Japanese study need more improvement

I just completed a Japanese online survey which offers a raffle for payment later on.It is a little pity that my Japanese is a little poor that I can only read messages and cannot express myself well in Japanese. I think I can even do it better in French or Spanish. It seems that I need great improvement in my Japanese study
take down a record for this special moment :
（ご記入いただいたメールアドレスはプレゼントの当選連絡にのみ利用させていただきます） アイティメディアのプライバシーポリシー)
Please fill in the e-mail address for contact once you have been  elected. (E-mail address submitted here will be used only to contact for prize of gift)


Your questionnaire will help us , Thank you ...

アンケートにご協力いただきありがとうございました!