1 ' iYP OF 03SC:i~Vt.TIO~ OilSC~VATION 1 a. NUu:lcR or: on;ccrs ' ~-cc:;~!:- PoHot.tl y ,\:.ttOI )I'IIC'-': Aur.,nc.mr c ul ln:.uifoCt.:tnl D cto f.:~r E v o lu .. : o n tRI EF ~UMMARY OF SICtiTING C OMM:N"!'S PD IT~o:11 T.{R~ .. ~ CLN VISU.\ L PD IT~ti FOUR CL tl T :!Z LIG.[T T.~z GOC 09C:E:1VER POST OF Cl.JTt3!\llK BY Tlfr.. OB~i:<VEH Ot~ DUTY ?lJ In:~ : FIVZ !'.!..; vZ~J CL:l L':C,JZ TdAT TH: OB:f. V~R COULD P.ZCALL !"'D IT..::1 EIG.\T CL~J TF.HTATlVE OBSLRVERS QU:STIOIJHAIRE SECTIO'J A 't-Jhen did you f; .: the object: 1.2 Time of Day: o~ (Circle One) 1.3 Time Zone : (Circle One): a. Eastern b. Central @ l1ountain (Circle One): d. Pacific Daylight Saving St,anclard 1.4 Circle one of the follotring tr> indicate hovT certain you are or your anm.;er to the above question 1. 2: --Certo.in c. Hot very ~ure Fairly certain d. Juat a guess !Jost Addrcs3 State Cit y or '.CO't.m Ac.ldi tional Rcaarl<:s: J. \'There 11ore you located Hhen you r.~l.\7 the object: (Circle One): ).1 lTcre you: InsidG a building In an airplane ( Circle One ) : a. In the bu::;iness cection of a city? In the r idential secti~n of a city? In O:"Je!l countrysid~? Flying n a a r an ai rficld? Fly:i ng o,'~r a city? Fly-lnJ over._ opan cou ? r r ,'1- HoH did you happen to notice the object? lJhen did you report to some official that you ha d seen the object? Year Month SECTIO:I B Here you doing '\'!hat had you been doing for the 30 minutes before you saN the object? Try to list the activity or activities nnd the approximate amount of tima spent on each 1. l'lere you moving at any time \7hile you sal-J the object? (Circle One): IF you ansuered YES, t han com!)lete the follo1rl.ng qusstions: 7.1 \-Jhat direction uere you mo\"'ing? (Circle One): a. North b. !fortheast d. Southeast 7. 2 H01-1 fast uere you moving? South\Test h. NorthHest 7. 3 Did you stop at any time lrhile you \rere looking at the object? (Circle One): \'lhat direction ,.jere :rou lookin{! \Jhen you sau t he object? (Circle One): a. North e. South i-Tortheast d. Southenst North~.rest \;hut dircct:\on \i!re you l ook'i:1g uhen the object disappeared? (Circ l e One): a. SouthtJas t. Northvre3t 6,2 Circle one of the folloHin6 to indicate hou cert.ain you nr\) of your ans\1er t o the above question and pre ceding queat.ion ( 8 o.ncl /[;:) Certain b, Fairly certain c. Uot very sure d , Juot a guess 9. \Jere you wearing eye gla~ses uhe n you sat-r the object.? (Circle Oncl): r.:: u or No 1Iov1 Hns the object seen? ircle One): a . Through "tindou glass b. Th!"')Ugh uindshield e. Through theodolite f. Through sunglasses c Tln'Ough binoculars r-:c.1-. .._ Tl1rouch telescope lfuat. do you r emsrnber about the lJeathe r 11.1 CLOUDS (Circle One) 7fZ&-> Clear s!cy c, Scat.t.ercd clouds d. 'l'hick or hgavy clouds t rmf'lember g, Through _,open spE?9e /)_ fl () cond.i t :ions at the (\,im/ you sn\! the '0. Foe, 1-ti.~t, or light rain c. Hodera te or h~avy rain e . Don't romemb~r 11.2 vJit!D (Circle One } 11.4 TENPERA'l'URS (Circle One) c_a:;;; Eo \rind o. Slight breeze c. Strone uind d. Don't remember SECTJf)~ C e. Don' t r onember 12. Estimat e ho~l long you saH the object? Hours liinutcs Sec ond:; 12.1 Ci r cle one of the follouing to i ndic ate hoH ccrtatn you Drc of your ans\ier to Question 1 2: /a) Certn.in '1>: Fairly sure c. Not very ouro d. Just n ettess 13. Di.d the object look: (Circle One) Solirl or Transparent -l~..,:. N"' -- 14. Did the object at any time: Change direction? Change size? Chanee color? Break up into parts or off smoke? Change brightness? Flicker, throb, or Remain motionless? (Circle One for each question) No Don't kn'Ju t lmot"i) _ C}:!Q) Don g TctJ Ibn No Don't knoH 15. Did the object give of a light? (Circle One): (Ye:_) No Don't kno~r lS .1 IF you answered YES ,.,hat 'Has the color of the light? U)_ \ v1s, 16. Tell in a re,r l>Prdo the follouing things about the object? 17. IF there uas liORE THAN ONE object, then ho~r many ,,.Jare th3re? DraH a picture of ho"r they were arranged and put an arrou to oho~.z the direction they uere traveling. 18. Did the object a t any time : 1 8.1 l1ove behind something? (Circle One) Yes @ Don't knou IF you ansHered YES, the n t ell \Tha t it mo,red behind. 18. 2 Move in fron t or s o .. et hitl!? ( C"'.rcle One) (Yen) iJo anstrercrl YES, then t~ll vhnt it moved ln front. of . 10. 3 Dlend ,.Jit.h the b ackground? (Circle One ) Yes (iT~) Don' t lm~ 1? . \Jhlch of the follOl-Jing obj ects is about the oa:ne nctunl size nn the obje ct. you scnT? (Circle One): f . Automobile C~Y B:1seb?.ll g . Silall airplrme Da~ketball h . d. Bicycle Hheel 1. Dirigible Office desk 19.1 Circle one of the folloninz to ir~dicate hoH cert ain yo u are of yonr nns,:er t.o Question 19. / Certai.n o . Fairly cc1tai.n c. 1\!ot very sure d . Uncertci.n 20. Tr y to t ell the follOlring things about the obj ect: 20.1 Hou hich abov e the ec.rth HaG it? 1! 20.2 HolJ far "ras it from you? _feet or ..L( .. :..:.lhc::.wile o . 20.3 Hor,r fant HuS it eoine? ,!. m ;.,.-c,.;";.c:~ mi l e s pe r hour. 20 . 4 Circle one of the follO\n ng to indicate hou certain you are or your on::wer to tho above qucntions: c_9 Certain ~. Fairly c ertain 21. Hou did tho obj ect disoppe:1r f r om vie~J? (Circle One): a . Suddenly b. Gra cl:.t cl.ly c. ~!ot very sure d. Just a gueos In th, f0l!0\1ine sketch, ima3inc you r c~rc on the curved line to shoH hou hieh the skyline) lJ~on you first sau it. Place at the point shopn . Place on "A" object l s abov0 the horj zon you le?.ct s <:nJ .' t.. Ovor.hct.ld "B" to sho"'! 'here it uas nhe n I n the f ollo1ri ng ::;ketch place an you fi rst s~H it, aod a "D" a t i t s n.t t he position the object lJaG 11hen po::;-i tion \olhc n you last sau it 24. Drou a pictu r e that trill s hou the motion that t he ob j ect made. Place an A" at the b egiMing o f its path a nd a " B" a t the end of its pn th. 25. Dra~r a picture that uill shotr the shape of the object. Label n.''\d include i n you r ske tch any details of the object tha t you saH and place an arrou eslde the dral1.ng to shotJ the direction the object uas woving SECTIOI-r ~ 26. Has this the firnt time that you have s een an object like thi s? Circle One): Yes or No 27. In your opinion 'rhat do you think the obj~ct Hac an d \rhat tni ght have c aused it? J do a f I Dl~ 26. Give the folloHing information about yours elfr 29. l~as anyone else 't-Jith you at the time you onH the object? (Circle One): _,f~ or 29.1 IF you anEiHercd YES, did they see the object too? (Circle One) : rjis) or 29.2 Please list their names and addresses: Plca0e add here any furthe r t"onal sllce'--of tchomme:nts l'Ihich you b el.; . "'~ e same s i .. eve are ~mportutlt. paper, ~r n~ce~sary