I would have loved to fill the survey as well but you are requiring us to give both email, our username (sure that is understandable but still better without) and our COUNTRY?? I would love to fill it if you remove the first three ones, if you really remove the first three I would basically be able to fill the rest of them if you want to.

However with the situation here right now, I either fill it with fake stuff with fake mail and fake username (maybe I will use the real one I don't know) and fake country, which wouldn't really help you if I lie to you so there is no reason to do that if its not going to help you, even hurt you with fake info, or basically not fill it at all. Remove at least the mail and country (and username if you could but that is not a must) then I would basically fill it.