Writing email/letters in English
Not at all So-so Good Excellent
Living and working in Japan
With whom do you live together in Japan now?
Friends Family Relative Alone Others
With how many people do you live/sleep together in one bed room?
I have my own bedroom I share room with people
How many hours per week are you engaged in paid work?
hrs.
How much do you earn per month regular in Japan?
<100,000 100,001- 200,000 Above 200,001 No regular income
How many hours per day you usually sleep?
More than 8 hours 7-8 hours 6-7 hours Less than 6 hours
Alcohol use and self-rated health status
During the last 30 days how often did you consume beverages containing alcohol?
Everyday 2-3 times a week At least once a week Less than once a week Never
How do you rate your current general health status?
Excellent Very good Good Fair Poor
Information on Health Insurance
Do you have your Japanese health insurance card (Hokensho)?
Yes No
Do you pay the premium of the health insurance regularly?
Yes No
Do you think health insurance is beneficial to you?
Yes No
Do you think the cost of health insurance is expensive for you?
Yes No
Health service access in Japan
Which is the first place you go if you became ill?
Clinic Hospital Local pharmacy Public health center (Hokenjo) Home treatment Others
Currently, do you think you have proper access to a doctor/health worker in Japan?
Yes No
Have you ever been to Hospital/Clinic/Doctor/Health workers during your stay in Japan?
Yes No
Have you been ill/had health problems in past 12 months?
Yes times No
Have you visited a doctor/health worker for medical consultation in past 12 months?
Yes times No
In the past year, did you need to see a doctor/health worker for a general illness/condition, but you did not?
Yes No
How difficult is to manage your time to visit the health facility in Japan, if you became ill?
Extremely difficult Very difficult Difficult Fairly easy Easy Very easy
Do you need a Japanese language interpreter when visiting a clinic/hospital?
Yes No
Who helps you communicate with your doctor?
I can communicate myself A professional interpreter A staff at your doctor’s office Family member A friend I do my best to understand. I have never visited doctor/health worker in Japan
From where you usually get the health-related information in Japan?
Friends Teachers Family/relatives Health facility (e.g., public health center, hospital) Internet resources Newspaper No source available Others
Knowledge about HIV
What is your impression of AIDS? Please choose all that apply.
Deadly disease The cause is unknown and there is no cure It is a disease that affects only certain people The patients must take a lot of medicine every day Must give up normal social activities such as work and study None of the above and I don't think it is an incurable special disease Others I don’t know
What do you think are the causes of HIV transmission from an HIV-infected person to an uninfected person? Please choose all that apply.
Handshake Light kissing Unprotected sex Sharing razors Sharing toothbrushes Taking a bath together Sharing a bathroom Sharing bottled beverages around Sharing syringes around Mosquito bites Breastfeeding Others I don’t know
HIV and AIDS treatment methods are advancing rapidly, but do you know the latest information about HIV and AIDS? Please list as many of these as you know.
A treatment drug requires only one pill to be taken once a day. The medication has few side effects and allows for a normal social life. With proper treatment, a person infected with HIV can live about the same life span as a non-infected person. With proper treatment, the risk of transmitting HIV to others can be reduced. Although treatment methods are improving, it is not possible to cure the disease completely, and people must continue to take medication. I don't know any of the above. Others I don’t know
Perceived risk of HIV
Which of the following applies to you?
gay lesbian bi-sexual (attracted to both male and female) heterosexual (attracted to opposite sex) do not know do not want to decide Others
In the past 6 months, did you use any of the following social networking or posting sites to find a girlfriend, boyfriend, friend, or someone to have sex with? (Multiple answers allowed)
Twitter Instagram 9monters Milyo Tinder BlueD Jack’d Bumble Locanto Grindr Others I do not use SNS nor posting sites
Have you had sex in the past 6 months?
with a man with a woman with both man and a woman I did not have sex in the past 6 month
Which of the following partners have you had sex in the past 6 months?
Spouse Boyfriend, girlfriend, or lover friend or sex friend ad hoc partner Others
In the past 6 months, have you had sex with someone you met through the Internet, a social networking site, or an app?
Yes No
Have you had sex in a gay cruising spot in the past 6 months?
Yes No
Have you had sex with more than one person (3 or more) at the same time in the past 6 months?
Yes No
In the past 6 months, have you paid a partner for sex?
Yes No
In the past 6 months, have you had sex that was paid for by your partner?
Yes No
Have you used drugs (RUSH, 5-MeO-DIPT, MDMA, marijuana, methamphetamine, or quasi-legal drugs) when having sex in the past 6 months?
Yes No
When you had sex in the past 6 months, how often did you or your partner use a condom?
Always used Often used Used 50/50 Often did not use Did not use at all
Do you think you are at risk of HIV?
Yes No I don’t know
Do you know about pre-sex medication to prevent HIV infection (PrEP)?
Very familiar with it Don't know specifically but have heard of it Don’t know at all
HIV testing attitudes
Getting tested for HIV helps people feel better
Agree Somewhat agree Somewhat disagree Disagree
Getting tested for HIV helps prevent people from getting HIV
Agree Somewhat agree Somewhat disagree Disagree
People in my life would leave me if I had HIV
Agree Somewhat agree Somewhat disagree Disagree
People who test HIV positive should hide it from others
Agree Somewhat agree Somewhat disagree Disagree
I would rather not know if I have HIV
Agree Somewhat agree Somewhat disagree Disagree
AIDS stigma
People who have AIDS are dirty
Agree Somewhat agree Somewhat disagree Disagree
People who have AIDS are cursed
Agree Somewhat agree Somewhat disagree Disagree
People who have AIDS are like everyone else
Agree Somewhat agree Somewhat disagree Disagree
People who have AIDS cannot be trusted
Agree Somewhat agree Somewhat disagree Disagree
People who have AIDS should be ashamed
Agree Somewhat agree Somewhat disagree Disagree
People who have AIDS have nothing to feel guilty about
Agree Somewhat agree Somewhat disagree Disagree
Most people become HIV positive by being weak or foolish
Agree Somewhat agree Somewhat disagree Disagree
It is safe for people who have AIDS to work with children
Agree Somewhat agree Somewhat disagree Disagree
People who have AIDS must expect restrictions on their freedom
Agree Somewhat agree Somewhat disagree Disagree
A person with AIDS must have done something wrong and deserves to be punished
Agree Somewhat agree Somewhat disagree Disagree
People who have HIV should be isolated
Agree Somewhat agree Somewhat disagree Disagree
I do not want to be friends with someone who has AIDS
Agree Somewhat agree Somewhat disagree Disagree
People who have AIDS should not be allowed to work
Agree Somewhat agree Somewhat disagree Disagree
If you are found to be HIV-positive, you will not be legally allowed to stay in Japan.
True False I do not know
For Foreigner / About HIV testing services
Do you think there is proper access to HIV testing service in Japan?
Yes No I do not know
Do you know where to go for HIV testing in Japan?
Yes No
I don’t want to know the result, but have you ever had an HIV test in Nepal?
Yes No
I don’t want to know the result, but have you ever had an HIV test in Japan?
Yes No
Did you know about free and anonymous HIV testing service in Japan?
Yes No
Are you interested in taking HIV test in Japan in future?
Yes No
Would you allow us to send the information about our future HIV testing events to you?
Yes No