@nomadicengi
1. Age (it's self explanatory, not much of a TL needed there)
2. Sex (Male, female or other)
3. About the manga (it was funny; not funny, didn't laugh; or neither)
4. Would you like reading more of this? (yes, maybe or not really)
5. What did you like about this work (the story, the characters, the art, the author (?), other)
the other two are opinions and comments about the work (the first one) and a message for the author (the other one).