Write a reflection of a research assignment

Questionnaire.docx

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Questionnaire1

1. Basic information

Gender	Age	Nation
female	25	China

2. Scene description

Suppose you are now over 75 years old and suddenly have pneumonia. It is a serious disease for the elderly. You may experience malaise, fatigue, loss of appetite, nausea, vomiting, increased heart rate, arrhythmia, delirium, confusion of consciousness, decreased blood pressure in severe cases, and coma. There are also a lot of people who are left with dementia. The death rate is also higher than 10 percent.

· Have you ever experienced pneumonia?

Yes ✅No

If you understand the health condition completely, please answer the following questions:

3. Question

a. Visual analogue scale question

The line below stands for the health condition. The left end of the scale represents being dead. The right end represents being in perfect health. Please show me where you think senile pneumonia fits on this scale.

Full Health

Death

b. Standard gamble question

Assumption: You currently suffer from heartburn, which is expected to last for one week. There is a treatment available. It will instantly and completely cure you of heartburn, but there is a chance that you will experience senile pneumonia as a side effect. This side effect would also last for one week. Would you take this treatment right now if you know...

	The chance of the side effects is 0%?
	The chance of the side effects is 10%?
	The chance of the side effects is 20%?
	The chance of the side effects is 30%?
	The chance of the side effects is 50%?
Y	The chance of the side effects is 70%?
Y	The chance of the side effects is 90%?
Y	The chance of the side effects is 100%?

c. Time trade off question

Assumption: You currently suffer from heartburn, and it is expected to last for one week. There is a treatment available. It will completely cure the heartburn, but you will suffer senile pneumonia as a temporary side effect. Would you take this treatment right now if you knew the side effect would last for...

Y	1% of one week
Y	10% of one week
Y	30% of one week
	50% of one week
	60% of one week
	70% of one week
	90% of one week
	100% of one week

Questionnaire2

4. Basic information

Gender	Age	Nation
male	26	China

5. Scene description

· Have you ever experienced pneumonia?

Yes ✅ No

If you understand the health condition completely, please answer the following questions:

6. Question

a. Visual analogue scale question

Full Health

Death

b. Standard gamble question

Y	The chance of the side effects is 0%?
Y	The chance of the side effects is 10%?
Y	The chance of the side effects is 20%?
	The chance of the side effects is 30%?
	The chance of the side effects is 50%?
	The chance of the side effects is 70%?
	The chance of the side effects is 90%?
	The chance of the side effects is 100%?

c. Time trade off question

Y	1% of one week
Y	10% of one week
	30% of one week
	50% of one week
	60% of one week
	70% of one week
	90% of one week
	100% of one week

Questionnaire3

7. Basic information

Gender	Age	Nation
female	50	China

8. Scene description

· Have you ever experienced pneumonia?

✔Yes No

If you understand the health condition completely, please answer the following questions:

9. Question

a. Visual analogue scale question

Full Health

Death

b. Standard gamble question

Y	The chance of the side effects is 0%?
	The chance of the side effects is 10%?
	The chance of the side effects is 20%?
	The chance of the side effects is 30%?
	The chance of the side effects is 50%?
	The chance of the side effects is 70%?
	The chance of the side effects is 90%?
	The chance of the side effects is 100%?

c. Time trade off question

Y	1% of one week
Y	10% of one week
	30% of one week
	50% of one week
	60% of one week
	70% of one week
	90% of one week
	100% of one week

Questionnaire4

10. Basic information

Gender	Age	Nation
male	24	China

11. Scene description

· Have you ever experienced pneumonia?

Yes ✔ No

If you understand the health condition completely, please answer the following questions:

12. Question

a. Visual analogue scale question

Full Health

Death

b. Standard gamble question

Y	The chance of the side effects is 0%?
Y	The chance of the side effects is 10%?
Y	The chance of the side effects is 20%?
Y	The chance of the side effects is 30%?
	The chance of the side effects is 50%?
	The chance of the side effects is 70%?
	The chance of the side effects is 90%?
	The chance of the side effects is 100%?

c. Time trade off question

Y	1% of one week
Y	10% of one week
Y	30% of one week
	50% of one week
	60% of one week
	70% of one week
	90% of one week
	100% of one week

Questionnaire5

13. Basic information

Gender	Age	Nation
Male	25	China

14. Scene description

· Have you ever experienced pneumonia?

Yes ✔ No

If you understand the health condition completely, please answer the following questions:

15. Question

a. Visual analogue scale question

Full Health

Death

b. Standard gamble question

Y	The chance of the side effects is 0%?
Y	The chance of the side effects is 10%?
Y	The chance of the side effects is 20%?
Y	The chance of the side effects is 30%?
Y	The chance of the side effects is 50%?
	The chance of the side effects is 70%?
	The chance of the side effects is 90%?
	The chance of the side effects is 100%?

c. Time trade off question

Y	1% of one week
Y	10% of one week
Y	30% of one week
Y	50% of one week
Y	60% of one week
Y	70% of one week
Y	90% of one week
Y	100% of one week