[Japan] 2011 Preference Parameters Study of Osaka University

Section 1
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□
1□
2□
3□
4□
5□
I am so occupied with my daily life that I cannot save much money.....
I have anxieties about my health. .........................................................
1□
2□
3□
4□
5□
I am deeply religious.............................................................................
1□
2□
3□
4□
5□
1□
2□
3□
4□
5□
I have been feeling stressed lately. ......................................................
I have been feeling depressed lately. ...................................................
1□
2□
3□
4□
5□
I haven’t been sleeping well lately..…………………………………........
1□
2□
3□
4□
5□
1□
2□
3□
4□
5□
I have been feeling lonely lately............................................................
I want to bequeath as much of my inheritance as possible
1□
2□
3□
4□
5□
to my spouse. ..…………………………………………...........................

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□
2□
3□
4□
5□
It is OK to receive social security, even if you are ineligible. ............
1□
2□
3□
4□
5□
In general, most people are trustworthy..........................................
1□
2□
3□
4□
5□
In a recession, it is better to preserve men's jobs than it isto preserve women's jobs. ..............................................................
1□
2□
3□
4□
5□
Although an economy regulated by market forces widens theincome gap between the rich and the poor, it makes people
1□
2□
3□
4□
5□
wealthier in general; so in total, they are better off .........................
When competition is greater, illegal activity and cheating
increase..........................................................................................
1□
2□
3□
4□
5□
It is the government’s responsibility to take care of those who
1□
2□
3□
4□
5□
cannot take care of themselves financially......................................
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□
We have to take control of our own destinies ..................................
1□
2□
3□
4□
5□
1□
2□
3□
4□
5□
Being poor is due to unfairness rather than laziness........................
The most important factor for success in life is hard work
1□
2□
3□
4□
5□
rather than luck and personal connections.....................................
1□
2□
3□
4□
5□
Difficulties in life make people stronger and better than before........
Our destinies are pre-determined by God or fate even before
1□
2□
3□
4□
5□
we are born......................................................................................
1□
2□
3□
4□
5□
It is unacceptable that the number of poor people increases further.
It is unacceptable that income inequalities increase further .............
1□
2□
3□
4□
5□
If a husband has sufficient income, his wife should not work ...........
1□
2□
3□
4□
5□
Husbands should work outside the home, and wives should
keep the household ........................................................................
1□
2□
3□
4□
5□
A mother's holding a job has a negative impact on
the development of primary school children .................................
1□
2□
3□
4□
5□
It is more important for a wife to help her husband’s career than
1□
2□
3□
4□
5□
to pursue her own career.................................................................

3.

Suppose that you are to receive money from someone. You can either choose to receive the money today, or 7 days fromtoday, but the amounts will be different. Compare the amounts and dates below in Option A” and Option B”, andindicate which option you prefer for each of the nine choices.

¥3,005¥3,001¥3,008¥3,002¥3,008¥3,009¥3,003¥3,003¥3,000¥3,005¥3,034¥3,178¥3,014¥2,996¥3,067¥3,127¥3,297¥3,297¥3,000¥5,951

□
□
1□
1□
1□
1□
1□
1□
1□
1□
1

□
□
2□
2□
2□
2□
2□
2□
2□
2□

1

2

1

2

[Japan] 2011 Preference Parameters Study of Osaka University

4.

Now, suppose that you are to receive money from someone and you can choose either to receive the money 90 days
from today, or 97 days from today, but the amounts will be different. Compare the amounts and dates below in
Option “A” and Option “B” and indicate which option you prefer for each of the nine choices.

¥3,002¥3,000¥3,007¥3,007¥3,006¥3,006¥3,007¥3,000¥3,001
5.

□
□
2□
2□
2□
2□
2□
2□
2□
2

1

2

Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction

90
58
55
67
80
63
73
48

Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction

□
□
1□
1□
1□
1□
1□
1□

□
□
2□
2□
2□
2□
2□
2□

1

2

1

2

Now, let’s assume that you are required to spend two hours every week cleaning a park, starting 90 days from today.
It seems that the park will have less litter than expected, so you can reduce the amount of your work time. You havethe choice to shorten the work hours either on that day, 90 days from today, or on the next assigned day, which is 97 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.

58
59
58
59
58
58
59
61
7.

□
□
1□
1□
1□
1□
1□
1□
1□
1

Let’s assume that you are required to spend two hours every week cleaning a park. Today is your assigned work day.
It seems that the park will have less litter than expected, so you can reduce the amount of your work time. You havethe choice of shortening your work hours either today or on the next assigned 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.

60
58
61
58
60
59
59
58
6.

¥3,008¥3,029¥5,955¥3,302¥3,000¥3,065¥3,125¥3,176¥3,001

Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction

48
68
87
59
53
77
73
66

Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction
Minutes reduction

□
□
1□
1□
1□
1□
1□
1□

□
□
2□
2□
2□
2□
2□
2□

1

2

1

2

In which of the following two ways would you prefer to receive your monthly income? Assume that your job assignmentis 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)

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[Japan] 2011 Preference Parameters Study of Osaka University

8.

In which of the following two ways would you prefer to receive your monthly income? Assume that your job assignmentis 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)1

8a.

Your monthly income has a 50% chance of increasing by 60%,
but also has a 50% chance of decreasing by 10%  (Answer
Q. 8a)Of the following two jobs, which would you prefer? (X ONE
Box)

or

Your monthly income is guaranteed to increase by 0.5% (Answer Q. 8b)28b.

Of the following two jobs, which would you prefer? (X ONE
Box)

1

A job that has a 50% chance of the monthly income increasing
by 30%, but also a 50% chance of it decreasing by 10%

1

A job that has a 50% chance of the monthly income increasing
by 200%, but also has a 50% chance of it decreasing by 10%2

A job with which your monthly income is guaranteed toincrease by 0.5%

2

A job with which your monthly income is guaranteed toincrease by 0.5%9.

Suppose that there is a “speed lottery” with a 50% chance of winning ¥100,000. 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)¥10
¥2,000¥4,000¥8,000¥15,000¥25,000¥35,000¥50,000
10.

□
□
1□
1□
1□
1□
1□
1□

□
□
2□
2□
2□
2□
2□
2□

1

2

1

2

Suppose that there is another lottery called a “3-year lottery.＂ This also has a 50% chance of winning ¥100,000 just likethe “speed lottery.” If you win, you get the prize 3 years later. If you lose, you get nothing. If you were given the choice of
which one you prefer, a “speed lottery＂or a “3-year lottery,＂ which lottery would you choose? (X ONE Box)
□ I would choose a “speed lottery”. (If you win, you get the prize right away)□ I would choose a “3-year lottery”. (If you win, you get the prize 3 years later)

1
2

11.

How much would you spend to buy a “3-year lottery” ticket? Choose Option ”A” if you would buy it at that price, andchoose Option”B” if you would not buy the ticket at that price. (X ONE Box For EACH Row)¥10
¥2,000¥4,000¥8,000¥15,000¥25,000¥35,000¥50,000

□
□
1□
1□
1□
1□
1□
1□
1

1

3

□
□
2□
2□
2□
2□
2□
2□
2

2

[Japan] 2011 Preference Parameters Study of Osaka University

12.

Assume that you know there is a 50% chance of losing ¥100,000 on a given day. You can take out insurance to cover
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. Indicate which option you prefer for each of
the nine insurance prices.

¥1,000¥5,000¥15,000¥30,000¥37,500¥40,000¥42,500¥45,000¥50,000

□
□
1□
1□
1□
1□
1□
1□
1□

□
□
2□
2□
2□
2□
2□
2□
2□

1

2

1

2

13.

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 your current level of happiness? (X ONE Box)
Very Happy
Very Unhappy
10 □
09 □
08 □
07 □
06 □
05 □
04 □
03 □
02 □
01 □
00 □

14.

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
2 □ About the same as 1 year ago
3 □ Less happy than 1 year ago
4 □ Don't know

15.

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

15.a

In Q.15, 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,
regardless of his or her age, academic background, and year in which he or she joined a company
09 □ Average person in Japan10 □ Average person in the world
11 □ Friend of acquaintance excluding above choices
12 □ Others(Specify):
13 □ I don’t know

16.

How do you feel about leaving an inheritance to your children? If you do not have any children, please respond on
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 carry on the family business.
4 □ I do not plan to leave an inheritance to my child(ren) under any circumstances because doing so may reduce theirwill to work.
5 □ I do not plan to make special efforts to leave an inheritance to my child(ren) but will leave whatever is left over.
6 □ 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.
7 □ I do not plan to leave an inheritance to my child(ren) under any circumstances because doing so may reduce theirwill to work.
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.

4[Japan] 2011 Preference Parameters Study of Osaka University

16a.

16b.

If you answer 1 to 5 for Q.16, please continue. Otherwise, skip to Q. 17
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 answer 2 for Q.16a, please continue. Otherwise, skip to Q. 17
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 (ren) who lives with me.
02 □ I plan to leave more or all to the child (ren) who lives near me.
03 □ I plan to leave more or all to the child (ren) who helps me with housework.
04 □ I plan to leave more or all to the child (ren) who provides nursing care.
05 □ I plan to leave more or all to the child (ren) who provides financial assistance.
06 □ I plan to leave more or all to the child (ren) 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 (ren) who has less earnings capacity.
09 □ I plan to leave more or all to the child (ren) who has greater needs.
10 □ I plan to leave more or all to the child (ren) whom I like more.

All respondents please answer the following question.
17.
Suppose that in 5 years, the inheritance tax will be charged at a rate of 20 % for the entire amount of inheritance to all
inheritors, in addition to the current inheritance tax. How would this affect you? (If you do not have any children, pleaseanswer on the assumption that you actually do have children.) (X ONE Box)
1 □ I would try to increase the amount of inheritance, so that the after-tax amount would be the same as it is now.
2 □ I would try to increase the amount of inheritance, but the after-tax amount would be lower than it is now.
3 □ I would not change the amount of inheritance.
4 □ I would reduce the amount of inheritance and would use more money for my old age.
5 □ I would reduce the amount of inheritance and would donate some money to charity organizations or schools.
6 □ I would reduce the amount of inheritance and, instead, would use more money for my child(ren)’s education andliving expenses during my life.
7 □ I do not plan to leave any inheritance to my child(ren) anyway.
Suppose there are two types of nursing homes available:[Private room with the out-of-pocket expense: ¥5,000,000 per year][Share room for 4 people with the out-of-pocket expense: ¥0 per year]
Please answer the following questions regarding your life during retirement. (The question asks about inheritances to your children.
If you do not have any children, please respond on the assumption that you actually do have children.)18.

Please assume that you have won ¥10,000,000 in a lottery and that you can spend your prize money only on the abovementioned nursing homes or on an inheritance to your children. You must immediately decide how much of the prize
money to spend on a high-quality nursing home with private room and how much to leave to your children as aninheritance, and once you make your decision, you cannot make any changes at a later time. Furthermore,
pleaseassume that you cannot tell your children how much you will leave to them as an inheritance. How much of your prize
money would you choose to spend on the nursing home? (X ONE Box)
□ Zero (I will leave all of my prize money (¥10,000,000) to my children as an inheritance and will either not seek
nursing home or will bear the cost using my own funds).
2 □ ¥ 1 to less than ¥2,000,000
3 □ ¥2,000,000 to less than ¥4,000,000
4 □ ¥4,000,000 to less than ¥6,000,000
5 □ ¥6,000,000 to less than ¥8,000,000
6 □ ¥8,000,000 to less than ¥10,000,000
7 □ ¥10,000,000 (I will spend all of my prize money on nursing home.)
1

Please answer the following questions concerning how you want to spend the final year of your life. Please assume that you are currently
85 years old and you know that you have exactly one year left to live. You have a total wealth of ¥20,000,000 at today’s prices.
19.a

If you had to choose between Option 1 and Option 2 below, which option would you choose? (X ONE Box)
Option 1 □: Spend the last year of your life sharing a room for 4 people at a nursing home and leave all ¥20,000,000 as aninheritance.
Option 2 □: Spend the last year of your life in a private room at a nursing home and leave ¥15,000,000 as an inheritance.

5[Japan] 2011 Preference Parameters Study of Osaka University

19.b

Up to how much of your ¥20,000,000 in wealth would you be willing to pay to stay in a private room at a nursing home?(X ONE Box)
1 □ I would be willing to live in a private room if I did not need to pay anything out of my own pocket (i.e. I want to leave
all of my ¥20,000,000 in wealth to my children as an inheritance.)2 □ I would be willing to pay up to ¥2,500,000 out of my own pocket to live in a private room.
3 □ I would be willing to pay up to ¥5,000,000 out of my own pocket to live in a private room.
4 □ I would be willing to pay up to ¥10,000,000 out of my own pocket to live in a private room.
5 □ I would be willing to pay up to ¥12,500,000 out of my own pocket to live in a private room.
6 □ I would be willing to pay up to ¥15,000,000 out of my own pocket to live in a private room.
7 □ I would be willing to pay up to ¥17,500,000 out of my own pocket to live in a private room.
8 □ I would be willing to pay all of my assets (¥20,000,000) to live in a private room.

20.

Have you received any inheritance (or transfers of wealth before death) from your parents or your spouse’s parents inthe past? (X ALL That Apply)

21.

Do you expect that you will receive any inheritance (or transfers of wealth before death) from your parents or
your spouse’s parents in the future? (X ALL That Apply)

Section B – The Following questions are about you and your family
1.

Your gender:

1□ Male2□ Female2.

Please answer about your marital status. (X ONE Box)
□ I have a spouse (husband or wife, including common-law marriage) → (Continue)
2 □ I am currently unattached, having divorced or separated→ (Continue)
3 □ I am an unattached widow or widower→ (Continue)
4 □ I have never married→ (Skip to Q.2b)
2a.
When did you marry your spouse? (Write In #)Month __________ Year ____________________or when I was __________ years old
All respondents please answer the following question.
2b.
Do you have plans to marry, or want to marry in the future?
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

3.

4.

What is your height and weight? (Write In #)Height: ____________________ cm,
Weight: _______________ kg
How much did you weigh when you were born? (X ONE Box)
□ Less than 2,500g
2 □ 2,500g-2,999g
3 □ 3,000-3499g
4 □ 3,500-3,999g
5 □ 4,000-4,499g
6 □ More than 4,500g
7 □ Don’t know
1Please answer the following questions (if you don’t have a spouse, just answer about yourself)
5.

When were you born? (Write In Number for Month and Year)
You, yourself: Month _____ _____ Year _____ _____ _____ _____Your spouse: Month _____ _____ Year _____ _____ _____ _____

6.
You:

How many brothers and sisters do you have who are now living? (Write In Number For EACH)
Older brothers................... _______
Younger brothers.............._______
Older sisters........................_______
Younger sisters................._______Your spouse: Older brothers ................... _______
Younger brothers.............._______
Older sisters........................_______
Younger sisters................._______(Answer 0 for each, if you do not have any of them.)

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[Japan] 2011 Preference Parameters Study of Osaka University

7.

Please indicate the highest level of education (or equivalent) completed by you and by your spouse. If you arestill in school, answer the one you are in now. (Write In Number)
You____Your spouse ____
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

Graduated from Elementary/ Junior High SchoolSome High School – no degree
Graduated from High SchoolSome College (including Technical College) – no degree
Graduated from College (including Technical College) - Associate’s Degree (2 year)
Some University (including old-education-system high school) – no degree
Graduated from University (including old-education-system high school)– Bachelor’s Degree (4 year)
Some post graduate studies – no degree
Master’s Degree –MS, MA, MBA, etc
Some doctoral studies – no degree
Doctoral Degree – DVM, Ph.D, DDS, etc.

7a.Please indicate the type of the school you and your spouse attended. (Write In Number For EACH)
You:
Elementary School ___ Junior High School ___ High School ___Your spouse: Elementary School ___ Junior High School ___ High School ___0: Did not attend; 1: Private; 2: Public (not-national); 3. National
Please answer if you and/or your spouse have attended at university.
7b.
Indicate your and your spouse’s majors. (Write In Number)
You____Your spouse ____
1. Law
4. International Relations/Sociology
7. Medicine
10. Nursing
13. Engineering
16. Fine Art

2. Economics
5. Human Studies
8. Dentistry
11. Health Care
14. Agriculture
17. Physical Fitness

3. Commerce/Business Administration
6. Education
9. Pharmacology
12. Science
15. Domestic Economy/Domestic Science
18. Other

All respondents please answer the following question.
8.
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 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- □ Doesn’t work
8a.

8b.

About how many hours per week in paid overtime do you and your spouse work? (Write in a number in eachrow)If you or your spouse does not work overtime, please write zero.
You→_______________ hours per week- □ Don’t work
Your spouse→_______________ hours per week- □ 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 does not work overtime please write zero.)You→_______________ hours per week- □ Don’t work
Your spouse→_______________ hours per week- □ Doesn’t work

Please answer if you don’t work.
9.
If you were working, what do you estimate you would be making per hour? (Write In)¥_______________ per hour
All respondents please answer the following question.
10.
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 your spouse doesn’t work outside the home, X “doesn’t work”.
(Write In Number For EACH Row)
- □ Don’t work
You→_______________ days in a year
Your spouse→_______________ days in a year
- □ Doesn’t work

11.

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 “have never worked”. If your spouse hasn’t worked outside
the home, X “has never worked”.
(X ONE Box And Write In Number For EACH Row)
You
Your spouse□ Have never worked□ Has never worked→_______________ years old→_______________ years old-

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[Japan] 2011 Preference Parameters Study of Osaka University

12.

What is your occupation and what is your spouse's occupation (Including part-time work)?
(Write In Number)
YouYour spouse
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

12a.

Full-time employee
Part-time employee
Student part-time employee
Temporary work (sent to a company from a temporary job agency, internship, specific project for a company, etc.)
Contract worker
Other (Specify):

Have you or your spouse worked for a job introduced by a temporary staffing agency in the past two years? (Write In
Number that best describes the type of work.)You_______________Your spouse_______________
1.
2.
3.
4.
5.

12d.

Employee of private company or nonprofit
Government employee
Manager or private company or nonprofit
Self-employed
Employee of family business

What is your employment status, and what is your spouse’s employment status? (Write In Number)You_______________Your spouse_______________
1.
2.
3.
4.
5.
6.

12c.

Office and administrative support
Sales and related occupations
Managerial occupations (section chief or superior positions at government or private company)
Specialist/Technical Experts (Teacher, Medical Doctor, Engineer, Writer)
Service occupations (Hairdresser, Hall staff, Receptionist, Taxi driver, Security staff)
Industrial occupations (carpenter, service engineer, production worker)
Farming, fishing, and forestry
Housewife/Househusband
Student
Retired (except Housewife/Househusband)
Unemployed (except Housewife/Househusband)
Others (Specify): ……………………………………………..................................

If you answer 1 to 7 for yourself and your spouse for Q.12, please continue. Otherwise, skip to Q. 13
What is the type of employment of you and of your spouse? (Write In Number)You_______________Your spouse_______________
1.
2.
3.
4.
5.

12b.

______________________________

Mostly jobs lasting one day
Mostly jobs lasting two to less than ten days
Mostly jobs lasting ten to less than three months
Mostly jobs lasting three months or more
I did not take any dispatched employment

For how many years have you been working for your present employer? And for how many years has your spouse beenworking for his or her present employer?(If you are self-employed, how many years have you done that business?)(Write
In Number)You_______________Your spouse_______________
1.
Less than a year2.
A year to less than 5 years
3.
5 years to less than 10 years
4.
10 years to less than 20 years
5.
20 years to less than 30 years
6.
30 years to less than 40 years
7.
More than 40 years

8[Japan] 2011 Preference Parameters Study of Osaka University

12e.

Approximately how many employees are working for the company that employs you, and how many are working forthe company that employs your spouse? Indicate the approximate numbers including the head office, all branch offices,branch stores, sales offices and factories. If the employer is a government organization, select "Government employee."(Write In Number)You_______________Your spouse_______________
1.
2.
3.
4.
5.
6.
7.
8.
9.

12f.

Which one of the following best describes the industry in which you work, and which one best describes the industry inwhich your spouse works? (Write In Number)You_______________Your spouse_______________
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

12g.

The wage is based almost entirely on performance
The wage is based mostly on performance
The wage is based slightly on performance
The wage is not at all based on performance

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. (Write In Number)You_______________Your spouse_______________
1.
2.
3.
4.
5.

12i.

Agriculture and related industries
MiningConstruction
Manufacturing
Wholesale trade/Retail trade
Finance and insurance
Real estateTransportation/Telecommunications
Utilities
Professional and business services
Education
Other

To what extent is your salary or wage based on your work performance, and to what extent is your spouse’ssalary or wage based on his or her work performance? (Write In Number)You_______________Your spouse_______________
1.
2.
3.
4.

12h.

1 to 5 people
6 to 29 people
30 to 99 people
100 to 299 people
300 to 499 people
500 to 999 people
1,000 to 4,999 people
5,000 to more people
Government employee

Could not work any harder than currently
Work hard and continuouslyWork continuously but not hard
Work but have some downtime
Work but have a lot of downtime

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)You_______________Your spouse_______________
1.
2.
3.
4.

Strong possibility
Some possibility
Little possibility
Don’t know

9[Japan] 2011 Preference Parameters Study of Osaka University

13.
Child/renever born

Please tell us about all your children ever born.
b-1
a.
Still
Birthdate
Alive?
YearMonth

1=alive2=passedaway(example)
1st child
2nd child
3rd child
4th child
5th child
6th child
7th child
8th child

1984

12

1

Child/renever bornf.-1
Currently
attendingschool?
(1=yes0=No→Skip to(g)
f-2
Current grade(code)
f-2
f-1(example)
1st child
2nd child
3rd child
4th child
5th child
6th child
7th child
8th child2(code)

4

c.
Sex

d.
Marital Statuse
Livingtogether?

1=male2=female0=nevermarried
1=married
2=widow/
widower
3=bereavement
4=divorced
1

1=Yes
2=No

2

g.
Completed education level
(If
have
not
already
completed, enter the codefor which grade to which
you expect the child tostudy)

1=already
completed
2= expect tocomplete
1b-2
If Not alive, fillin the year of
death
Year

h
Occupation(If the child is a student,
enter the code for theoccupation you expect thechild to choose)1=
actualoccupation
2= expectedoccupation
1

1

i
Type of elementary, junior high,and high school (code)(code)

Elementary
SchoolJuniorHigh
SchoolHigh
School222

1(code)
f-2:
0=Preschool 1=First grade (elementary)
2=Second grade (elementary)
3=Third grade (elementary)
4=Fourth(elementary) grade
5=Fifth grade (elementary)
6=Sixth grade (elementary)
7=First grade (Junior High) 8=Second grade (Junior High) 9=Third grade (Junior High) 10=First grade (High School/
Technical College)
11=Second grade (High School/ Technical College)
12=Third grade (High School/ Technical College)
13=Firth/Fifth grade (Technical College)
14=College or aboveg:
1=Junior High School2=High School
3=Technical College
6=Postgraduate (Master’s degree)
7=Postgraduate (Doctoral degree)

4=Technical School/Junior College
8=no idea

5=Collegeh:0=not working/ no plans to work 1=Office and administrative support
2=Sales and related occupations
3=Managerial
occupations (section chief or superior position at government or private company)
4=Specialist/Technical Experts (Teacher,
Medical Doctor, Engineer, Writer) 5=Service occupations (Hairdresser, Hall staff, Receptionist, Taxi driver, Security staff
6=Industrial occupations (Carpenter, Service engineer, Production worker)
7=Farming, fishing, and forestry
8=Housewife/Househusbandi:0=not attending 1=Private 2=Public 3=National

4=other (specify)

10[Japan] 2011 Preference Parameters Study of Osaka University

If you do not already have children, please answer Q.14. Otherwise, skip to Q.15
14.

Do you want to have children in the future?
01 □ Yes
01 □ No15.

How many children do you want (including the children you already have)?
0 □ I don’t want any children
1 □ One child2 □ Two children
3 □ Three children
4 □ Four children
5 □ Five or more children

16.

Approximately how much was your salary or hourly wage in 2010 (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 ¥_________

17.

Approximately how much was the annual earned income of you and your spouse before taxes, including bonuses andbusiness income in 2010?(Write In Number)You_______________Your spouse_______________
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

None
Less than $10,000¥1,000,000 to less than ¥2,000,000¥2,000,000 to less than ¥4,000,000¥4,000,000 to less than ¥6,000,000¥6,000,000 to less than ¥8,000,000¥8,000,000 to less than ¥10,000,000¥10,000,000 to less than ¥12,00,000¥12,000,000 to less than ¥14,000,000¥14,000,000 or more

17a.

Of your annual income above, what is the percentage of non-labor income (income other than earned income orbusiness earnings)? This consists of income from assets, payments from the government, age-related benefits such as
disability insurance payments, and pensions, money provided from your relatives, and extra income fromlotteries orgambling. Also, do you think your non-labor income will increase in the future?

18.

Are you or your spouse currently seeking jobs? (Please answer regardless of whether you presently have a job.)(X ONE Box)You
→1 □ Seeking a job
2 □ Not seeking a job
Your spouse→1 □ Seeking a job
2 □ Not seeking a job

19.

How much time do you and your spouse spend doing housework every day? Please answer an average amount oftime per day for weekdays and weekends. (Write In)
You:
week days: hours ______ minutes;
week ends: hours _______ minutes
You spouse: week days: hours ______ minutes;
week ends: hours _______ minutes

20.

How long does it take for you, and for your spouse, to commute? (Write In)
You:
hours ________ minutes;
1 □ Don’t work
You spouse: hours ________ minutes;
1 □ Doesn’t work

21.

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)□ Others (Specify):__________________

11

[Japan] 2011 Preference Parameters Study of Osaka University

22.

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

23.

How much were the average food expenses of your entire family per month in 2010? (Write In For EACH Row)
Approximate food expenses (excluding expenses of eating out). ¥____________________ per month
Approximate expenses of eating out............................................ ¥____________________ per month24.

How much did you spend on durable consumer goods such as housing, cars, and expensive electronic products
your entire family in 2010? (Write In)

forApproximate expense in 2010 for entire family ¥____hundred million____________ ten thousands
25.

How much were the average expenditures of your entire family per month in 2010? Exclude durable consumer goods
purchased such as housing, cars, expensive electronic products, taxes, insurance premiums, and mortgage interest.
Include costs of public utilities and energy bills. (Write In)
Approximate expense in 2010 for entire family ¥________________________ ten thousands per month

25a.

Please answer this question if there are members in your household besides yourself. Of all the money spent by yourhousehold per month, what percentage do you spend? What percentages do the other members of your householdspend? Please write in the average percentage of money spent by you, by your spouse and by other members, and theaverage percentage allocated to common use, so that the percentages add up to be 100% for your entire household.
(Write In)

25b.

Please answer this question if you have a spouse. Who mainly decides on expenditures, savings and investments foryour household? (X ONE Box For EACH Row)

25c.

If you and your spouse both decide on expenditures, savings and investments, do the following statements hold true foryou and for your spouse? (X ONE Box For EACH Row)26.

In 2010 what was the approximate percentage change in your family’s total annual expenditures compared with 2009?
Select the most appropriate response from the following list. (X ONE Box)
Increasedby less
Increasedby morethan 9%

Increased

Increased

Increased

Increasedby 7-9%by 5-7%by 3-5%by 1-3%than 1%OR
Decreased

Decreased

Decreased

Decreased

Decreasedby 1-3%by 3-5%by 5-7%by 7-9%

4□

3□

2□

1□

Decreasedby morethan 9%by less
than 1%

10 □
27.

9□

8□

7□

6□

5□

0□

In 2011 what will be 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)
Increasedby less
Decreasethan 1% Decrease Decrease Decrease Decrease
IncreaseddIncreased Increased Increased Increased
OR
d
d
d
d
by moreby moreby 7-9% by 5-7% by 3-5% by 1-3%
Decrease by 1-3% by 3-5% by 5-7% by 7-9%
than 9%than 9%d by lessthan 1%
10 □

9□

8□

7□

6□

5□

12

4□

3□

2□

1□

0□

[Japan] 2011 Preference Parameters Study of Osaka University28.

By what percentage do you expect consumer prices will change in 2011, compared with the previous year? (X ONE Box)
Increasedby less
Decreasethan 1% Decrease Decrease Decrease Decrease
IncreaseddIncreased Increased Increased Increased
d
d
d
d
OR
by moreby moreby 7-9% by 5-7% by 3-5% by 1-3%
Decrease by 1-3% by 3-5% by 5-7% by 7-9%
than 9%than 9%d by lessthan 1%
10 □

9□

8□

7□

6□

5□

4□

3□

2□

1□

0□

29.

Please indicate the highest level of education (or equivalent) completed by your parents and by your spouse's parents.
(Write In Number)Your father_______________Your mother_______________Your spouse’s father_______________Your spouse’s mother_______________
1.
Graduated from Elementary/ Junior High School2.
Some High School – no degree
3.
Graduated from High School4.
Some College (including Technical College) – no degree5.
Graduated from College (including Technical College) - Associate’s Degree (2 year)
6.
Some University (including old-education-system high school) – no degree
7.
Graduated from University (including old-education-system high school)– Bachelor’s Degree (4 year)
8.
Some post graduate studies – no degree
9.
Master’s Degree –MS, MA, MBA, etc
10. Some doctoral studies – no degree
11. Doctoral Degree – DVM, Ph.D, DDS, etc.

30.

Was your mother working when you were 15 years old? Was your spouse’s mother working when your spousewas 15 years old? (X ONE Box for Yourself and ONE Box for Your Spouse)Your father_______________Your mother_______________
1.
2.
3.
4.

31.

31a.

Mother had passed away already or lived separately from respondent.
Full-time worker
Part-time worker
Mother was not working then.

What are your (and your spouse's) parents’ birth years? (Write In Number For EACH)
Your father
Your motherYour spouse’s father
Your spouse’s mother
Are your and your spouse’s parents alive? (X ONE Box) If they are alive, indicate their age. If they are deceased, indicate
their age at time of death. (Write In For EACH)
Your father

1□ Alive_____ _____ years oldtensYour mother_____ _____ years old
tens
ones

1□ Alive_____ _____ years oldtensYour spouse’s father

ones

2 □Deceased_____ _____ years old
tens
ones

1 □Alive_____ _____ years oldtensYour spouse’s motherones

2□Deceased

ones

2 □Deceased_____ _____ years old
tens
ones

1 □Alive_____ _____ years oldtens

2 □Deceased

ones_____ _____ years old
tens
ones

13

[Japan] 2011 Preference Parameters Study of Osaka University

31b.

In which prefecture do your parents live? If they are living in a foreign country, indicate the name of the country.
If your parents are deceased, indicate the place where they lived the longest. (Write In)
Your Parents:
Your Spouse’s Parents:

32.

Name of a Prefecture in Japan:
Name of a Country:
Name of a Prefecture in Japan:
Name of a Country:

Please reply concerning your own parents and your spouse’s parents.
(A) Do your parents or your spouse’s parents require (or did they require) physical care or help with housework? Pleasechoose one response from among choices 1 through 4 for each parent. (X ONE Box For EACH)

If you answered 1,2 or 3 for Q.32, please continue. Otherwise, skip to Q.33.
(B) Who is, or was, the primary caregiver for that parent? Please pick one choice from among choices 1 through 8 foreach parent. If you picked choice 2 in part (A), please indicate whom you expect to be the primary caregiver when thatparent requires care. If you are still single, please answer on the assumption that you will have a spouse.
(X ONE Box For EACH)

If you answered 1,2 or 3 for Q.32, please continue. Otherwise, skip to Q.33.
(C) For all of the six items shown below, please indicate which role(s), if any, that you and your spouse are playing withrespect to each parent. Please circle 1 if “yes” and 2 if “no.” If you picked choice 2 in part (A), please indicate whatrole(s), if any, that you and your spouse expect to play when that parent requires care. If you are still single,
please answer on the assumption that you will have a spouse. (X ONE Box For EACH)

All respondents please answer the following question.
(D) Indicate the care levels of your and your spouse’s parents. If you and your spouse’s parents already passed away,
choose their care level when they were alive. (Write In Number For EACH)
Your father_______________Your mother_______________Your spouse’s father_______________Your spouse’s mother_______________
1.
2.
3.
4.
5.
6.
7.

Support Level 1 or 2
Care Level 1 or 2
Care Level 3, 4,or 5
He or she has a care level, but I don’t know which level he/she has.
He or she applied the use of the long-term care insurance, but the application was rejected.
He or she has not applied the use of the long-term care insurance.
I don’t know.

14

[Japan] 2011 Preference Parameters Study of Osaka University

33.

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)

34.

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□ Government-owned housing□ Lodgings (Hotels, Motels, etc.)
7 □ Dormitory, Group Quarters, etc.
8 □ other
5
635.

Approximately how much was the annual earned income before taxes and with bonuses included of your entire
household for 2010? (If you are a student, please indicate the income of your parents' entire household.)(X ONE Box)
01□ Less than ¥1,000,00002□ ¥1,000,000 to less than ¥2,000,000
03□ ¥2,000,000 to less than ¥4,000,00004□ ¥4,000,000 to less than ¥6,000,00005□ ¥6,000,000 to less than ¥8,000,000
06□ ¥8,000,000 to less than ¥10,000,00007□ ¥10,000,000 to less than ¥12,000,00008□ ¥12,000,000 to less than ¥14,000,00009□ ¥14,000,000 to less than ¥16,000,000
10□ ¥16,000,000 to less than ¥18,000,000
11□ ¥18,000,000 to less than ¥20,000,000
12□ ¥20,000,000 or more

36.

Approximately how much household income is your goal? (If you are a student, please indicate the income of yourparents’ entire household.)(X ONE Box)
01□ Less than ¥1,000,00002□ ¥1,000,000 to less than ¥2,000,000
03□ ¥2,000,000 to less than ¥4,000,00004□ ¥4,000,000 to less than ¥6,000,00005□ ¥6,000,000 to less than ¥8,000,000
06□ ¥8,000,000 to less than ¥10,000,00007□ ¥10,000,000 to less than ¥12,000,00008□ ¥12,000,000 to less than ¥14,000,00009□ ¥14,000,000 to less than ¥16,000,000
10□ ¥16,000,000 to less than ¥18,000,000
11□ ¥18,000,000 to less than ¥20,000,000
12□ ¥20,000,000 or more

37.

About how much household income is common for people around you? (X ONE Box)
01□ Less than ¥1,000,00002□ ¥1,000,000 to less than ¥2,000,000
03□ ¥2,000,000 to less than ¥4,000,00004□ ¥4,000,000 to less than ¥6,000,00005□ ¥6,000,000 to less than ¥8,000,000
06□ ¥8,000,000 to less than ¥10,000,00007□ ¥10,000,000 to less than ¥12,000,00008□ ¥12,000,000 to less than ¥14,000,00009□ ¥14,000,000 to less than ¥16,000,000
10□ ¥16,000,000 to less than ¥18,000,000
11□ ¥18,000,000 to less than ¥20,000,000
12□ ¥20,000,000 or more

38.

In 2010 what was the approximate percentage change in your family’s total annual income compared with 2009? Selectthe most appropriate response from the following list. (If you are a student, please answer for the income of your parents'
entire household.) (X ONE Box)
Increasedby less
Decreasethan 1% Decrease Decrease Decrease Decrease
IncreaseddIncreased Increased Increased Increased
d
d
d
d
OR
by moreby moreby 7-9% by 5-7% by 3-5% by 1-3%
Decrease by 1-3% by 3-5% by 5-7% by 7-9%
than 9%than 9%d by lessthan 1%
10 □

9□

8□

7□

6□

5□

15

4□

3□

2□

1□

0□

[Japan] 2011 Preference Parameters Study of Osaka University

39.

In 2011 what will be the approximate percentage change in your family’s total annual income compared with 2010?
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)
Increasedby less
Increasedby morethan 9%

Increased Increased Increased Increasedby 7-9%by 5-7%by 3-5%by 1-3%than 1%OR
Decreased

Decreased Decreased Decreased Decreasedby 1-3%by 3-5%by 5-7%by 7-9%Decreasedby morethan 9%by less
than 1%

Entire Household

10□

9□

8□

7□

6□

5□

4□

3□

2□

1□

0□

You

10□

9□

8□

7□

6□

5□

4□

3□

2□

1□

0□

Your Spouse

10□

9□

8□

7□

6□

5□

4□

3□

2□

1□

0□

40.

What do you estimate will be the change in total annual income of your household in 2015 compared to 2010? Pleasecircle 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)
Increasedby less
Increasedby morethan 9%

Increased Increased Increased Increasedby 7-9%by 5-7%by 3-5%by 1-3%than 1%OR
Decreased

Decreased Decreased Decreased Decreasedby 1-3%by 3-5%by 5-7%by 7-9%Decreasedby morethan 9%by less
than 1%

Entire Household

10□

9□

8□

7□

6□

5□

4□

3□

2□

1□

0□

You

10□

9□

8□

7□

6□

5□

4□

3□

2□

1□

0□

Your Spouse

10□

9□

8□

7□

6□

5□

4□

3□

2□

1□

0□

41.

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)
01□ Do not possess housing or properties
02□ Less than ¥5,000,000
03□ ¥5,000,000 to less than ¥10,000,00004□ ¥10,000,000 to less than ¥15,000,00005□ ¥15,000,000 to less than ¥20,000,000
06□ ¥20,000,000 to less than ¥30,000,00007□ ¥30,000,000 to less than ¥40,000,00008□ ¥40,000,000 to less than ¥50,000,00009□ ¥50,000,000 to less than ¥100,000,000
10□ ¥100,000,000 or more

42.

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 ¥2,500,00002□ ¥2,500,000 to less than ¥5,000,000
03□ ¥5,000,000 to less than ¥7,500,00004□ ¥7,500,000 to less than ¥10,000,00005□ ¥10,000,000 to less than ¥15,000,000
06□ ¥15,000,000 to less than ¥20,000,00007□ ¥20,000,000 to less than ¥30,000,00008□ ¥30,000,000 to less than ¥50,000,00009□ ¥50,000,000 to less than ¥100,000,000
10□ ¥100,000,000 or more

16

[Japan] 2011 Preference Parameters Study of Osaka University

43.

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□ Post-office savings
03□ Life insurance
04□ Stocks
05□ Investment Trusts
06□ Foreign currency deposits
07□ Futures/ Options
08□ Japanese Government bonds
09□ Government bonds of foreign countries
10□ Private individual pensions (from life insurance companies, etc.)
11□ Company pensions
12□ Cash13□ None→(Skip to Q.44)→(Continue)

43a.

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

43b.

What percentage of the financial assets of your entire household are in the following ... (Write In % For EACH)______.______% (e.g. 3.5%) ++ □ Cannot say

All respondents please answer the following question.
44.
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. Please circle only ONE. (X ONE Box)

If you answered 2 for Q.44, please continue. Otherwise, skip to Q.45
44a.

If you are paying off housing loan(s), what is the current balance of your housing loan(s)?
01□ Less than ¥2,500,00002□ ¥2,500,000 to less than ¥5,000,000
03□ ¥5,000,000 to less than ¥7,500,00004□ ¥7,500,000 to less than ¥10,000,00005□ ¥10,000,000 to less than ¥15,000,000
06□ ¥15,000,000 to less than ¥20,000,00007□ ¥20,000,000 to less than ¥30,000,00008□ ¥30,000,000 or more
09□ No housing loans

44b.

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)
01□ No loans other than housing loans
02□ Less than ¥500,000
03□ ¥500,000 to less than ¥1,000,00004□ ¥1,000,000 to less than ¥2,000,00005□ ¥2,000,000 to less than ¥3,000,000
06□ ¥3,000,000 to less than ¥5,000,00007□ ¥5,000,000 to less than ¥7,500,00008□ ¥7,500,000 to less than 10,000,00009□ ¥10,000,000 or more

44c.

If you answered 2 for Q.44, please continue. Otherwise, skip to Q.45
What debts do you currently have? (X ALL That Apply)

45.

Do you use credit cards? If you do, how do you use them? (X ALL That Apply)

17(X ONE Box)[Japan] 2011 Preference Parameters Study of Osaka University

46.

Have you ever been rejected for a loan application (excluding housing loans)? (X ALL That Apply)
01□ Yes →Go to Q46a
02□ No, but I did not get approved for the full amount for which I applied, only for a reduced amount. →Skip to Q46b
03□ Did not apply because I did not think I would be approved. →Skip to Q46c
04□ No, I have always been able to borrow the amount I applied for. →Skip to Q47
05□ I have never attempted to borrow money. →Skip to Q47

46a.

When did you get rejected?(X ONE Box)
01□ Prior to 200902□ Between January 2010 and May 201003□ After June 201046b.

When did you get the reduced amount? (X ONE Box)
01□ Prior to 200902□ Between January 2010 and May 201003□ After June 2010

46c.

When did you not apply for a loan because you thought you would not be approved?
01□ Prior to 200902□ Between January 2010 and May 201003□ After June 2010

All respondents please answer the following question.
47.
On a scale of 0-10 with “10” being “Highest” and “0” being “Lowest”, please indicate what you think is your standard ofliving. (X ONE Box)48.

How would you describe your current health status: Is it excellent, very good, good, fair, or poor? .(X ONE Box)49.

Do you visit a doctor on a regular basis either in a hospital or clinic (including dental clinics) because of a chronic diseaseor injury? This also includes a home visit by a doctor. (X ONE Box)49a.

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 month49b.

About how much do you pay for out-of-pocket medical expenses per outpatient visit for doctor or clinic visits,
including medicine? (Write in)¥50.

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)

50a

Have you had any health check-ups (excluding cancer examination, prenatal check, dental check-up, and medical
treatment) within the past year?(X ALL That Apply)
01 □ Health check organized by local municipality
02 □ Health check organized by your employee or labor union of your employee
03 □ Health check organized by your school
04 □ Medical check-up (other than above 1-3)
05 □ Other
06 □ I haven’t taken any health check in the last one year.

50b.

Have you had any cancer examinations? (X ALL That Apply)Note: this can include the health check you answered in
50a.
01 □ Stomach cancer examination
02 □ Lung cancer examination
03 □ Uterine cancer examination
04 □ Breast cancer examination
05 □ Colon cancer examination
06 □ Other cancer examinations
07 □ I haven’t taken any cancer examination within the last one year.

51.

Do you fasten your seatbelt when you sit in the back seat of a car? (X ONE Box)

18

[Japan] 2011 Preference Parameters Study of Osaka University

52.

Do you smoke? (X ONE Box)

52a.

If you answered 2 to 10 for Q.52, please continue. Otherwise, skip to Q.53.
How old were you when you started smoking?
About __________ years old

52b.

How long does it take to get to a smoking area in your work place? If you are not working, please answer about smoking
at the place you spend most of the day.
(X ONE Box)

If you answered 10 for Q.52, please continue.
52c.

Otherwise, skip to Q.53.

When is the last time you smoked? (approximately) (Write in)MMaround(

YY

)/(

)

52d.

How long did it take for you to quit smoking once you decided to quit?
About ______days
about ______months about ______years

53.

Do you exercise? (X ONE Box)54.

Do you drink alcoholic beverages? (X ONE Box)
1□Don't drink at all
2□Hardly drink (a few times a month)3□Drink sometimes(a few times a week)4□A can of beer (350ml.) or its equivalent a day, everyday
5□3 cans of beer (350ml. x 3) or its equivalent a day, everyday
6□5 cans of beer (350ml. x 5) or its equivalent a day, everyday

55.

Do you gamble in lotteries or at casinos or bet on sporting events or horse races?
1□ I have never gambled.l
2□ I used to gamble, but have quit.
3□ Hardly gamble
4□ Several times a year or so5□ Once a month or so
6□ Once a week or so
7□ Almost everyday

56.

Please indicate if you are affiliated with any of the following religions. (X ONE Box)
1□ None2□ Catholic3□ Protestant4□ Other Christian5□ Judaism
6□ Islam7□ Hinduism
8□ Buddhism
9□ Others

Thank you very much for your help with this study.

19(Write in number)