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Felt Effects Report

If you feel an earthquake, it would be appreciated if your spent a few minutes of your time completing the form below. In addition, you can try and estimate the earthquake intensity at your location by examining the description of the Modified Mercalli Intensity Scale.

(Version 2, December 2006)

 

I.

Contact Details
enter your name/location etc

(I-a) Your Name
(I-b) Your email address
(I-c) your location at time of earthquake
(I-d) the nearest Post Office
(I-e) distance and direction to nearest P.O.
(I-f) Your Postcode
(I-g) Date of earthquake
(I-h) Time of earthquake
(I-i) Your building construction
 not applicable
 timber
 fibre-board
 brick/masonry
 

II.

Your experience of the Earthquake
(II-a) How would you best describe ground shaking
 not felt
 weak
 mild
 moderate
 strong
 violent
(II-b) How would you best describe your reaction?
(II-c) Estimated duration of shaking
(II-d) Did you feel the urge to run outside?
 no - not at all
 yes - a little
 yes - strongly
 I/we left the building
 I/we ran outside

III.

Earthquake Effects
describe the earthquake effects

(III-a) Awakened in your home
(III-b) Felt in surrounding community by
(III-c) frightened in your home/community
(III-d) did objects rattle/topple/fall?
 did not rattle
 rattled slightly
 rattled strongly
 a few toppled/fell
 many fell
 nearly everything fell
(III-e) did pictures on walls move or get knocked askew?
(III-f) was there damage to your building
(III-g) any related sounds?
 no sounds
 like a train
 like thunder
 like a gunshot
 noise of building shaking only
 
(III-h) Intensity of earthquake sound
(III-i) situation at time of earthquake
 sleeping
 sitting
 walking
 inside
 outside
 in stopped vehicle
 in moving vehicle
(III-j) Other
other comments -also exact (GPS) location if known, estimated MM intensity if known
 
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