As described in the Second Life version of the script, the following script needs a database to be created and a web-server available for receiving the data.

The database structure is the following:

PRAGMA foreign_keys=OFF;
BEGIN TRANSACTION;
CREATE TABLE "responses" (
	 "q" text NOT NULL,
	 "v" text NOT NULL,
	 "a" text NOT NULL,
	PRIMARY KEY("v","q")
);

The LSL script can be placed inside any primitive in-world and both the PHP script, along with the SQLite database named questions.sqlite, reside on the web-server.