I don't recall being startled at any point but I do remember a few parts that made the hair on my neck and arms stand up...
Now there was one guy during one part who got startled so bad he ripped the loudest fart that just echoed in the theater, swear to god, I was in tears laughing so hard. After the movie on the way out one woman was talking about it making her so scared she started crying.
Personally, I liked the movie, it was well made and had a very creepy and realistic atmosphere, especially considering they made it for like under 20 thousand bucks.