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. 2020 May 6;8(2):126. doi: 10.3390/healthcare8020126

Table A1.

Simplified questionnaire list.

Serial Number Question
1 How old are you?
2 What is your gender?
3 Are you living with your children now?
4 Are you currently married or unmarried?
5 What is your educational background?
6 Will your family member take care of you if you need long-term care?
7 Do you feel there is an economic burden on your family when you need long-term care?
8 Do you have any extra money at the end of each month for discretionary income?
9 Do you currently have some welfare such as government benefits to pay your long-term care cost?
10 Do you think you can afford to pay for commercial long-term care insurance?
11 What is your evaluation of your opportunities to the LTC need (including home care and formal care such as institutional care) in the future?
12 Will you need help to live due to health problems sometime in the future?