Question D-1About daily life
D-1-1.Please enter the appropriate number.(About your living-room/dining-room.)
Never
Seldom
Sometimes
Often
(1) In summer, close the room and do not turn on the air conditioner or fan.
(2) I feel hot due to the air conditioning not working.(In summer)
(3) I feel cold due to the heating not working.(In winter)
(4) Sounds and vibrations from inside or outside bother me even when I close the windows and doors.
(5) The smell is stale.
(6) The floor slips.
D-1-2.Please enter the appropriate number.(About your bed-room.)
Never
Seldom
Sometimes
Often
(7) It is too hot to sleep in summer.
(8) I can't sleep in summer or during the rainy season because the room is damp.
(9) I close the room and sleep without turning on the air conditioner or fan in summer.
(10) It is too cold to sleep in winter.
(11) When I wake up in winter, my nose and throat gets dry.
(12) Even if you close the windows and doors, you can't sleep because of the noise and vibration inside and outside the room.
(13) I can't sleep at night because the area around my home is too bright.
D-1-3.Please enter the appropriate number.(About your kitchen.)
Never
Seldom
Sometimes
Often
(14) Moisture and odor build up during cooking
(15) Is there mold around the cooktop?
(16) Tap water has an unpleasant taste or smell.
(17) Forced posture due to narrowness, height, etc.
(18) I feel risk getting burns myself.
D-1-4.Please enter the appropriate number.(About your bathroom/dressing room/washroom.)
Never
Seldom
Sometimes
Often
(19) I feel cold in the changing room in winter.
(20) I feel cold in the bathroom in winter.
Not available
Partially available
Hardly Not available
Many available
(21) Is there any mold?
Never
Seldom
Sometimes
Often
(22) There is an smell unpleasant odor.
(23) I feel the danger of falling on the steps.
(24) I Slip on the bathroom floor.
(25) I lose balance when getting in and out of the bathtub.
D-1-5.Please enter the appropriate number.(About your toilet.)
Never
Seldom
Sometimes
Often
(26) I feel cold in winter.
(27) I feel unpleasant smells accumulate.
(28) Forced posture due to narrowness, height, etc.
D-1-6.Please enter the appropriate number.(About your entrance.)
Never
Seldom
Sometimes
Often
(29) I feel the danger of falling on the steps.
(30) I lose my balance when I put on my shoes.
(31) I feel my feet are dark even when the lights are on.
D-1-7.Please enter the appropriate number.(About your hallway/staies(inside)/storage.)
Never
Seldom
Sometimes
Often
(32) I feel cold when I leave my room in winter.
(33) I trip over the steps when entering or leaving a room.
(34) I feel my feet are dark when moving, even with the lights are.
(35) The floor slips when moving.
(36) I feel the stairs are too steep and dangerous.
(37) I smell mold or chemicals in storage.
(38) There are insects inside the house.
D-1-8.Please enter the appropriate number.(About around your home.)
Never
Seldom
Sometimes
Often
(39) I slip around the house.
(40) I feel danger when opening or closing gates, shutters, etc.
(41) I feel uneasy about crime prevention.
(42) I am concerned about people lwatching at me from the outside when I am inside my house.
(43) I slip on the floor of the veranda or terrace.
D-1-9.Please tell us what you have noticed in your daily life regarding the response to nursing.
(44) The entrances and corridors are wide enough for the use of wheelchairs to use smoothly.
(45) Steps are equipped with slopes so that wheelchairs can be used smoothly.
(46) Floor plans that allow people to live without using stairs.
(47) Toilets are spacious enough for caregivers to help.
(48) Bathrooms are spacious enough for caregivers to help.
(49) There are plenty of electrical outlets for nursing care equipment.
D-2.This question is about when you take a bath and when you sleep/wake up. Please answer the following questions in the appropriate sections.
(1) Sometimes I shiver from the cold in the changing room or bathroom.
(2) It is too cold in the changing room and bathroom to take a bath.
(3) The bathroom is so cold that it is tough to wash your head and body.
(4) The changing room is so cold and I feel cold even after taking a bath.
(5) The thermal environment of my current home is comfortable when I sleep.
(6) I wake up during the night to use the toilet becaouse my room is cold.
(7) It is difficult to get out of bed because of the room is cold.
D-3.This question is about actions to take to relieve the cold. Please answer the relevant part of the following items.
(1) I warm up the living room with a heater as soon as you wake up.
(2) I warm up the room with a heater before going to bed.
D-4.This question is about satisfaction with the thermal environment.
D-4-1.This question is about your overall satisfaction with your residence. Please answer the following questions in the appropriate sections.
(1) Overall satisfaction with housing.
Very dissatisfied
Very satisfied
(2) Satisfaction with the thermal environment of the house Degree of satisfaction with
Very dissatisfied
Very satisfied
In summer
In winter
Through the year
D-4-1-1.Please answer only if you answered "very satisfied" or "somewhat satisfied" with the thermal environment in summer above(2-1).
(1) Please check all items that apply as reasons.
D-4-1-2.Please answer only if you answered "very dissatisfied" or "somewhat dissatisfied" with the thermal environment in summer above(2-1).
(1) Please check all items that apply as reasons.
D-4-1-3.Please answer only if you answered "very satisfied" or "somewhat satisfied" with the thermal environment in summer above(2-2).
(1) Please check all items that apply as reasons.
D-4-1-4.Please answer only if you answered "very dissatisfied" or "somewhat dissatisfied" with the thermal environment in summer above(2-2).
(1) Please check all items that apply as reasons.
D-5.Please indicate your level of satisfaction with the thermal environment (warmth and coolness) in each room.
In summer
Very dissatisfied
Very satisfied
(1) Entrance
(2) Living-room and dining-room
(3) Kitchen
(4) Bedroom
(5) Washroom and changing room
(6) Toilet
(7) Bathroom
In winter
Very dissatisfied
Very satisfied
(1) Entrance
(2) Living-room and dining-room
(3) Kitchen
(4) Bedroom
(5) Washroom and changing room
(6) Toilet
(7) Bathroom