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    Your First Name:
 
    Your email address:
 
1.  When did you last visit Wales?

  Month:
 
  Year:  (yyyy)
 
2.  Where in Wales did you go?  (Feel free to check more than one)
 North Wales
 Mid Wales
 South West Wales
 South East Wales
 
3.  What accommodation did you stay in?  
(If you were only in Wales for the day, leave blank)
 
4a.  How many short breaks do you take a year?
 
4b.  Will you be visiting Wales in the next 12 months?
 
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