Auto-populate Filename in Save As

I have created a button in my PDF form that will: Return to Top > Save As  > Email (in that sequence). When it prompts for the Save As, I would like for there to be a custom file name already populated, versus the original form name. The name would be composed of template information [such as "Survey"] & form field information [such as customer name, location (in parentheses) and submitting date]. Example: "Survey - ABC Company (Nashville) - Jan 10, 2012".
What would this script look like?

Thanks for your response. I would assume there's no way to pre-populate in Acrobat, is that correct?! The reason I ask, I've been able to work around that in the past with code in Excel. Thanks again, try67!

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