University of Minnesota, Morris
Earthquake Research Questionnaire
West Central Minnesota Earthquake of 06/04/93

Name:

Gender M or F?

Address:

Age:

Phone #: (612)

Survey #:

 

1. Location where earthquake effects were observed:

a.

Where were you at the time of the earthquake? (get written description and plot location on map using survey number)

b.

If you were in a house, on which floor?

Basement

first

second

third

What type of house?

brick

stone

wood

stucco

mobile home

single story

multiple story

c.

If you were in a car, what type of road?

gravel/dirt

concrete

tar

 

Was the car moving or standing still?

moving

standing still

d. Were you:

sitting

standing

lying down

other (specify)

2. What did you observe? [Check any that apply]

 

hanging objects swinging

 

vibrations like passing of trucks

 

standing motor cars rock

 

jolt like a heavy ball striking walls

 

windows, dishes, doors rattling

 

glasses clinking/crockery clashing

 

wooden walls or frame creaking

 

liquids disturbed or spilled

 

small objects displaced or upset

 

doors swinging closed, open

 

movement of pictures

 

glass or dishes broken

 

books off shelves

 

furniture moved

 

small bells ringing

 

trees or bushes shaken

 

hanging objects quiver

 

damage to masonry

 

3. What other effects did you observe?

4. Estimate time in seconds of how long the earthquake lasted [in seconds]:

5. Was there any noise? [Yes or No]:

If yes, what was it like?

e.g., a loud sharp noise like cannon fire

yes

no

 

a rumble like a train passing

yes

no

  other (specify):    

6. Have you noted damage to your house?

yes

no

a. cracked walls (interior)

yes

no

b. cracked walls (exterior)

yes

no

c. ripped/torn wallpaper

yes

no

d. cracked foundations or masonry

yes

no

e. other damage (specify):

 

 

7. Did you notice any other earthquake-like events before or after the main quake?

yes

no

If yes, describe and estimate date and time (if not certain give time with AM or PM):

8. (asked of male/female pair) Who noticed the quake first? man

woman

9. What was your reaction to the earthquake?

 

anxiety

apprehension

concern

confusion

 

fear

indifference

shock

worried

10. How would you describe the reaction of others to the earthquake?

 

anxiety

apprehension

concern

confusion

 

fear

indifference

shock

worried

11. Other comments/observations:

12. Would you like a copy of the results of this survey?

yes

no