diff --git a/lms/djangoapps/survey/views.py b/lms/djangoapps/survey/views.py
index 0e98e441a2..be9c547443 100644
--- a/lms/djangoapps/survey/views.py
+++ b/lms/djangoapps/survey/views.py
@@ -49,6 +49,8 @@ def view_student_survey(user, survey_name, course=None, redirect_url=None, is_re
     # just remove that outer key to make the JSON payload simplier
     existing_answers = survey.get_answers(user=user).get(user.id, {})
 
+    platform_name = microsite.get_value('platform_name', settings.PLATFORM_NAME)
+
     context = {
         'existing_data_json': json.dumps(existing_answers),
         'postback_url': reverse('submit_answers', args=[survey_name]),
@@ -58,6 +60,7 @@ def view_student_survey(user, survey_name, course=None, redirect_url=None, is_re
         'survey_form': survey.form,
         'is_required': is_required,
         'mail_to_link': microsite.get_value('email_from_address', settings.CONTACT_EMAIL),
+        'platform_name': platform_name,
         'course': course,
     }
 
diff --git a/lms/templates/survey/survey.html b/lms/templates/survey/survey.html
index 4c8bc9a5b5..cc8a125e39 100644
--- a/lms/templates/survey/survey.html
+++ b/lms/templates/survey/survey.html
@@ -31,7 +31,7 @@
         </div>
 
         <p class="instructions">
-          ${_("You can begin your course as soon as you complete the following form. Required fields are marked with an asterisk (*).")}
+          ${_("You can begin your course as soon as you complete the following form. Required fields are marked with an asterisk (*). This information is for the use of {platform_name} only. It will not be linked to your public profile in any way.").format(platform_name=platform_name)}
         </p>
       % endif