Air Quality and Health Survey for International Community Members in Chiang Mai
The purpose of this survey is to gather feedback from the international community in order to improve the health environment in Chiang Mai. The results of this survey will be shared with International Consulates in Chiang Mai, Honorary Consuls, and the Provincial Chiang Mai government and contribute towards local policy and planning to improve air quality. This survey will not collect any of your personally identifiable information and your identity will remain anonymous. This survey is voluntary and it should take less than ten minutes to complete.  This survey form will be distributed in several languages and through several channels; please fill it in just once.  
* Required

清迈国际社区成员的空气质量和健康调查

        这项调查的目的是收集国际社会的反馈意见，以改善清迈的卫生环境。 该调查的结果将与清迈国际领事馆，名誉领事和清迈省政府共享，并为改善空气质量的地方政策和计划做出贡献。 此调查不会收集您的任何个人身份信息，您的身份将保持匿名。 这项调查是自愿的，只需不到十分钟即可完成。该调查表将以多种语言和通过多种渠道分发， 请仅填写一次。
谢谢您的合作！

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1. What is your nationality? 你的国籍? (You may choose more than one if that is the case) *
Required
2. What is your age? 你的年龄? *
3. Who do you live with? 你和谁一起居住？ *
4. What is the purpose of your stay in Chiang Mai? 你在清迈停留的目的是什么？ *
5. Which of the following options best describes the length of time you have lived in Chiang Mai or northern Thailand already? 以下哪个选项最能说明您已经在清迈或泰国北部居住的时间？ *
6. Which option or options best describe why you originally moved to Chiang Mai? (You may choose more than one reason) 哪个选项最能说明您最初移居清迈的原因？ *
Required
7. Which of the following options best describes the length of time you plan to continue living in Chiang Mai or northern Thailand? 以下哪个选项最能说明你打算继续在清迈或泰国北部生活的时间 *
8. If you plan to leave within the next year, which of the following options best describe why you are planning to leave Chiang Mai or northern Thailand? (You may choose more than one reason)  如果你打算在明年离开，那么以下哪个选项最能说明你打算离开清迈或泰国北部的原因？ （你可以选择多个原因） *
Required
9. If you plan to leave Chiang Mai within the next year, where are you planning to leave to?  如果您打算在明年内离开清迈，您打算去哪里 *
10. How has the COVID-19 pandemic changed your desire to live in Chiang Mai?  COVID-19流行疾病对你生活在清迈的意愿有何改变 *
11. How has air pollution changed your desire to live in Chiang Mai?  空气污染对你生活在清迈的意愿有何改变 *
12. Do you have any other information you would like to share about your experience as a member of the international community in Chiang Mai?  作为清迈国际群体成员之一你还有其他想分享的有关你的经历或者信息吗?
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