Right, I think we need a bit more explanation from the OP about for who or why he is asking for this survey. I've deleted the link from it, since it seems to be on a somewhat sensitive subject. Once he's explained the basis for the survey, so we are fully informed as to what the data is being used for, then we can reinstate the link.
Regards,
Jenbel
Co-moderator, Communitybuzz!