Demographic Data [B]

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1.  How old were you at the time you gave birth?

今回のご出産の頃、あなたは何歳でしたか？

What is your year of birth? Please enter as a four-digit number, e.g., 1963.

4.  Did you move back to your mother’s (town) to give birth?

里帰り出産でしたか？

Yes ⇒ How many months did you stay there?

里帰りした場合、期間

No ⇒ Why?

里帰りしなかった理由

5.  Is your baby male or female?

赤ちゃんは男の子ですか、女の子ですか？

Is your baby male or female?

6.  How much did your baby weigh at birth? If you are not sure, your best estimate will do.

生まれたときのあなたの赤ちゃんの体重は何グラムでしたか？

How much did your baby weigh at birth? If you are not sure, your best estimate will do.

7.  At the time you gave birth, what was your marital status?

出産の頃、あなたは結婚していましたか？

At the time you gave birth, were you…?

8.  What is the highest level of education you have completed or the highest degree you have received? If you are a student, please answer what level you have completed so far.

あなたの最終学歴を教えてください。現在学生の方は、修了しているものを教えてください。

What is the highest level of education you have completed or the highest degree you have received?

9.  Please answer if you would not mind. Which of the following income categories best describes your total household income last year before taxes?

さしつかえなければ、あなたの世帯の去年の年収（税引き前の全収入）について、一番あてはまるものを選んでください。

Which of the following income categories best describes your total 2005 household income before taxes?

10. Who lives in your household? 

あなたと今回生まれた赤ちゃんの他に、同居している方はいますか？

with your parent

ご自分の親との同居

with your parent-in-law

ご主人・パートナーの親との同居

11.  How old is your husband/partner?

あなたのご主人・パートナーの年齢はおいくつですか？

12.  If you are married, how many years had you been married at the time that you gave birth?

既婚者の方のみお答えください。出産の時点で、ご結婚されて何年たっていましたか？

13.  Overall, how would you rate your husband/partner's current health overall?

現在のご主人・パートナーの健康状態は全体的にいかがですか？

14.  All together, how many children would you like to have? If you are not sure, please give your best answer.

全部で何人の子どもがほしいですか？もしわからない場合、今思っている限りの答えで結構です。