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.

Contact Information(optional)

Your name
Contact phone number:
Contact email address:
Your location during earthquake
Date of earthquake:
Time of earthquake:
Did you feel the earthquake?
Your location during earthquake:
Nearest large town:
Indoors, or outside:  Inside  Outside

You were indoors at the time of the earthquake

Building construction:
Quality of construction:
Number of floors in building:
Observer's floor:
Activity when earthquake occurred:
You, others were:
Effects
Felt by:
Awakened:
Frightened:
Related Sounds
Rattling of doors, windows, dishes, etc.:
Creaking of building (describe):
Earth noises:
Physical effects and damage
Buildings
Hanging objects swung:
Small objects shifted, overturned, fell:
Chimneys, plaster, windows cracked:
Any other comments:

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