a grade school.......... 2 □Grade school ............................................................................................ 3 □Middle school ........................................................................................... 4 □Graduated from high school ................................................................... 5 □Graduated from college - Associate’s degree (2 year) ............................ 6 □Some University (including old-education-system high school)– no degree .......................................................................................... 7 □Graduated from college – general ........................................................... 8 □Graduated from college – special ............................................................ 9 □Don’t know............................................................................................... 10 □9Your Spouse’s Mother
□
□
3 □
4 □
5 □
6 □
1
2

□
8 □
9 □
10 □
7

[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

7b.

How many brothers and sisters does your spouse have who are now living? (Write In Number For EACH)
Your spouse:
Older brothers................... _______
Younger brothers.............._______
Older sisters........................_______
Younger sisters................._______

Q7c to Q7e are for those who are new respondents this year.
7c

Please indicate the highest level of education (or equivalent) completed by you and your spouse.
(X ONE Box For EACH)

YouYour Spouse

Unable to read and write .......................................................................... 1 □Able to read and write, but did not go or complete a grade school.......... 2 □Grade school ............................................................................................ 3 □Middle school ........................................................................................... 4 □Graduated from high school ................................................................... 5 □Graduated from college - Associate’s degree (2 year) ............................ 6 □Some University (including old-education-system high school)– no degree .......................................................................................... 7 □Graduated from college – general ........................................................... 8 □Graduated from college – special ............................................................ 9 □Don’t know………………………………………………………………… .... 10 □
7d

□
□
3 □
4 □
5 □
6 □
1
2

□
□
9 □
10 □
7
8

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

Unable to read and write ............................................. 1 □1 □1 □1 □Able to read and write, but did not go or complete
a grade school.......................................................... 2 □2 □2 □2 □Grade school ............................................................... 3 □3 □3 □3 □Middle school .............................................................. 4 □4 □4 □4 □Graduated high school ................................................ 5 □5 □5 □5 □Graduated from college - Associate’s degree (2 year) 6 □6 □6 □6 □Some University (including old-education-systemhigh school) – no degree. ........................................ 7 □7 □7 □7 □Graduated from college – general .............................. 8 □8 □8 □8 □Graduated from college – special ............................... 9 □9 □9 □9 □
Don’t know..................................................................10 □ 10 □ 10 □10 □

7e

How many brothers and sisters do you have who are now living? (Write In Number For EACH)
You:

Older brothers................... _______ Younger brothers.............._______
Older sisters........................_______Younger sisters................._______Your spouse:
Older brothers................... _______Younger brothers.............._______
Older sisters........................_______Younger sisters................._______All respondents should answer the following question.
8.

8a.

Have you ever refrained from academic advancement due to financial trouble? (X ONE Box)1□Yes2□No
At what point did you forgo academic advancement? (X ONE Box)
1□ Grade school2□ Middle school3□ High school
4□ Technical college
5□ Junior college
6□ Four-year college
7□ Graduate school

All respondents should answer the following question.
9.

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 your spouse hasn’t worked outside
the home, X “hasn’t worked”.
(Write In Number For EACH Row)
You
Your spouse_______________ years old_______________ years old

10□Haven’t worked-□Hasn’t worked-

[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

10.

What is your occupation and what is your spouse's occupation (Including part-time work)?
(X ONE Box For EACH)
Yourself
Your Spouse
Office and administrative support .......................................................... 01 □01 □Sales and related occupations ............................................................... 02 □02 □Management, business, and financial operations (section chief orsuperior positions at government or private company)....................... 03 □03 □Professional and related occupations (teacher, medical doctor,
engineer, legal business operator, writer, artist, etc.) ......................... 04 □04 □Service occupations (housekeeper, home care worker, hairdresser,
receptionist, driver, 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): _______________________________________ ....... 12 □12 □If you answered 1 to 7 for yourself and/or your spouse for Q.10, please continue.

10a.

10b.



(X ONE Box)
Yourself
Employee of private company or organization .........................................1 □Government employee .............................................................................2 □Management position ...............................................................................3 □Self-employed ..........................................................................................4 □Family employee (in self-employed business) .........................................5 □Employee of a government- or publically-managed plants ......................6 □Otherwise, skip to Q.11

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

Your Spouse
1 □
2 □
3 □
4 □
5 □
6 □

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? If you work as a self-employed, please answer years of working foryour present job. (X ONE Box)
Yourself
Your SpouseLess 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 □

10c.

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." If you work as a self-employed, please answer the number of employees at your present
job. (X ONE Box)
Yourself
Your 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 □

10d.

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 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 □

11

[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

10e.

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 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 □

10f.

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 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 □

10g.

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? (Write In Number)Yourself
Strong possibility ......................................................................................1 □Some possibility .......................................................................................2 □Little possibility .........................................................................................3 □Don’t know................................................................................................4 □Your Spouse
1 □
2 □
3 □
4 □

All respondents should answer the following question
11.

12.

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 Spouse
Office and administrative support ............................................................... 01 □01 □Sales and related occupations.................................................................... 02 □02 □Management, business, and financial operations (section chief orsuperior positions at government or private company) .............................. 03 □03 □Professional and related occupations (teacher, medical doctor, engineer,
legal business operator, writer, artist, etc.) ................................................ 04 □04 □Service occupations (housekeeper, home care worker, hairdresser,
receptionist, driver, 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 □How many sons and daughters do you have?
boxes. (Write In Number)
Son

13.

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/ren

14.

15.

16.

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 preference2

Have No preference

Sonchild/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 _____ _____ _____ _____ Yuan or Wage per hour _____ _____ Yuan

Your spouse:

Salary per month _____ _____ _____ _____ Yuan or Wage per hour _____ _____ Yuan

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;
12

week ends: ____hours______minutes
week ends: ____hours______minutes

[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

17.

How long does it take for you, and for your spouse, to commute? If you or your spouse do not work, pleaseindicate 0 in the following. (Write In)
You:Your spouse:

18.

____hours______minutes;____hours______minutes

Which of the following best describes your current household? (X ONE Box)
1 □ Single
2 □ 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)10 □ Others (Specify):__________________

19.

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

20.

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 _________________________Yuan

20a.

Did your household purchase a house (or condo) in 2011? (X ONE Box)
1□ Yes2□ No

21.

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)…..____________________ Yuan per month
Approximate expenses of eating out ................................. …………____________________ Yuan per month22.

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_________________________ Yuan per month23.

By what percentage do you expect consumer prices will change in 2012, compared with the previous year? (XONE 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 □
09 □
08 □
07 □
06 □
05 □
04 □
03 □
02 □
01 □
00 □

24.

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 respondent25.

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)
1 □ Supporting someone in the family.
2 □ Supported by someone in your family.
3 □ Neither supporting nor being supported. (single-person household included)

26.

What is the nature of your residence?

(X ONE Box)

□ Your own house (a single-family house)□ Your own condominium
3 □ Private rented house (a single house or an apartment)
4 □ Supplied house (a company house or an official residence)

□
□
7 □
8 □

1

5

2

6

13

Government-owned housing
Lodgings (Hotels, Motels, etc.)
Dormitory, Group Quarters, etc.
Others[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

27.

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.)(Write In)____________________ Yuan

28.

Approximately how much household income is your goal? (If you are a student, please indicate the income of yourparents’ entire household.) (Write In)____________________ Yuan
29.

About how much household income is common for people around you? (Write In)____________________ Yuan

30.

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 □

31.

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 □
Spouse32.

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 □
Spouse33.

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 your public pension? (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
11□ I do not pay for a public pension.

34.

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.) (Write In)____________________ Yuan
35.

-□ Do not possess housing or properties.

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.) (Write In)____________________ Yuan

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[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

36.

Please indicate which of the following financial assets you own. (X ALL That Apply)□ Bank savings (including cooperative banks, credit unions and other associations)□ Postal savings
03 □ Life insurance
04 □ Stocks
05 □ Investment Trusts
06 □ Foreign currency deposits
07 □ Futures / Options
08 □ Chinese 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.37)
01
02

(Continue)

36a.

What percentage of the financial assets of your entire household are in the following ... (Write In % For
Group B only)Group A: Bank savings, postal saving, cash, Chinese government bonds
GroupB: Investment trusts, stocks, futures/options, corporate bonds, foreign currency deposits,
government bonds of foreign countries __________%

37.

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

38.

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 ALL That Apply)□ No loans□ Housing loan(s)2 □ Car loan(s)3 □ Installment payment(s) for consumption
4 □ Education loan(s)5 □ Borrowing for living and/or medical expenses

39.

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

□ Borrowing for business fund(s)□ Borrowing for entertainment expenses
8 □ Borrowing to pay off debts
9□ Other

0

6

1

7

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

40.

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

41.

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 □
09 □
08 □
07 □
06 □
05 □
04 □
03 □
02 □
01 □
00 □

42.

How would you describe your current health status: Is it excellent, very good, good, fair, or poor? (X ONE Box)
1 □ Excellent
3 □ Good
5 □ Poor243.

□ Very goodDo you smoke?

4□ Fair(X ONE Box)

□ Never smoked  Skip to Q.44
□ 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.43, please continue.
43a.

How old were you when you started smoking?

Otherwise, skip to Q.44.

(Write in)Around ____________years old
43b.

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

1

4

2

5

15

[China-Urban Panel] 2012 Preference Parameters Study of Osaka University

43c.

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.43, please continue.
43d.

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

Otherwise, skip to Q.44.

(Write in)MMaround (_______) / (_______)
43e.

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

(Write in)about ____________days
44.

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 all

45.

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 little, almost everyday
5 □ A lot, almost everyday

46.

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

(X ONE Box)

□ Don't gamble at all
2 □ Hardly gamble
3 □ Several times a year or so
4 □ Once a month or so
5 □ Once a week or so
6 □ Almost everyday
1

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

20