Part A:
Demographic Information
1. Gender
Male
Female
2. Marital Status
Never Married
Now Married
Widowed
Divorced
Separated
3. Age
4. Education Level
5. What is your monthly personal
income (approximately)
6. What is your monthly household
income (approximately)
7. Job Nature
8. Country of Residence
Part B:
Happiness and Satisfaction
1.1 How many hours do you
work per week on average?
1.2
How many hours do you spend with your
family per week on average?
1.3
Taking last night’s number as an example,
how many hours do you sleep per night on average?
1.4 With reference to your
country’s standard of living, how would you rate your wealth status?
2
Are you confident that you are protected from violence and crime in your
neighborhood?
3
If you were seriously ill at home, is there a friend, neighbor or family
member you could count on to take care of you?
4.1 Do you see yourself in
a positive light?
4.2 Do others share the
same impression of you that you reported in question 4.1?
5.1 If you could live your
life over, would you change anything?
5.2 Are you on track to
realizing your full inner potential?
Part C:
Social Wellbeing
In answering the following 4
questions, please assume that you do not need to pay any tax.
1. How much in terms of a
percentage of your income, would you be willing to pay to the government to
improve health care services?
2. How much in terms of a percentage of your income, would you be
willing to pay to the government to provide better education?
3. How much in terms of a percentage of your income, would you be
willing to pay to the government to reduce the disparity between the rich
and the poor?
4. How much in terms of a percentage of your income, would you be
willing to pay to the government to correct the pollution problem?
END
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Thank You for answering these questions!
Dr. Mark Greene and
Dr. Thomas Yuen Wai Kee
Return to Economic and
Wellbeing Project
Hong Kong Shue Yan University
We thank the following
researchers whose work was drawn upon to form some of the questions of this
survey.
The Personal Security
Index 2003 (by Spyridoula Tsoukalas and Andrew MacKenzie, November 2003),
Canadian Council on Social Development
Pavot, W., & Diener, E. (1993) Review of the satisfaction with life scale.
Psychological Assessment, 5, 2, 164-172
Ed Diener, Robert A.
Emmons, Randy J. Larsen and Sharon Griffin as noted in the 1985 article in
the Journal of Personality Assessment.