i L:> :t-t~:t.h tru.1ulod c~:=t'i.lr~olr U.S. AIR F O R C E TECHNICAL INFORMATION SIIEET T h i 5 qu s t ionnoirc ha s been pr epared so that you con g ive the U. S. Air Forc e os muc h inf~rmf?n as pos5ible concernin g th ,. unidontifit-d aerial p h n ome n o n t hat ) O U hove observC'd. P le ase tr y t o answer 0 5 many questions os you possibly con. The informa t ion that you giv will bu used for r..:seorc h p urposes, and will be rega rd e d as confidential ma teria l. Your nome will not bo used in conn c t ion wrt h any statements, conclu3ions, or publico tio11s without your pMmiss1o n. We reque s t t hi s p"!rs ono l in formation so that, if it is dl)erned n ccssory, we may c o ntact you fo r f urthe r details. 2. Time of day: 1 o When did ) O U sec the objed? (C,cfe One): Time 1one: (Cn cl c One): o. (C~rcle One}: a. Doylrght Saving @ Centra l @ Standard Mo un u in d. Poci fie 4 . Whcro wore you when you sow the object? In !'l.J~t-2~r .Uorger !i'eX!.la _ Nt>orest Post a l Address Cit y or T o w n Stole or C ountry Add itiono I re marks: 5. Estimate how long you sow the object. 5.1 Crrclc one of the following to indicate h ow certain you ore o f your answer t o Question 5. G,; Certain wi tbu b. Fair ly certain 10 oec c . Not very sure d. Just a guess What was tho conditicn of the sky? i'right uoonlight nit1~ (C~rclc One): a . Brigh t daylight b. Dull daylight c. Bright twilight Jus t a trace of daylight c . No trace of day I i ght f. Don't remt:mber 7. 1r you saw the obj..:c t? th o o~jcct during OA YLIGHT, TWILIGHT, or DAWN, where was t he SUN located as you lo oked ot (Crrcle On.:): a . In fr ont o f you b. In bock of y o u d. To your left o. OvNheod f. Don't remembe r tmCLASSIF1ED 8. P you s.tw tJ, ... o Jjcct o t NIGH r, TWILIGHT, or DAWN, "hot dicl you not ice conccrninJ th 51 Ar~S oncl t.~OON;. 8. 1 S I AR~ (C ~rclc One): cl. Don't remember 8.2 MOON (C trcfc On): Bright moonlioht ll moonl ight c. No moon I ioht -p itch dark d. Don' t remember 9. War. tho object brighter than the bockoround of th o sky? (C irclc One): b. No c. Don't remttmbe r 10. IF it wa!i BRIGHTER THAN the s ky backnround, was the brig htness like tha t of an automobile h ... o dlight?: Y~n (C1rclc One) t vo< ."'i.:Jlva c. ~t ~en t o : o! d a. A mile or more owc:.y (a di s tant car)? b. Severo I blocks away? A block away? d. Suvera I ya rds ow a y? a . Apf.-,o~ to stond-s till.ot any ti mo? uJdenly s peed up and rus h away a t any t ime? Brook up into port s or exp lode? d. Give off f)mokc? c. Change !Jrightness? f. C hange shape? g. FlickN, throb, or pu lsate? (C irclc Ont: for each quost ion) No Don't Know o Don't Know (NoJ -. iot Don't Know (N~ vl3i ol3Don't Know No Don't Know @ Don't Know 12. DiJ the object move be h ind sorr.~thing o t a nytim, pcrttculorly a cloud? ( C rrclc One): Yes ~) Don't Know. IF you answered YES, then t e ll what 13. o,rJ tho object move in front of something a t anyt ime, particularly a c loud? ( C irclt! One): Yes Don't Know. answe red YES, than t II wha t it moved in front of: Did th~ obj ct appear: ( Circle Ont: ): So lid? b. T ro nsporent? (J Don't Know. Dicl yo u obse rve the object through any o f t he fo ll owin3? E yc-u 1, s :.cs No c . Binocula r s b. Sun glo~sus Yes c . Windshield Theodol itc Wir1dow g lo s:; 16. Tell in a fe w words the fo ll o wing things about th e object. 17. Dro\v a picturu that w ill show thu s h upo of the object or objects . Lobel and include in your s ketch ony d tnil s of t he object th a t you saw suc h as wings, pro trusion:., etc., and especially exhou~t trails or vapor t rail!.. Place on a rrow beside the drawing to show the direc t ion the object was moving. o ~..:~ortad t .cceltir' t L'"l.6. th~ t.,;r lght 1 1:-;h t tr~ile\l benintl i ~ -tn: . ...; nr~ on t'"'~ : .. rl ei\_t...v:'3 o.? v. taindro">. 18. The edges of tho object were: (Circle One): a. Fuzzy or bl urred (b) like a bright star c. Sharply out I ined d. Don't remember 19. IF there was MORE THAN ONE object, then how many W4)re there? C""lE --- . Draw a picture of how they were a rranged, and put an arrow to sho w the direction t hat they were travelin g. Orow a picture thr.t w ill show the motion t ha t the o b 1uct or object s made. Ploc.c o n "A at thJ L ... ginni., of tl w path, a "B a t t h'J end of the path, a nd !.ha N on'/ changes in d~r..lction d ur ing the cour~ . 21. lr POSSIBLE, try to guess or est imate what the real size o f the object was in its lon~cst d11nension. 22. ~low large did t l:c object or object s appear as compared with Cine o f the followina objects lle/cl in t. ond at abo ut arm' s lengt h? (Circle One): H~ad of a pin Si lvcr dollar b. Pea h. Baseball Grapefruit l3asketball f. Ha lf dolla r 22.1 (C irc/c One of the fo ll owinJ to ind icatc ho w certain you ore o f your answer to Ques tion 22. a. Certain c. No t ve ry s ure b. Fairly certain d. Uncertain How did the abject or objects disappear from view? ~!!"!\~ dolt'!! t l r~eos ~R-t; rap!dJ.y. 24. I n ordor that you con give as clear o picture 03 po:aiblo o f what you sow, wo would like for yo u to imo~in .. that you could construc t th object t h a t you sow. Of wha t typo material would you mok~ it? How Io rge would it bo, a n d what shape would it hove? Describe in your own wo rds o common o bject o r ob1ects which when pl.;,ced up i n the ::ky would ~iv. the some appe arance as tha objec t which you saw. Jltst a b.r1.9lt light a t :'!.rst, t hR'l 25. Whe re we re you located when you saw t ho object? (Circle One): Ins ide a building b. In o cor In an oirpi Me 26. Were you (Circle One) o. In the business sect ion o f a city? In the residentia l secti on o f a city? c. In open countryside? d. Flying near on airfield? (C:J Flying over a city? f. Flying over ope n c ountry? 27. What wore you doing at the time you saw the object, and h ow did you happen to no t ice it? ?8. IF y o u were ~OVING IN AN ,E{..LJ:!)M~ali or other vehicle a t t h o time, t h e n comple t e the fo llowing questions: A i :enld.i"li) What direction were you moving? (Circle One) a. No rth c. Eas t b. Northeast d. Southeast f. Southwest h. Northwest 28.2 How fast were you moving? 28.3 D id y o u stop at any time whi lc you wero looking at the object? (Circle One) Yes (N~) 29. What direction were you looking when you f irs t sow the object? (Circle One) b. Northeast @ East SO'lthea~t d. South~st f. Southwest 30. What d irection wer~ you looking wh~n y o u lost sow the object? (Circle One) b. North.ast d. Southeast f. Southwest h. Northwest Northwest 31. If you ore familiar with bearing t erms (angular direction), try to estimate the num~r of d egrees the obj:!ct was fror:1 truo North a nd also the number of degrees it was u pward from the horizon (elevation). 31.1 When it first appeared: a. From true North _)_2Q: degrees. b. From horizon d egrees. :;r-..1cti~ll;r ')n ht>rlzon :trom r:r:l ~ltitude - 4oo to ~co ro~t when firat aigac&d. 31.2 Whrn it disappeared: a. From tru~ North -r;_:3_C_f! _ degrees . b. From horizon .5_ t 32. In th e fo l lowing sketch, imag in e tha t you o re a t th point shown. Place (In "A" on the curved lin~ t o s how how igh t hu obje-<..t was above t he hori:z:oll (skyl in e ) when yo u fi rs t s o w it. Place a "B" o n the some curve d l ine t o show how hi g h th~ object was above t h e hori.ton (s kyline) when y o u l o s t sow it. 33. In the following larg e r sketch p la c e o n "A" at the position the object was wh e n you firs t s o w it, a nd a "B" at its position when you lo s t saw it. Refer t o s rr a llcr sket c h as on cxompl, o f h ow t o complete the larg~r sketch. 34. What we re the weathe r condit ions at the tim you saw the object ? 34.1 CLOUD S (C~rclc One) ~-) Clear sky c. Scattered clouds d. Thick o r heavy clouds o. Don't remember 34.3 WEATHER (Circle One ) b. Fog, mist, or light rain c. Modera to or heavy rain e. Don't remember 34.2 WIND (Circle One } o. No wind (b.) Slight breeze c, Strong wind d. Don't rem,mb~r 34.4 TEMPERATURE (Circle Ono ) e. Don't remember 35. When did you repor t to some official that you hod seen the object? l}qe~aiher. '6. Was anyone e l s e with y o u a t the time you sow tho object? ( Circb One) @ No 36.1 IF y o u answered YES, did they see the object too? (C irc:lo One) ~\ No 36.2 Please I is t the ir names and addrosc;es: Firs~ Cti'icer C3n l ~irlinea 37. Was this the f irst time that you hod seen on object or objects like this? (Circle One ) No 37.1 IF you answered NO, then when, where, and under what circumstances d id you see other ones? 3 8 . In your opinion what do you think the object was and what might hove caused it? I ~!~"'18 no O;c'l':)lt!nat1.oa \:l:b...';-s o=e? qr. :.h3n I n<r~ tna ob.1 ct. both r:y co-")'!lot t!.nu I t~ou~t tre \ : 9't'"S cloB8 enongh t o be :tn <bn~r of n coll13ion. I 'V\8 :'..n&-S8d nftar I r l)Ol"t~d thia object t~ .tl:'V.1.rt tlo l".?.dio to h~r trot t.h e o"hj3ct ~ rl b " z1r-:~ ,.ed c~uth ol .;~::lftrillo by t~e c nntrol to\t~r O'"'EtrE<t.or l't c-::""actl.y A;~" ~?-t.~4! utnute. -7l~!:tntl:f. it only {;\Ve an illu 3iu.& of bai:l~ co cloa~. V 39. Do yo u thin k you con est imate tho speed o f the oujcct? (Circle One) Yes It you answe red YES, the n what speed would you t:!>timotc ? 40. Do you think you con estimate how for o wo y from you the object was? (C irdoJ Ouc) Yes IF you answered YES, then how for away would you soy it was ? <11. Please giv6 tho following informatio n about yourself: Middle N arnc Lo:.t Noma Firs t Nomf" Zor\o St utc TELEPHONE NUMBER----------- Wha t is your present job? Please indicate any special educational training tha t you hove hod. Grode school e. e. T ochn icol school High sc.h ool c. College f. Other special training ,_., M.-, d. P o.,t ~roduote 42. Dote y o u completed this questionnaire: U. S. A I R F 0 tl C E T E C H N I CAL I H F 0 R M A T I 0 N S H E E T This que~tionnoire has been prepared so that you c on give tho U. S. Air Force os much tion as possibl e concerning the unident ified aerial phenomenon thot you hove observed. Please tr y to a nswer as many ques tions as you possibly con. The informati on that you g ive will be used for r~ .. eorc h purposes, and w ill be regarded as confidentia l material. Your name will not be used in connect ion with any statements, conclusion:;, or publications without your permission. Wo request t his personal infor mation so that, if it is deemed necessary, we may contact you for her detoi Is. 1. When did you see the object? Ooy Month Yea r (Circle On ): a. Eastern b. Central (i:) Mounto in T ime of day: ( C trclt One): A.M . ( Circle 011e): a . Doylght Savin g 4. Where were you when you sow tho object? To:rm1~1 Bldg. _. _Mun~cip~l Airpo U~n" Ue:dco Nearest Pos tal Address State o r Countr y Addit ional remarks: ~tP:ndiM by W~.9w in Air ~te Tra.i:.f j._c Co 1 C'>M8...z.--..~:D._ _ 5. Estimate how long you sow th e object. 5.1 Circle one of the following to indicate how certain you ore of your answer to Question 5. G) Certain b. Fairly certain 6. What was the condit ioo of the sky? (Circle Onll): a . Bright dayl ight b. Dull daylit~ht c . Brisht twil ight c. Not ve ry sure