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Traveler Report (Servas Taiwan)
這項問卷是為瞭解Traveler出國接受Host/Day Host的情況，以提升Servas的服務品質，並不會公開您所提供的資訊，請安心填寫。這份問卷將詢問您3位Host和3位Day Host的接待情形，如您的安排少於3位Host和3位Day Host，請跳過不填，如您的安排超過3位Host和3位Day Host，在提交後請填寫第2次。謝謝您協助我們讓Servas Taiwan有機會成為一個更棒的組織！

This is confidential document and it's only for knowing host/day host situation during your Servas journey and for offering better Servas service.  It won't be announced or published.  Please fill in after every Servas journey. You will be asked the quality of 3 host families and 3 day hosts. If you didn't arrange so many hosts/day hosts, please skip it. If you arrange over 3 hosts and 3 day hosts, please fill in second time after you submit this one. Thanks for helping us to make Servas even better.    
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您的中文姓名Your Name *
這是您第一次的Servas旅行嗎? Is this your first time to be the Servas traveler? *
您居住在哪個城市? Which city do you live? *
您家的五碼郵遞區號（5-number postal code of host family) *
您這次Servas旅行的日期（ex. 2016/01/01-2016/01/31)Your Servas journey date (ex. 2016/01/01-2016/01/31) *
這趟旅行除了您自己之外，有幾位旅伴與您同行？In addition to you, how many companies to travel with you? *
如果有旅伴與您同行，請問您和旅伴的闗係是? What kind of relationship is it if you have travel companies?
Host 1所在的城市/國家? (例如: 東京/日本) The city/country of Host 1? (ex: Tokyo/Japan) *
Host 1名字? Name of Host 1 *
在Host 1家裡您住了幾晚? How many nights do you stay with Host 1? *
在Host 1家中，您覺得自己表現得如何? (5分表示太棒了) Give points for yourself at Host family 1  (point 5 is excellent) *
您覺得 host 1接待得如何? (5分表示太棒了) Give points for host 1 (point 5 is excellent) *
Host 2所在的城市/國家? (例如: 東京/日本) The city/country of Host 2? (ex: Tokyo/Japan)
Host 2名字? Name of Host 2 *
在Host 2家裡您住了幾晚? How many nights do you stay with Host 2?
在Host 2家中，您覺得自己表現得如何? (5分表示太棒了) Give points for yourself at Host family 2  (point 5 is excellent)
您覺得 host 2接待得如何? (5分表示太棒了) Give points for host 2 (point 5 is excellent)
Host 3所在的城市/國家? (例如: 東京/日本) The city/country of Host 3? (ex: Tokyo/Japan)
Host 3名字? Name of Host 3
在Host 3家裡您住了幾晚? How many nights do you stay with Host 3?
在Host 3家中，您覺得自己表現得如何? (5分表示太棒了) Give points for yourself at Host family 3  (point 5 is excellent)
您覺得 host 3接待得如何? (5分表示太棒了) Give points for host 3 (point 5 is excellent)
Day Host 1所在的城市/國家? (例如: 東京/日本) The city/country of Day Host 1? (ex: Tokyo/Japan)
Day Host 1名字? Name of Day Host 1
Day Host 1邀您一起做些什麼事? What did you do with Day Host 1?
與Day Host 1在一起時，您覺得自己表現得如何? (5分表示太棒了) Give points for yourself when you get together with Day Host 1  (point 5 is excellent)
您覺得 Day Host 1接待得如何? (5分表示太棒了) Give points for Day Host 1 (point 5 is excellent)
Day Host 2所在的城市/國家? (例如: 東京/日本) The city/country of Day Host 2? (ex: Tokyo/Japan)
Day Host 2名字? Name of Day Host 2
Day Host 2邀您一起做些什麼事? What did you do with Day Host 2?
與Day Host 2在一起時，您覺得自己表現得如何? (5分表示太棒了) Give points for yourself when you get together with Day Host 2  (point 5 is excellent)
您覺得 Day Host 2接待得如何? (5分表示太棒了) Give points for Day Host 2 (point 5 is excellent)
Day Host 3所在的城市/國家? (例如: 東京/日本) The city/country of Day Host 3? (ex: Tokyo/Japan)
Day Host 3名字? Name of Day Host 3
Day Host 3邀您一起做些什麼事? What did you do with Day Host 3?
與Day Host 3在一起時，您覺得自己表現得如何? (5分表示太棒了) Give points for yourself when you get together with Day Host 3  (point 5 is excellent)
您覺得 Day Host 3接待得如何? (5分表示太棒了) Give points for Day Host 3 (point 5 is excellent)
對於這次Servas旅行的評語與建議。Your comments and suggestions about the Servas Journey. *
您願意下次旅行再Servas一次嗎? Are you willing to travel with Servas again? *
Required
請按以下藍色按鍵提交，如有第二次Servas旅行紀錄，提交後可再填第二次。Please press the blue button below to submit. You can fill in the second time if you have another Servas journey record.
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