100/J R ECORD CARD If:;NTAT1VE Q~FllVLTIS QUESTIONNAIRE -% J'_5'. 00 1, l~hen did you see the object: 1.2 Time or day: 1 .3 Time Zone: (Circle One): a. Eastern b. Central c, 1-tountain ~;lr.' or P .H. (Circle One) d. <fa"eifio e. Otha~ - (Circle One) : a, (Daylight Saving b. Standard -- 1,4 Circle one or the follotJing to indicate hou certain you are or your anst.Jer to th" above question 1.2: a. Certain b. nirly certain 2. \-There did you see the object? c. Not very sure d. Just a guess City or T~n Pos tnl Address/ ). l-Ihere "'ere you located lJhen you s~m the object: (Circle One): a. Inside a building d. In an airplane b. In a car c. ~tdoo .3.1 Here you: (Circle One): a. In the business section of a city? b. In the residential section of a city? c. ([n ope~ o~untr,y~idi?) d. Flying near an airfield? c. Flyin~ over a city? f. Flying over open country? ;. When did you report to some official thr.d; you had aeen the object? Ye:1r Day lv1onth fl. Hhnt Hero you doing at the time you s aw the object? \lhat ha d you been doing for thg 30 minutes befor e you sm-1 object? Try -to list the activity or activities, and tha approximate amount of time spent on each. you moving a t any time \.Jhile you sa'\.J the object? (C irclo One) : 1F you nns\o~ered YES, then ccn!Jlete tr.e follaJ ing questions. 7.1 \olhat direction \Jere you moving? (Circle One) : b. r~ortheast d, Southeast f. S outhwast h. North1~19st 7.2 Hcl-1 fa:Jt uere you moving? ----miles per hour. 7.3 Did you stop nt any tir:e lJhile you \Jer e looking a t tha object? (Circlo One): ~. or 8. Hhot direction \.Jere you racine "'hen you first sa\.J the object? (Circle One): a. N~W e. South b. Northeast f. Southtlest c. East g. Went d. Southeast h. Nor'thtJest S.l \lhat direction uere you facing \Jhen the object disappeared? (Circle One): a. (No;thJ c. South b. Nartheast f. Southwest c. East g. \!est d. Southeast h. tlorthto~est 8.2 Circle .Qru! of the follo\Jing to indicate hc'.J certain you nre of your anstJer to the above ~10 questions. (8 a nd 8.1). a. C~rtain) c. I!ot very sure b. Fairly certain d. Just a guess 9. \~ere you wearing eyo glasses when you satJ the object? (Circle One): 10. How \Jas the object seen? (Circle One): a. Through \1indow glass e. Through theooolite b. Through tJindshield c. Through binoculars d. Through telescope t. Th~ugh sun glasses e. ~l'hrough open space) h. Otllar-~----- 11. llhat do you reraember about the tleather corY.li tions at the time you saw the object? CLOUDS (Circlo One) \lEATHER (Circle One) Fog, f!ist, or light rain b. Scattered clouds llcderate or hoavy rain Thick or heavy clouds Don't remember Don't remember Hll!D (Circle One) TEl-fPERATURE (C irolo One) Siight breeze Strong wind Don't remenber d. o. D!')n't rcn;ember E3timate ho'W long you sa~ the object? 12,1 ~ircle one of the folloYing to indicate h0\1 certain you are of your an3t-Jer to Que otion 12: a, Certain b, Fairly sure c. Not, y_ery sure ]J, Did the object look: (Circle One) 14. Did the object at any time: or !r 2ar~nt? 14.1 Chunge direction? 14.2 Change speed? 1L,. .3 Change size? 14.4 Change color? 14.5 Break up into parts or 14.6 Give off smoke? 14.7 Change brightness? 14.8 Flicker, throb, or 14.9 Remain motionless? (Circle One for each question) Don't knot., Dc.n ' t kn cH n' t kn.o'..l Don't kno\.J Don't knc'..J Don't knct..l Don't know Don't kno\-J Don't knO\.J 15. Did the object give off a light? (Circle One): <~ No Don't kno..1 15.1 IF you anst-1ered YES, \Jha t was the color of the light? 16, Tell in a few t.Jords the following things about tha object? 16,1 Sound 16.2 Color lF there \Jns HonE THAN OHE object, then hoH many uera there? ,5-' -fo Draw a picture of how they t.~ere arr~nged, and put an arrou to shol-J the direction they t.~era traveling, _ . _ ~ f't~-!;;_.~ 18. Did t he object at any tiJne: ti.l Nove b ehind somethinB? (Circle One) Yes IF you ansHered YES thon tell \Jha t 1 t n oved b ehind. 18.2 Hove in front of something? (Circle One) Yes (No~ Don't knc~J IF y ou anst.Jerad YES, then tell -what it moved in front o f . .3 Blend lJith the b:lckground? (Circle One ) Yes {u~ Don't kno\.J 19. ~Ihich of the follotJing objects is about the s:1me ar.tual size as tho object you s aw? (Circle One): Automobile Baseball g. Small airplane Basketball h. Larco airplane Bicycle tJhoel i. DiriBible Office desk j. 19.1 Cj_rcle ona of t he follo\Jing to indicate h ct.J certain you are of your anst.Jar to Question 19. a ..-ex.:tain b. ~:irly certalb) c. Not vory suro d. Uncertain 20. Try to tell t he follo\tJing t hlngs about the object: How high above the earth \tJa s it? feet. Ho~.J far tJas 1 t from you? -----feet or _ _;l~.s niles H~"' rant was it going? _ _ In tJv miles pe: h our. C:l rcle onq of the follotJing to indicate hc\-1 certain you are or your anst-rer t o the above quentions: a. Certain b. Fairly certain C. l!ot yory Stli'e d. ~3t a guesa 21. How did the object dinappear frcm view? (Circle One): a. Suddenly b. ~radually') d. Don't rorr.er.tber 22. In the f'ollO\oling sketch, imaeine your eya at the point shown. Place a n on the curved line to shm~ how high the object 'KlS above tho h orizon when you first s a\-J it. Place a "B" to show \Jhere it was t-~hen \oJhen you !no~ salol it. In the following sketch place an "A"" at the position the object was you firot s a\-1 it, and 3 at its position \Jhen you las t salol it. H 'lr i z ">n Hf)riz'>n 24. Dral-1 a picture that will sho\-1 the motion that the object made. Pl3ce an "A" at the beginning of' its path and a at the end of its path. 25. Draw o picture that llill sho\J tho shape of the object. klbcl and inclt:de in your sketch any d etails of the object tha fi you oaw, and pla co a n arrou bc3ide the drawing to nho" the direction the object \Ja s moving. 26. Has this the firs 1!, time th:1t you h ave soan a n object lilm thi:;? (Ci't'cle One): .Yes 26.1 IF you ans\-J3rcd tm, then t.Jhen, tJhcrc, and under t.~hnt c ondltions 27. In your opinion \oJhat do you think the object \Jas nnd \-Jhnt might h ave causad it? 23. Give the foll~ing information about yourself: TELEPHOilli NtD1BER What is your present job? Year of las t attend~nce at thl3 nchool I I 29. \las anyone else ulth you at tho t ime you s a\oJ the objoct? (Circl o One): 'YAs) or No 29.1 IF you ansuered YES, did thoy soe the object t.oo? (Circle One): ~Yes ' or No 29. 2 Please list their names and addresses: 30. Plea~e add her e any further corrl7lento \o1hich you believe aro i nportant. se additi onal sheets of the oame aize paper i f necesoary. TO J~JPi1L/ CG HJ\DY El\r-llL TOtJ AFB C.'\!.lF J_::l)!:":t~/ CG EtlT Af.B COLOH.l\DO SPRI;\GS COLO T r.;p; CG ~![{!GET Pi\TTEflS Oil AFB DAYTON OHIO . J: ?H~I CG HQ US.~F UASHi i,GTOl! 2 5 D C 28TH OID :l- 617 FLYQ!)nT ATT~J Jirt:=CfOJ: OF (1) SEVE~J OR EIGHT OBJECTS TRNJ~LIIJG IC! !\ STP.!\IGHT LI~!I J\T .'\ v:.::E'! L".S T S rZED. :lO S 0U ~!D . (2) TI>:E SIGHTED NOT REPORTED. R:~POP.T RECt: IVED Tl!IS OFFICZ 08 ~ 1PD1', ) 1\UG 1952 . OBJECT OVSERVED 15 ti!i\!UTF.S. ( 3 ) VI:>lJ:\LL~ FROU GROU~m. (!~) OBSinVERS f\T REDDi t:G, C/\LIFOP.~!It'\ 1\IRPG:tT (:!L 3535). OB JECT :.Icr!:D AT lJL 3535 AT VE:1Y HIG!l ALTITUDE C 6 ) CLE!\R EDDII'!G , CALIF. T:JTf,TIVE OBSLUVEFS CUESTIOlli .JRE -~t j' _;-: (.J I SECTiuiT A 1. ~fuen did you see the object: 1.2 Time of Day : or P.H. ( Circle On&) Hrs . llin. 1.3 Time Zone : (Circl e One): a . Eastern d. Pacific b. Central e. Other c. 11ountain (Circle One): a .(.j)_g.y_lj.-iht. Savi ns---~ b. St:mdard J .4 Circle one of t he folloui ng t) indicate hou c ertain you are of your anmre r t o the above question 1. 2: a. ( Certain--> b. Fairl y certain Not very sur e ust a guess 2. llhere lJe r e you t1hen you sat-r the bject: A -/i. cLJ.LL'- Additional \Jhere lore r e you locat ed uhen you sau the obj ect: (Circl e One): a. Instde a building b. In a c a r d. In an airpla ne c. OU tcloor ... ).1 lTere you: (Circle One): a . In t he bu~incss section of a city? b. In th~ re~ioenti~l section of a clty? c. Q:_o. O')Cn-ccu 1 try:=:.: deV d. Fl r:i.ng near an <li rfield? c. Fly:i nG over n c:l ty? f. Fl~-i ng ove r open country? g . OV'w r ltoH did you h appen to noti ce t he object? 5. Uhen did you r~port to some official that you had seen the object'? SECTIOt ~ B ln1a t vJe re you doing at the t ime you smt the obj ect? JLv-cZ.:,./ , 7t!Z.:.. 6.1 v1hat had you been doing for the )0 minutes before you Sn:\1 the object? Try to list t he activity or activitj.cs and the approximate amvunt of time spent on e ach. 7. l'!ere you moving a t any time lrhi.le you saH the object? '(Circle One): you ansHered YES, t hen com,lete the ln1at direction u ere you moving? (Circle One): n . (}~ b. i'fortheast d. Sou thenst follO'tl'ing questions: J ,. 1 ,.. f. SouthueGt <--t- h. NorthHect . I () 7. 2 HoH f ast \-Jer e you movin g? miles p e r hour. 7.3 Did you stop at any time t1hil e you -vrere looking c:tt the object? (Circle One): 8. \!hat direction ,.Jere you looldng ,.!hen you first Sat-7 t he object? (Circle One): a. f. Sou tht~est g. ~Jest r h. Q~ortihlre_s;/ JM,.;~ \ Jhat dir ection ;ere you lool<i:1g object disappeared? (Circle One): a. North e. South b. Northeast ~outhea~}: Circle one of the folloHing to indicate ho~r certain you your anmrer to the above question and preceding question ( 8 and a. CC.El~lO> c. ilot very sure b. Fairly certain d. Just a guess 9. \!e r e you Hearing eye glasses l-rhe n you saH the object? (Circle One): 10. Hou Ha s tho object seen? (Circle One )t a. Through t-ti n dotT glass e. Throueh theodolite b. Throueh Hi.ndshield r. Through sunglasses c. Throuzh binoculars f! lh h ~p.en npace d, Throut:h telescope h. Other .j ,1--'--1:. v' -*-'~ hy 11. \fuat do you r emember about tho l-reather concl.i tions at the time you s a to~ t he 11.1 CLOUDS (Circle One) 11.3 \!F.A THER (Circle One) ccae~r sk~ c. Scattered clouds d. Thick or heavy clouds Don't remember Fog, ?list, or light rain oderate or heavy rain Don't remember 11. 2 \JI ND (Circle One) 11.4 TEHPSRATURE (Circle One ) a. Ho t-7ind f . b. C~J:i.ghtbrg o D '\.(.~ r~re... c. Strong t-dnd t re1nembe r SECTIO:J C Estimate ho~r long you sa1-1 the object? e. Don't remember 12.1 Circle one of the folloHing to i ndicate hoH certain you nrc of your ansuer to Ques t i on 1 2: a. CP.rtainu.. b. <J?iriy s~ c. Hot very sure d. Jus t a gue3o 13. Did the object look: (Circle One) or Transparent 14. Did the object at any time : Change direction? Change speed? Change siz