Földrengési kérdőív

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    Földrengés pontos időpontja:

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    Hol észlelte a földrengést?

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    1. A rengés észlelési körülményei?

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    2. A földrengés hatása az élőlényekre:

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    A rengés hatására az emberek:

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    3. A földrengés környezetre gyakorolt hatásai?

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    4. A sérült épületre vonatkozó adatok:

    Amennyiben az Ön épülete sérülést szenvedett, kérjük válaszoljon az alábbi kérdésekre is.
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    Kérjük, hogy az alábbiakban jelöljön be minden olyan sérülés típust, amelyet az Ön épületén tapasztalt. (Esetenként több válasz is adható.)

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