Required fields are marked with an *
*	Title	--Please Select-- Dr Miss Mr Mrs Ms
*	First name
*	Surname
*	Address
*	Town/City
	County
*	Postcode
*	Country	--Please Select-- Ireland United Kingdom
*  What is the source code ?
*  Select method of enquiry	Internet (INTERN)
*	Email
	Year of birth (just add year YYYY)

  Please tick the statement which most applies to you:

	I often take short breaks in Scotland and intend to do so again within the next six months
	I sometimes take short breaks or holidays in Scotland and intend to do so again in the next couple of years
	I have taken a short break or holiday in Scotland once or twice before and might do so again
	I have never been on a short break or holiday in Scotland but would like to
	I am not likely to take a short break or holiday in Scotland in the future

  Please indicate whether you agree or disagree that 'A holiday in the UK can be every bit as good as one abroad':

	Strongly agree
	Agree
	Disagree
	Strongly disagree

  Are you interested in any of the following activities?

Adventure Sports Ancestral Tourism Car Touring City Breaks Cruising Culture Cycling Events & Festivals Family Attractions Field Sports Fishing

Food & Drink Golf Hill Walking Historic Sites Mountain Biking Sailing Visiting Gardens Walking Wildlife Watching Winter sports

  Which of these activities, if any, would be your main reason for choosing Scotland as a holiday destination ?

-- Please Select --Adventure Sports Ancestral Tourism Car Touring City Breaks Cruising Culture Cycling Events Family Attractions Field Sports Fishing Food & Drink Golf Hiking/Hill Walking Historic Sites Mountain Biking Sailing Visiting Gardens Walking Wildlife Watching Snowsports/Winter Sports

 * We'd like to keep you informed of special offers from VisitScotland/VisitScotland.com. Would you like to receive these?

	By post
	By email
	By both post and email
	No

 * From time to time we may permit other tourism organisations to email you about their products or services would you like to receive these?

	By post
	By email
	By both post and email
	No