It would be nice to know what it is you're trying to achieve conducting the survey before filling it out. As would be a small privacy statement, what gets shared with whom and in aggregated or raw format?
While I don't really expect any sort of automisation or titles, I would like to donate in bitcoins. This way I get to support two good causes (imo) instead of just one :] Do you have anything in place for this? Or could I offer support with accepting bitcoins it if you're interested?