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Abstract The decisions we face in life are often hierarchically structured, ranging from mundane problems to expensive, life-altering processes. This chapter discusses a particular class of hierarchical decisions. A big decision is one that sets a personal policy, which will in turn simplify a host of future little decisions. Examples of big decisions include becoming/not becoming a college student, committing/not committing to a personal relationship, and most important for this discussion, deciding on a course of health-related behaviors such as joining/not joining a fitness program, starting/not starting a diet, or becoming a smoker or remaining a nonsmoker. It is argued that for both big and little decisions, the decision maker (DM) employs a multiattribute utility (MAU) model to evaluate the expected utility of each possible option, and chooses the option offering the highest.
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