EASS Study Year v1 Country v2 v3 Respondent Number
A. Health Status
a-1. <Self Rated Health/Physical Health/Mental Health> : SF-12v2 SF_Q1. In general, would you say your health is: v4 (1) Excellent (2) Very good (3) Good (4) Fair (5) Poor Each team will adjust the translations to the original English The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? v5 SF_Q2. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf (1) Yes, limited a lot (2) Yes, limited a little (3) No, not limited at all v6 SF_Q3. Climbing several flights of stairs (1) Yes, limited a lot (2) Yes, limited a little (3) No, not limited at all During the past 4 weeks, how much of the time have you had any of the following problems with your wor or other regular daily activities as a result of your physical health? v7 SF_Q 4. Accomplished less than you would like (1) All of the time (2) Most of the time (3) Some of the time (4) A little of the time (5) None of the time v8 SF_Q5. Were limited in the kind of work or other activities (1) All of the time (2) Most of the time (3) Some of the time (4) A little of the time (5) None of the time During the past 4 weeks, how much of the time have you had any of the following problems with your wor or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? v9 SF_Q6. Accomplished less than you would like (1) All of the time (2) Most of the time (3) Some of the time (4) A little of the time (5) None of the time v10 SF_Q7. Did work or other activities less carefully than usual (1) All of the time (2) Most of the time (3) Some of the time (4) A little of the time (5) None of the time v11 SF_Q8. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? (1) Not at all (2) A little bit (3) Moderately (4) Quite a bit These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks... v12 SF_Q9. Have you felt calm and peaceful? (1) All of the time (2) Most of the time (3) Some of the time (4) A little of the time (5) None of the time v13 SF_Q10. Did you have a lot of energy? (1) All of the time (2) Most of the time (3) Some of the time (4) A little of the time (5) None of the time SF_Q11. Have you felt downhearted and depressed? (1) All of the time (2) Most of the time (3) Some of the time (4) A little of the time (5) None of the time (1) All of the time (2) Most of the time (3) Some of the time (4) A little of the time (5) None of the time SF12 Subscore: General Health sf12_gh SF12 Subscore: Physical Functioning sf12_pf sf12_rp SF12 Subscore: Role Physical sf12_re SF12 Subscore: Role Emotional SF12 Subscore: Bodily Pain sf12_bp sf12_mh SF12 Subscore: Mental Health SF12 Subscore: Vitality sf12_vt sf12_sf SF12 Subscore: Social Functioning EASS 2010 Note: TSCS only includes SF_Q1, SF_Q8, SF_Q9 and SF_Q11.
. <Hopelessness>
extent do you agree or disagree with each of the following statements? A-13. The future seems to me to be hopeless, and I can't believe that things are changing for the better. (1) Strongly agree (2) Somewhat agree (3) Neither agree nor disagree (4) Somewhat disagree (5) Strongly disagree 47 A-14. I feel that it is impossible for me to reach the goals that I would like to strive for. (1) Strongly agree (2) Somewhat agree (3) Neither agree nor disagree (4) Somewhat disagree (5) Strongly disagree
a-3. <Symptoms/Chronic Illness/Diseases under Treatment>
v18     A-15. Do you have chronic diseases or longstanding health problems? (1)Yes →Skip question A-16 (2)No A-16. What are they? Please choose all that apply. (1) Hypertensionバイマー (2) Diabetes A50 v21——— (3) Heart disease
v22——— (4) Respiratory problem (asthma, chronic cough) v23 (5) Others (Specify ————— 1 (8)   Musculoskeletal disorders (e.g. arthritis, lower back pain,  knee problem, joint pain, rheumatism) New Question 1. Now I have some questions about your eyesight. Are you near-sighted? 1. Yes 2. No (only those who answered yes to the previous question) New Question 2. Do you usually wear glasses or contact lenses? 1. Yes 2. No
a-4. <Height and Weight>
A-17. What is your height? v24 v25 A-18. What is your weight?
bmi BMI EASS 2010 Note: JGSS writes the note that “(If you are currently pregnant, write in the weight before your pregnancy)" for weight question. TSCS also reminds interviewers about it and asks to recode the weight carefully. Revise: JGSS does not disclose A-17 and A-18.
B. Health Behavior
b-1. <Smoking> CGSS, KGSS and TSCS v26 B-1. How often do you smoke? (4) Daily (2) Several times a week (3) Several times a month (4) Several times a year or less often (5) Nover————→ Skip question B-2 B-2. For how many years have you smoked? v27 ___ KGSS,TSCS: it is better to ask how many cigarettes you smoke daily instead of frequency. EASS 2010 Note: JGSS uses somewhat different format, but provides the same information. TSCS asks both EASS and ISSP questions or splits the sample.
b-2. <Drinking>
Final version v28 B-3. How often do you drink alcoholic drinks? (1) Daily (2) Several times a week (3) Several times a month (4) Several times a year or less often (5) Never EASS 2010 Note: TSCS asks both EASS and ISSP questions or splits the sample. b-3. <Exercise-Physical Activities> B-4. How long do you do physical activity/ exercise (including time spent on commuting and physical- v29 labor) per day that makes you breathe somewhat harder than normal or harder? (4) 0 (2) Less than 30 min (3) 30 to 59min (4) 60 min or more New Question 3 How much time do you spend walking on a weekday? This includes at work and at home as your daily routine, walking to travel from place to place, and any other walking that you do for recreation, exercise, or leisure. (1) Less than 15 min (2) 15 to 29min (3) 30 to 59min (4) 60 to 89min (5) 90 min or more New Question  4 How long do you do physical activities per week that make you breathe somewhat harder than normal or much harder than normal? (This includes jogging, bicycling, exercising, carrying loads, physical labor, household chores, etc.) Do not include walking. (1) less than 15 min (2) 15 to 29 min (3) 30 to 59 min (4) About 1 hour (5) About 2 hours (6) About 3 hours (7) About 4 hours (8) About 5 hours (9) 6 hours or more New Question 5. How much time do you spend sitting on a week day? (This includes all the time spent sitting, for example, sitting at a desk, reading, sitting or lying down to watch television.) hours minutes New Question 6. How many hours of actual sleep do you get on a week day? (This may be different than the number of hours you spend in bed) hours minutes Sleep time The Pittsburgh Sleep Quality Index (PSQI) By: Carole Smyth MSN, APRN, BC, ANP/GNP, Montefiore Medical Center New Question 7. During the past month, how would you rate your sleep quality overall? 1 Very good 2 Fairly good 3 Fairly bad 4 Very bad Sleep time The Pittsburgh Sleep Quality Index (PSQI) By: Carole Smyth MSN, APRN, BC, ANP/GNP, Montefiore Medical Center b-4. <Health Checkup> Optional: CGSS, JGSS, KGSS v30 B-5. During the last three years, did you have any health checkup? (1) Yes, regularly (2) Yes, but not regularly (3) No
C. Medical Care
v31 C-1. During the last 12 months, how often did you go to see a doctor? (Please answer your own diseases or injuries. Do not include escorting or visitations.) (1) Several times a week (2) About Once a week (3) About Once a month (4) Several times a year (5) About Once a year (6) None v32 C-2. How much do you worry about each of the following when it comes to yourself and yourfamily? a. Unable to receive health care when needed (1) Very much (2) A little (3) Not so much (4) Not at all v33 b. Unable to pay the cost when someone get a serious illness or condition (1) Very much (2) A little (3) Not so much (4) Not at all v34 C-3. During the last 12 months, did you refrain from going to see a doctor, even though you were ill or injured? Please include a cold. (1) Yes, I did → Go to question C-4 (2) No, I did not (3) I was not ill or injured during the last 12 months C-4. Why is it? Please circle all that apply. v35,v35  tw (1) Waiting time is too long v36,v36_tw (2) It costs too much (3) There is no hospital or doctor’s office nearby v37 (4) I do not know where to go v38 (5) I have no transportation v39 (6) I do not like to see a doctor v40 v41,v41_tw  (7) There is no time to see a doctor (8) I thought that there is no need to go v42 (9) I do not have active health insurance v43 v44 (10) Others (Specify v4042_tw (11) I do not like to see a doctor or I thought that there is no need to go EASS 2010 Note: ISSP Q18 has partial overlap with C-3 and C-4. TSCS team divides the ISSP question and adds more choices. For question C-1, JGSS includes only the first sentence in the parentheses, but can exclude those escorting or visitations with the Japanese translation. For question C-3, since “cavity” is one of the popular reasons for going to see a doctor in Japan, JGSS adds “a cavity” as example. Revise: TSCS does not include options (3) (4) (5) (6) (8) (9) (10) for C-4.
D. Medical Insurance/Social Security Insurance
D-1. What kind of health insurance do you have? v45 (1) Public health insurance only (2) Public health insurance and private insurance (3) Private health insurance only (4) No health insurance at all (5) Not sure EASS 2010 Note: TSCS uses the ISSP question, but can provide the same information.
E. Alternative Medicine
v47 E-1. Have you ever received the following treatment during the last 12 months? A  Acupuncture or moxibustion (cupping)- ----------------- 1 Yes .........................2 No Oriental herbal medicine C Acupressure or clinical massage  ---------------------------- 1 Yes..-----------------------2 No A. Acupuncture B. Moxibustion C. Cupping (Optional: JGSS will not include) D. Oriental herbal medicine E. Acupressure or massage EASS 2010 Note: “cupping” is not so popular in Japan, so JGSS does not include “(cupping)”. TSCS may or may not use this as a sub-question of ISSP question (Q.16.b).
F. Social Support /Social Trust
f-1. <Social Support: Emotional/Financial/Instrumental Support>
CGSS, KGSS and TSCS
F-1. During the past 12 months, did your kin (family or relatives) do the following things for you when you needed it? If yes, how often? Very often, often, sometimes or seldom? v49 A Listening to personal problems or concerns v50 B Providing financial Support -----------→ 1 v51 C Taking care of household chores (ex. housework, childcare, nursing care) F-2. During the past 12 months, did your non kin (friends, colleagues, or neighbors) do the following things for you when you needed it? If yes, how often? Very often, often, sometimes or seldom? Ale-de v52 A Listoning to personal problems or concerns v53 v54 B Providing financial Support C Taking care of household chores (ex. housework, childcare, nursing care) → 1 -- -- 2 F-3. During the past 12 months, did your professional workers (social workers, caretakers, or therapists) do the following things for you when you needed it? If yes, how often? Very often, often, sometimes or seldom?
v55 v56 v57

f-2. <Social Trust >
v58 F-6. Generally speaking, would you say that people can be trusted or that you can't be too careful in dealing with people? (1) People can almost always be trusted (2) People can usually be trusted (3) You usually can’t be too careful in dealing with people (4) You almost always can’t be too careful in dealing with people
G. Environment

g-2. <Socioeconomic Environment>
v62 v63 v64 v65 v66 v67
Revise: TSCS does not include G-2E.
H. Epidemiology
Optional: CGSS, JGSS, KGSS H-1. Were you vaccinated against influenza (of any type) during the last 12 months? v68 (1) Yes (2) No v69 H-2. How much were you concerned about the new strain of influenza outbreak among peeple in 20092 (1) Very much (2) A little (3) Not so much (4) Not at all H 2. How much were you concerned about the new strain of coronavirus outbreak among people in 2020? (1) Very much (2) A little (3) Not so much (4) Not at all EASS 2010 Note: JGSS includes “(of any type)” in question H-1.
l. Family Care Need and Care Management
v70 I-1. Is there anyone among your family members, whether living together or not, who needs care because of a long-term physical or mental illness or disability, or is getting old and weak? (1) Yes (2) No → Skip question I-2 v71 I-2. Are you the major care giver for at least one of them? (1) Yes (2) No
J. Worries about Aging
J-1. Next we would like to talk about your feelings about getting older. Please indicate how strongly you agree or disagree with the following statements. v72 v73 v74 A I worry about not being able to get around B I worry others will have to make decisions C Financial dependence on others is one of Optional: KGSS s8_kr D I worry that I will have to live with my adult children when I am older s9_kr E I worry that I will not be able to live with my adult children when I am older
-⇒  1 ……….  2 ……….  3 ………….  4 ………………  5
K. Addiction

K-2. Is there anyone living together who has done the following behavior excessively?

BODY SHAPE
Optional: JGSS, KGSS v83 Q54. What do you think about your current weight? (1) I would like to lose weight (2) I would like to lose weight a little like to keep my weight as it is now (4) I would like to gain weight a little would like to gain weight Optional: KGSS, TSGS v84 Q55. What do you think about your body shape? 1) A lot underweight 2) A little underweight 3) Neither underweight nor overweight (4) A little overweight (5) A lot overweig New Question 8. Considering the meaning of health, how important is each of the followings to you? [4 point scale 1 very important, 2 important, 3 slightly important (just a little important) 4 not important]
Memo: Considering the meaning of health, how important is each of the followings to you? [「健康」を考えるとき、次のそれぞれのことはどのくらい重要だと思いますか。] a. Absence of (freedom from) bodily pains [身体の痛みが無いこと] c. Peace in mind and mental composure [心のやすらぎがあること] e. Performance of familial roles and duties [家庭内の役割を果たせること] f. Performance of workplace/social roles and duties [職場や社会での役割を果たせること] Optional New Question 9:TSCS, CGSS, KGSS  “Literacy Screen” 9. How often do you need to have someone help you when you read instructions, pamphlets, or other written material from you’re your doctor or pharmacy? Never (1) (2)
(5) Optional New Questions 10:TSCS, KGSS V1: Older people get more than their fair share from the government V2: Older people are a burden on society V3: Old people have too much political influence (1) strongly agree (2) agree disagree (3) strongly disagree (4) SBV: Refer to EASS 2010 Standard Background Variables. - Regarding the question of “Happy: General happiness”, TSCS splits the sample. - - Add: Spousal health (health module scale)