Earthquake early warning (EEW) systems are relatively new technologies having first emerged as regional systems in the 1990s. Japan was the first nation to develop and implement a nationwide system in October 2007, and in the United States, ShakeAlert® became available on the entire length of the US West Coast in May 2021. Assessing how EEW is perceived and utilized by alert recipients is considered essential. Such assessments are necessary to evaluate whether alert recipients are taking advantage of alert messages to initiate protective actions upon receipt of an alert, how they regard the usefulness of alerts, desirable thresholds for issuing alerts, and other aspects of these systems. Having information from users will also facilitate assessments of the success of earthquake preparedness educational programs such as the ShakeOut and whether annual drills which include information on EEW systems are resulting in behavioral response consistent with the content of these programs. Finally, information on EEW utilization will provide data useful to social scientists who study hazards to advance our understanding of behavioral response to warnings. Survey research in the aftermath of a significant earthquake in which an EEW has been issued is one obvious method of achieving these objectives and there already exist a number of survey instruments for this purpose. A related strategy and the goal of the present research is to develop a brief questionnaire, consistent with those already developed, as a supplement to the United States Geological Survey’s “Did You Feel It?” questionnaire that has provided earthquake intensities and information on behavioral response in earthquakes, both domestic and international, since 2004. Having the intensity level at each respondent’s location is essential for relating their perspectives and actions to the shaking they experienced.