Email Response from Students

I am needing to create a questionaire that will only send certain responses back to me. When the student answers the questions with a certain response by completing a text box, I want that response, student name, and text box to be emailed to me. Currently I set it up by using the Survey Mode, but I'm not sure that is the right way to do this. Right now I am getting all the answers to the questions, but that is not what I am needing. Is there a different way to do this?

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