Your answer to the following questions is optional. However, your response to the maximum number of questions would help us to estimate more precisely the intensity of the earthquake.
Where you were during the earthquake?
Inside a building
Outside a building
In stopped vehicle
In a moving vehicle
If you were inside, select the type of building or structure:
I was not in a building
Single family home or building less than two levels
Apartment or condominium (more than two levels)
mobile home with permanent footing
Mobile/RV, no foundation
Did you feel the earthquake?
Were you asleep?
Slept through it
Did others feel it?
I don't know/No one else was near
No others felt it
Some felt it, most did not
Most felt it
Everyone/almost felt it
Your experience during the quake:
How would you best describe the shaking?
I didn't feel it
About how many seconds did the shaking last?
How whould you best describe your reaction?
No reaction/not felt
A very little reaction
How did you respond during the shaking?
Took no action
Moved to doorway
Dropped and covered
Ran to outside
Was it difficult to stand and/or walk?
Did you notice any swinging/swaying of doors or other free-hanging objects?
Yes, slight swinging
Yes, violent swinging
Did you hear creaking or other noises?
Yes, slight noise
Yes, loudly noise
The noise was strong
Did objects rattle, topple over, or fall of shelves?
It wasn't noticeable
A few toppled or fell off
Many fell off
Nearly everything fell off
Did pictures on walls move or get knocked askew?
Yes, but did not fall
Yes, and some fell
Did any furniture or appliances slide, topple over, or otherwise become displaced?
Was a heavy appliance (refrigerator or range) affected?
Yes, some contents fell out
Yes, shifted by inches
Yes, shifted by a foot or more
Were free-standing walls or fences damaged?
Yes, some were cracked
Yes, some partially fell
Yes, some fell completely
If you were inside, Was there any damage to the building? Check all that apply.
Hairline cracks in walls
A few large cracks in walls
Many large cracks in walls
Ceiling tiles or lighting fixtures fell
Cracks in chimney
One or several cracked windows
Many windows cracked or some broken out
Masonry fell from block or brick wall(s)
Outside wall(s) tilted over or collapsed completely
Separation of porch, balcony, or other addition from building
The building leaned
Building permanently shifted over foundation
If you know the type of terrain on which the structure was built, please indicate here:
If you know the type of construction (wood, brick etc.) And location (floor, basement, etc.), Please indicate here:
You may use this box to clarify answers or to make observations that are not accommodated by other questions. You may also give first-person descriptions of how the earthquake affected you.
Make sure you fill the form for proper earthquake!
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