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Felt Earthquake Report

The following information is used to draw an isoseismal map showing the area over which the earthquake was felt, together with an indication of how strongly it was felt. Your information is also useful if you were near an earthquake and did NOT feel it. The items shown in red are needed for us to complete the map. It is important that you describe your activity at the time of the earthquake. This determines how sensitive you were likely to be, especially for lower intensities.

Date of the Earthquake Year Month Day Time
Your Name
Telephone Number
Email address
Felt at location:
(street address, distance and direction from nearest town, or coordinates)
During the Earthquake you were
What did you notice ? Please include the duration (in seconds) of anything that you felt or heard
Heard ?
Felt ?
Woken ? Frightened ?
Building movement or noises ?
Object movement or damage ?
Any other comments
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