You can help us to define the extent of shaking and damage for earthquakes in Belgium, and you may provide specific details about how your area may respond to future earthquakes.
ROB scientists may use the information you enter in this form to provide qualitative, quantitative, or graphical descriptions of damage in their publications, but your personnal data will not be used. Should you object to this possible usage of your data, please do not fill out this form.
Your zip code is required to locate the intensity in your area. All other identifiers (name, e-mail, phone, and location) are optional, but may be critical for a more local evaluation.
If you have information about more than one site, please complete as many form as needed.
QUESTIONNAIRE FOR THIS EVENT
15 Nov 2021 03:17 (Belgian time)
2021-11-15 02:17:23 (UT)
Please make sure you are filling out this form for the right event.