To build an automated survey system using Twilio Programmable Voice and Python in Visual Studio Code, users need a basic understanding of Python, a Twilio account, a phone number purchased from Twilio, and Visual Studio Code installed. The system sets up a Flask app that handles voice calls automatically, asks survey questions, and records responses. Users can test their automated survey system locally using Flask's built-in development server or expose it to the internet by using a tool like ngrok to create a public URL. Once exposed, users can test the system by calling their Twilio phone number from their personal cell phone and participating in the survey. The system can be integrated into any business that requires phone surveys, and users can explore integrating with other APIs, implementing OTP verification, using Twilio Messaging, leveraging Twilio's Message Scheduling Feature, or following best practices and code samples to improve their communication experiences.