Xuutorealestate Home Away Provider Questionnaire

(To let us know you and how you enjoy life a bit more to make your stay happier)

Name
*Must fill information
Citizen of
*Must fill information
  • - Select a country -
  • Afghanistan
  • Albania
  • Algeria
  • Andorra
  • Angola
  • Antigua and Barbuda
  • Argentina
  • Armenia
  • Australia
  • Austria
  • Azerbaijan
  • Bahamas
  • Bahrain
  • Bangladesh
  • Barbados
  • Belarus
  • Belgium
  • Belize
  • Benin
  • Bhutan
  • Bolivia (Plurinational State of)
  • Bosnia and Herzegovina
  • Botswana
  • Brazil
  • Brunei Darussalam
  • Bulgaria
  • Burkina Faso
  • Burundi
  • Cabo Verde
  • Cambodia
  • Cameroon
  • Canada
  • Central African Republic
  • Chad
  • Chile
  • China
  • Colombia
  • Comoros
  • Congo
  • Cook Islands
  • Costa Rica
  • Croatia
  • Cuba
  • Cyprus
  • Czechia
  • Côte d\\\\\\\\\\\\\\\'Ivoire
  • Democratic People\\\\\\\\\\\\\\\'s Republic of Korea
  • Democratic Republic of the Congo
  • Denmark
  • Djibouti
  • Dominica
  • Dominican Republic
  • Ecuador
  • Egypt
  • El Salvador
  • Equatorial Guinea
  • Eritrea
  • Estonia
  • Eswatini
  • Ethiopia
  • Faroe Islands
  • Fiji
  • Finland
  • France
  • Gabon
  • Gambia
  • Georgia
  • Germany
  • Ghana
  • Greece
  • Grenada
  • Guatemala
  • Guinea
  • Guinea-Bissau
  • Guyana
  • Haiti
  • Honduras
  • Hungary
  • Iceland
  • India
  • Indonesia
  • Iran (Islamic Republic of)
  • Iraq
  • Ireland
  • Israel
  • Italy
  • Jamaica
  • Japan
  • Jordan
  • Kazakhstan
  • Kenya
  • Kiribati
  • Kuwait
  • Kyrgyzstan
  • Lao People\\\\\\\\\\\\\\\'s Democratic Republic
  • Latvia
  • Lebanon
  • Lesotho
  • Liberia
  • Libya
  • Lithuania
  • Luxembourg
  • Madagascar
  • Malawi
  • Malaysia
  • Maldives
  • Mali
  • Malta
  • Marshall Islands
  • Mauritania
  • Mauritius
  • Mexico
  • Micronesia (Federated States of)
  • Monaco
  • Mongolia
  • Montenegro
  • Morocco
  • Mozambique
  • Myanmar
  • Namibia
  • Nauru
  • Nepal
  • Netherlands
  • New Zealand
  • Nicaragua
  • Niger
  • Nigeria
  • Niue
  • North Macedonia
  • Norway
  • Oman
  • Pakistan
  • Palau
  • Panama
  • Papua New Guinea
  • Paraguay
  • Peru
  • Philippines
  • Poland
  • Portugal
  • Qatar
  • Republic of Korea
  • Republic of Moldova
  • Romania
  • Russian Federation
  • Rwanda
  • Saint Kitts and Nevis
  • Saint Lucia
  • Saint Vincent and the Grenadines
  • Samoa
  • San Marino
  • Sao Tome and Principe
  • Saudi Arabia
  • Senegal
  • Serbia
  • Seychelles
  • Sierra Leone
  • Singapore
  • Slovakia
  • Slovenia
  • Solomon Islands
  • Somalia
  • South Africa
  • South Sudan
  • Spain
  • Sri Lanka
  • Sudan
  • Suriname
  • Sweden
  • Switzerland
  • Syrian Arab Republic
  • Tajikistan
  • Thailand
  • Timor-Leste
  • Togo
  • Tokelau
  • Tonga
  • Trinidad and Tobago
  • Tunisia
  • Turkey
  • Turkmenistan
  • Tuvalu
  • Uganda
  • Ukraine
  • United Arab Emirates
  • United Kingdom of Great Britain and Northern Ireland
  • United Republic of Tanzania
  • United States of America
  • Uruguay
  • Uzbekistan
  • Vanuatu
  • Venezuela (Bolivarian Republic of)
  • Viet Nam
  • Yemen
  • Zambia
  • Zimbabwe
Age
*Must fill information
Passport Info: No
*Must fill information
Upload your passport...
*Must fill information
*Must fill information
Choose file..
Expiry Date
*Must fill information
1. What influence your state of ‘Happiness’
(Examples: Party time with spouse/ friends/ kids, Listen to music )
Field is required!
2. In your normal days, when is your wakeup time
Field is required!
Having Breakfast
Field is required!
Enjoy happy hours before or during dinner?
Field is required!
3. Sports activities you enjoy
Field is required!
Activities you’d rather pass
Field is required!
4.Please rank activities you are interested in (most interested from 1-5/ 1 is most interesting)
Cooking food
  • - select a rank -
  • 1
  • 2
  • 3
  • 4
  • 5
Field is required!
Museum Travel
  • - select a rank -
  • 1
  • 2
  • 3
  • 4
  • 5
Field is required!
Nature Experience
  • - select a rank -
  • 1
  • 2
  • 3
  • 4
  • 5
Field is required!
Hand Crafting / Arts/ Sing
  • - select a rank -
  • 1
  • 2
  • 3
  • 4
  • 5
Field is required!
Yoga /Muscle Training/Weight Loss
  • - select a rank -
  • 1
  • 2
  • 3
  • 4
  • 5
Field is required!
Gardening
  • - select a rank -
  • 1
  • 2
  • 3
  • 4
  • 5
Field is required!
Appearance or Health improvement with Medical Establishments
  • - select a rank -
  • 1
  • 2
  • 3
  • 4
  • 5
Field is required!
Learn New Techs
  • - select a rank -
  • 1
  • 2
  • 3
  • 4
  • 5
Field is required!
5. How many people will come with you on this trip
Field is required!
6. How many days do you plan to stay? (dd/mm/yyyy)
From
Field is required!
To
Field is required!
Next Destination
Field is required!
7. What are the weight factors to make you stay longer in any country?
Field is required!
8. How do you know of Thailand/ Asia and this service we provide?
Field is required!
9. Your contact email
*Must fill information
10. Consent
*Must fill information
You have read our Privacy Policy and has consent to provide us the above information before clicking submitting button?
Field is required!
Submit

After filling in the questionnaire, you can check timeline and short details of tour activities in the ‘Tour’ page which recommends best timing, ‘In season’ travel to get the most out of your visit. Then, send the filled questionnaire, your timeline to our
email : xu50plus1@gmail.com

Whatsapp or Tels: +66 89 454 8836 / +66 63 1877755

We will revert back with details and quotation within 3 days depending on seasonality of the location. We look forward to providing quality service to our clients whom we’d like to refer to as friends.