Form to fill in

Thank you for taking time to fill out this form.

[* you have to answer when there is an asterisk]

First Name *

Last Name *

Email Address *

Age

Address *

Country *

Postcode / ZIP *

Where did you hear about this site ? *

When did you last visit Scotland ?

Month *

Year *

When are you planning to take your next Scottish break ?

Month *

Year *

Please choose the statement which most applies to you:

I often take short breaks or holidays in Scotland. I think I will go to Scotland again in less than a month

I took a short break in Scotland last year and I may go to Scotland again this year or next year

I don't think that I will take a short break or holiday in Scotland in the future

Are you interested in any of the following activities?

Adventure sport

Archaeology

Basketball

Cruising

Culture

Cycling

Events

Family attractions

Football

Flying

Fishing

Food and Drink

Genealogy

Golf

Hiking

Historic sites

Island-hopping

Mountain biking

Off-road driving

Sailing

Shopping

Snowsports

Swimming

Touring

Trekking and riding

Visiting gardens

Walking

Watersports

Wildlife-watching

Windsurfing

Choose your favorite activity in the list above. Write it here.

Or, I don't have a favorite activity.

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Adapted from a real form taken from the website SeaScotland at

http://sea.visitscotland.com/sitewide/registration/freebrochure