Chestionar intensitate seism
Datele personale sunt optionale, daca doriti puteti sa nu le completati iar in acest caz chestionarul va fi trimis anonim.
Nume
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Telefon
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Email
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Fax
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Unde va aflati in momentul declansarii seismului? (judet, oras, cartier, sector sau strada) *
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Mai exact... *
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