In Japanese and Italian, the response to ["How are you?"] is "I'm fine, and you?" In German it's answered with a sigh and a slight pause, followed by "Not so good.
David Sedaris (2013). “Let's Explore Diabetes With Owls”, p.42, Hachette UK
![In Japanese and Italian, the response to [How are you?] is I'm fine, and you? In German it's answered with a sigh and a slight pause, followed by Not so good.](http://cdn.quoteddaily.com/images/david-sedaris/in-japanese-and-italian-the-response-to-how-are-you-is-im-fine-and-you-in-german-its-answered-with.jpg)