1. Name :
2. Sex :
Male
Female
3. Country of residency :
------------------- Select your country -------------------
Afghanistan
Albania
Algeria
Andorra
Andorra (Peseta)
Angola
Argentina
Aruba
Australia
Austria
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Bermuda
Bhutan
Bolivia
Botswana
Brazil
Brunei
Bulgaria
Burundi
Cambodia
Canada
Cape
Verde
Cayman
Islands
CFA Franc
BCEAO
CFA Franc
BEAC
Chile
China, Peop. Rep of
Colombia
Comoros
Costa
Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominican Republic
East Caribbean
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Euroland
Falkland Islands
Fiji
Finland
France
Gambia
Germany
Ghana
Gibraltar
Greece
Guatemala
Guinea
Guyana
Haiti
Honduras
Hong
Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland, Rep of
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea,
North
Korea, South
Kuwait
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Malta
Mauritania
Mauritius
Mexico
Mongolia
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nepal
Netherlands
Netherlands Ant.
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Samoa
Sao Tome and Principe
Saudi Arabia
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South
Africa
Spain
Sri Lanka
St. Helena
Sudan
Sudan
(Pound)
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Taiwan (NTD)
Tanzania
Thailand
Tonga
Trinidad and Tobago
Tunisia
Turkey
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA
Vanuatu
Venezuela
Vietnam
Yugoslavia
Zambia
Zimbabwe
-not
listed-
4. Occupation :
5. Age :
6. E-mail :
7. Average income a year:
8. How often have you visited Thailand?
More than or one a year
Once every two-three year
Never
9. Do you plan to move / retired?
Yes
No
10. If you decide to move to Thailand, you will...
Buy a house
Buy a condominium
Rent a house
Rent a condominium
11. If you will have a house in Thailand, what style of house would you like?
Thai style
European style
Other
12. How many storeys would you prefer?
One storey
Two storeys
13. What size of house would you like?
100 - 150 Sq.m. (1,111 1,667 Sq.ft)
150 - 200 Sq.m. (1,667 2,222 Sq.ft)
200 - 250 Sq.m. (2,222 2,778 Sq.ft)
> 250 Sq.m. ( > 2,778 Sq.ft)
14. What size of land would you like?
300 - 400 Sq.m. (3,333 - 4,444 Sq.ft)
400 - 500 Sq.m. (4,444 5,556 Sq.ft)
500 - 600 Sq.m. (5,556 6,667 Sq.ft)
> 600 Sq.m. ( > 6,667 Sq.ft)
15. What location in Chiang Mai, would you like to live?
Near the city
Near amenities, but not necessary to be close to the city
Secluded
Other
16. What are the two must important facilities would you like to have on your property?