It is MUCH BETTER to give your name and your PERMANENT E-MAIL in the Part 5.
Permanent e-mail= not in Japan. Something like James_Bond(the usual sign)yahoo.com. You can create one easily at www.yahoo.com or www.laposte.net (french).
You MUST FILL the Parts 2-3-4-5 EVEN if you have already filled the survey!!!
If you do not have filled the survey, please do it now (and do not fill this form)
You must push the button "SUBMIT" (end of the form) to submit your answers