What time was the tremor?

What did you feel?

What did you hear?

What did others nearby feel or hear?

Were you indoors or outside?

Were you sitting, standing, lying down, sleeping, active, listening to Radio?

Were you alarmed or frightened?

Was anybody nearby alarmed or frightened?

Did windows or doors rattle? Please give details

Did anything else rattle? Please give details

Did any hanging object swing? Please give details

Did anything fall? Please give details

Was there any damage? Please give details

Have you any other observations or further details on the above questionnaire?

May we contact you? Please give details, phone number, email address

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