Report Your Experience
You are invited to fill in the following questionnaire to record what you experienced. We encourage you to answer
as many questions as possible in order to accurately estimate the intensity. It should not take more than a few minutes.
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Section A: This section refers to your location during the earthquake
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Section B: Building Description (if applicable)
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Section C: Your Experience
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11. How many times have you ever felt an earthquake in the past?
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It is my first experience
A few times
Often
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12. What were you doing at the time of the earthquake?
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Walking
Standing
Sitting
Kneeling
Lying down
Sleeping
Other
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13. What best describes the shaking?
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14. What best describes any sound heard?
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15. How many people noticed the earthquake where you were?
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16. Did the earthquake wake you up?
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No
Yes
I wasn't asleep
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17. Were other people where you were woken up?
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No
Yes, a few
Yes, many
Yes, most/all
Don't know
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18. Was it difficult to stand or walk?
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No
Yes
I wasn't standing
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19. How would you best describe your reaction?
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20. Where you were, did anybody run outdoors in panic?
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No
Yes, a few
Yes, many
Yes, most/all
Don't know
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21. Were animals nearby frightened?
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No
Yes, pets
Yes, farm animals
No animals nearby/don't know
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Section D: Effects on Objects, Buildings, etc.
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22. Did any of the following things happen?
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24. Did the following things occur at your location (house or street)?
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27. Have you any other comments about the effects of the earthquake that might be useful?
(Please, write your comments in English or Maltese)
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