Earthquake Data Collection Survey
This survey is designed to collect information about the felt earthquake. Wherever you are in the region, please report it and describe your experience . We would like to know what happen during and after the earthquakes in your area. Your data are processed with privacy
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Enter Your Names *
Address(Province, District, Sector, Cell and Village) *
Telephone *
Did you feel an earthquake? *
When did you feel it? *
MM
/
DD
/
YYYY
Where were you? Please tell us if you were outside, indoor, normal house, storey house, in a car, running, other *
Were you sleeping when it occurred? *
Did any falling object wake you up? *
Did any other people near you feel it? *
How did you react? *
Do you think you were in a safe place during the earthquake? *
How was the shaking? *
Required
Was it difficult for you to stand still? *
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