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DID YOU FEEL IT?
Tell us about your earthquake experiences.
ARE YOU PREPARED?
Here is your earthquake safety checklist.
ASK THE EXPERTS
Our experts are here to answer your questions
Home
:
Earthquake Feedback Form
DID YOU FEEL IT?
Earthquake Feedback Form
This form is to enable you to provide us with feedback on your experience during an earthquake. The information will be used by our scientists to determine the intensity of the earthquake. Sometimes scientists may require additional information, so providing your email address would be very helpful to us.
While many of the questions provide for simple 'select an item' responses, we encourage you to expand on your responses using the text boxes provided.
Name
Email
Phone
Country
City\Village
Street Address
1. Did you feel the earthquake?
Yes
No
2. Did others feel the earthquake?
Yes
Nobody else nearby
No answer \ I dont know
3. When did you feel the earthquake?
yyyy
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4. Where were your
during
the earthquake:
If other, please explain:
Indoors
Outdoors
5. If indoors, describe the type of building:
Wood
Concrete
Stone
Other
6. What were you doing
during
the earthquake:
If other, please explain:
Standing
Sitting
Lying down
Sleeping
Driving
Walking\Running
Other
7. How many seconds did the shaking last?
8. How strong was the shaking?
Light
Moderate
Strong
9. Did any of the following things happen?
If other, please explain:
Pictures moved
Doors closed
Items rattled, toppled over or fell off shelves or cupboards
Liquids splashed or spilled
Standing vehicles rocked
Moving vehicles rocked
Car alarms were triggered
Increase in underwater discharge
Moving vehicles rocked
Other
10. Was there any damage to the building where you were?
If other, please explain:
No damage
Small cracks in walls
Large cracks in walls
Ceiling tiles or lighting fixtures fell
Mirrors or windows shattered
Masonry fell from block or brick wall(s)
Free standing walls swayed
Other
11. Describe general effects of the earthquake
No damage
Considerable damage
Major damage
Total destruction
12. Please give details about other observations of the earthquake that might be useful.
Disclaimer
University of the West Indies, St. Augustine, Trinidad & Tobago, West Indies Tel: (868) 662-4659 / Fax: (868) 663-9293
© Copyright 2009 to 2011 The University of the West Indies Seismic Research Centre. All rights reserved.