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Date of Birth -- Date -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / -- Month --- January February March April May June July August September October November December / -- Year --- 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 *

1. Where are you located? Bangkok Other, please mention

2. How old are you? -- Select --- 14-18 years old 19-25 years old 26-30 years old 31-40 years old Above 41 years Above 51 years

3. What is your education? -- Select --- Less than elementary school Elementary school Secondary school High school Diploma Bachelor Master or higher

4. What is your monthly salary or income? -- Select --- No income because currently studying No income because looking for a job / I'm not working at the moment Less than $500 $501 - $1,000 $1,001 - $1,500 More than $1,500

5. You are... -- Select --- Gay Bisexual Transgender Male Female Lesbain