Felt an Earthquake?


If you felt an earthquake, or know of an earthquake that occurred recently, please fill in this form. Even if you did not feel the earthquake yourself, please fill in the form, as this information will assist us.

Please complete this report and then press the submit button at the bottom of the page.

Your location during earthquake (Mandatory *)

Yes
No
Inside
Outside
No
Slightly
Moderately
Violently
No
Faint
Moderate
Loud

Human Disturbance

Very few
Several
Many
All in community
No one
Few
Many
All in home
All in community
No one
Few
Many
All in home
All in community
General panic

Related Sounds

Yes
No
Yes
No

Physical Effects and Damage

Yes
No
Yes
No
Yes
No
Yes
No
Cracked
Twisted
Overturned
No damage noticed

If you (or others) felt the earthquake

Rocky
Loose
Compact
Marshy
Filled-in
Other
Level
Sloping
Steep
Standing
Walking
Sitting
Lying down
Sleeping

If you (or others) felt the earthquake while indoors

Brick/Masonry/Concrete
Brick veneer
Timber
Other
Good
Poor
New
Old
Standing
Walking
Sitting
Lying down
Sleeping
Active
Quiet

Contact Information


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