1. DAT! TWI 5. LINOTM OP OISIIIVATION 6. TYftl OP OIIIIVATION G.to nnct-Vis t.'"~l 9. PHYSICAL IVIDIMCI I. LOCATION I I. lllllfl IUMMAIY Ate ANAL YSII clist'lncc. 34. What were the weather condftlona at the time you aaw the oblect? 34.1 CLOUDS (Circle One) a. Clear sky c.<l catterecl clouds d. Thiele or heavy clouda e. Don't remember 34.3 WEATHER (Circle One) b . Fog, mlat, or light rain c. Moderate or heavy rain e. Don't remember 34.2 WIND (Circle One) a. No wind b. Slig. ~eeze c. Strong w lnd " d. O'on;t r~me-er 34.4 TEMPERATURE (Circle One) c. Warm. e. Don't remember 35. When did you report to some official that you had sHn the obiect? Day Month Year 16. Was anyone else with you at the time you saw the object? (Circle One) {Yes~ No 36.1 IF you answered YES, did they see the object too? (Circle One) \Yes ... -No 36.2 Please list their names and addreases: 37. Waa this the first time that you had SHn an object or objects like this? (Circle One) Yes 37.1 IF you answered NO, then when, where, and under what circumstances did you SH other ones? 38. In your opinion what do you think the obiect was and what might hove caused it? 39. De rou thlftll you c et teed of the oltfect? (Circle One) Ye lf you anawerecl YES, then what apeed would you eatlmate? 40. Do you thlnlc you can eatlmate how far oway from you the oliect waa? (Circle One) : Yea' No IF you anawerd YES, then how far away would you aay It waa? about youraelf: TELEPHONE NUMBER --= Please Indicate any special educational training that you have had a. Grade achool ~J,-/ _ b. High school --------- d. Post graduate --------- e. e. Technicalschooi ~------- 42. Date you completed this questionnaire: U. S. AIR PORCI TECHNICAL IMPORMATIOM SHI!IT lA Qrder thot your lnfermatlon may be filed and coded aa accurately aa possible, pleaae use the foltowi"'J space ta write out a ahart cleacrlptlan of the event that you observed. You moy , .. 11at lnfcwmotion that you have already given In the queatlonnalre, and add any further comments, atdttHIIents, cr slcetches that you believe are Important. Try ta preaent the details of the obaerva tlon In the order In which they occurred. Additional pogea of the same size paper may be attached If they are nHdecl. (Do Not Write in This Space} Location a i~g~;Jg~ t. ~ll:it l:gt' Balloon??? lJNCLAssi~l0 : .. I.~TLLIGNCE OFFICER 655 T~{ ~.C&~T SODN '.~ATZRTO~JN NY l'-Jt.:?rtQ/ DIR OF !L-.TELLIGE;:cE :IQ USAF HA~:ii:~GTO:~ 25 DC ~ ~J~lJ/CG NT AFB COLORADO SPRI~lGS CCLCRADC 1:!3"0 J:::?.\i3/CG SADF STEWART AF3 l'lE~JBURG.-i NY j:pi'J/CG 32D :\DIV !DI ;{A~!COCK FLD E.~ST :100D STA 6 stRACUSE .lY . ;::?::.0/CO 4711Tii D~F ':1G ?IAFB PRZ~QU2 I SLE :iAI~JE ACL ZbtJS7 P~ FLYOSR?T COLCN .UNCLASSJf]EQ i .. -~Io:::iTIFI D FLYI.~G OBJECT C:lA AI~ FC;~C~ LI:TTZR 2tj3- 5 ! ::1ALL C)'iA ~Jff!TE CBJE:CT Cl:.'l. 3LI: <It~G C~t~ :;:::~1 TO GLC~J TO? A:lD BCTTC:~ ..:.A HITJ P.. 3LAC!{ ST~I?S R J>:~JI:-JG FROi1 TO~ TC 30TTO~-~ PD 0!1!G!.IALLY f. IJ!iG STILL CL1A TH::N LATiR MOVI:'JG SLOULY HE~T PD ALTITU!)~ GIVZ:i'! . s ~ <.,~Sr:Rv::D AT 1246 EST C~.t\ 23 APRIL 1S53 ?D OBSERVZD FCR A?;,~c~I:1ATELY .... sl::~VE:R LOCATED AT ADDISON C~1A ilEt:l. YORK Cr1A NN 45J S ?D CJJECT LOCAT2C .:. ;.ILZ::. .lO.~TH~J~ST OF 03SERVC:R Cii/\ :.iiGH CfvlA o DIRiCTIOi: C:1A 1'lO S?~2D C>IA F ADDI~O;J C~-; :Jy PP.OS?ZCT STHE!::T c :'lA .... ~1:~.-1T:-U:a COiiDITIONS GIVZN AS I . J toG 1\ T I t' E P D .... !<IG:iTiRS SC~At1ELED APPROXI~!.~TELY 1.31.5 E~T C~1.~ SUT FOU:..JD :Jo JOY PD ~-~;I 152j Z A?RIL J2PSN DOWNGRADFD A,.. 3 rr. . DECLAsSIFIED AF~.l,{.AR TN7'ER '/ . _, R 12 YEARS U. I. AIR FOICI TE~HMICAL IMPORMATIOM Thia questionnaire hat been prepared 10 that you can give the U. S. Air Force as much information at pouible concemlng the unld.ntified aerial phenomenon that you have observed. Please try to answer at many question at you poaaibly can. The Information that you give will be uaed far ro~aearch purpoaea, and will be regarded as confidential material. Your name will not be used in connection with any statements, conclusions, ar publications without your permiaaion, We request thlt personal information so that, If it is deemed necenary, we may contact you for further detalla. 1. When did you see the obiect? 2. Time of day: (Circle One}: A.M. 3. Time zane: a.(._Eastero.- (Circle One}: b. Central c. Mountain d. Pacific (Circle One}: a. Daylight Saving b. Standard Stoto ojiCo.,ntry City or Town 5. Eatimate how long you aaw the obiect. 5.1 Circle one of the following to indicate how certain you ore of your answer to Question S. a. c .. rtgio . (!.--Fairly cer~Jn..~ 6. What waa the condition of the slcy? c. Not very aure d. Just a gue11 d. Just a trace of day I ight e. No trace of daylight f. Don't remember 1. IF you aaw the object during DAYLIGHT, TWILIGHT, or DAWN, whero was the SUN located as you looked a.t the obiect? (Circle One}: a. In front of you b. In back of you c. To your right d. ! ~ Y~llJ~t e.~erhead \ f.n' t feme;;'ber 8. IF you saw the o"'iect at NIGHT, TWILIGHT, or DAWN, what clld you notice concnlng the STARS and MOON? L1 STARS (Circle One}: 8.2 MOON (Circle One): Bright moonlight b. Dull moonlight c. Many c. No moonlight -pitch doric cl. Don't remember d. Don't remember 9. Was the obfect brighter than the background of the slcy? (Circle One}: a.@ b. No c. Don't remember 10. IF It was BRIGHTER THAN the slcy background, was the brightness like that of an automobile headlight?: (Circle One} a. A mile or more away (a distant car)? 1. Several blocks away? c. A block away? cl. Several yards away? 11. Did the object: (C irde One lor each question) a. Appear to stand still at any time? b. Suddenly speed up and rush away at any time? c. Break up lnta parts or explode? d. Give oH smoke? e. Change brightness? f. Change shape? g. Flick, throb, or pulsate? Don't Know Don't Know Don't Know Don't Know Don't Know Don't Know Don't Know 12. Did the obiect move behind something at anytime, particularly a cloud? (Circle One): Yes \..fio..,... Don't Know. IF you answered YES, then tell what 13. Did the obfec:t move in front of something at anytime, particularly a cloud? (Circle One): (Y;;' ., No ,. Don't Kn,w. IF you answered YES, than tell what the object appeor: (Cirde One): b. Transparent? c. Don't Know. 15. Did you observe the object through any of the following? a. Eyeglasses tv;) No e. cBi !ILi) ~) No b. Sun glasses Yes ~ f. Telescope Yes N_O:, c. Windshield Yes @ g. Theodolite Yes N0,' 16. Tell In few waNt the following thlnp altout the obiec:t. 17. Draw picture that will lhow the ahape of the obiect or obiectl. Label and Include in your alcetch any detail a of the obfect that you Hw auch aa wlnga, protrualona, etc., ancleapeclally exhauat tralla or vapor trail a. Place on arrow betide the awing to ahow the cltrectlon the oblect waa mewing. 18. The edge of the obiect ~ere: (Circle One): a. F y-; bl~;;;cl) b. L a bright star c. Sharply outlined d. Don't remember 19. IF tl:ere waa MORE THAN ONE obiec:t, then how many were there? Draw a picture of how they were arranged, and put an arrow to a how the direction that they were travel tng. 20. Drow a picture thnt will ahow the lon that the obfect or oltfecta lftCICie. Ploce an A, at the beginning of the path, a a at the end of the path, ancl ahow any change In direction during the coune. IF POSSIBLE, try to guesa or estimate what the real size of the object waa In Its longest dimenalon. How large did the abiect obiects appear as co.,.,orecl with one of the following objects lteltlin tlte haml and at altout arm's length? (Circle OneJ: Head of a pin I! Silver doll Grapefruit Basketball f. Half dollar 22.1 (Cirde One of the following to indicate how certain you are of yow answer to Question 22. a. ~;rt~in~ c. Not very aure b. Fai;ly certain d. Uncertain 24. In or4er thot ,ou Ctlft glvo cloor o picture poaalltlo of whot you aow, we would lilco f01 you to lmoglne thot you could conatruct tho oltlect thot ,ou aaw. Of whot type oteriol woul4 you IIIHike It? How largo would It Ito, ond what ahape would It hove? O.aetilto In your own worda o ~ommon oltjoct 01 olttocta which when placed up In tho aky would tlvo tho aomo oppooronce os tho olttect which you aaw, 25. Where were ,ou locotM when you sow the olalect? (Circle Orte}: 26. Were you (Circle One} a. In the bualnea1 aectlon of a city? ~ In the reahlentlal section of a city? c. In open countryalcl.? .t. In an a lrpl ane .t. Flying near an airfield? e. Flying Oer a city? f. Flying over open country? 27. What w you doing at the time you saw the oblect, and how did you happen to notice It? ?8. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 28.1 What direction were you mOYing? (Circle One} a. North c. East b. Northeast d. Southeaat f. Southwest 28.2 How faat were you moving? ---------miles per hour. 28.3 Old you atop at any time while you were looking at the object? (Circle One) Yea No 29. What direction were you loolcing when you first aaw the object? (Circle One) c. East e. South b. Northeast d. Southeast f. Southwest 30. What direction were you looking when you last saw the object? (Circle One) d. Southeast f. Southwest h. Northwest h. Northwest h. Northwest 31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was from true North and also the number af degr .. s it was upward from the horizon (elevation). 31.1 When It first appeared: a. From true North ...:.r&:.za..:.,_;_ degr .. a. b. From horizon 0 degrMs. 31.2 When it diaapp1ared: a. From true North b. From horizon 'J degrMs. 32. In th following sic etch, Imagine that you are at the point shown. Place an A on the curved line to show how obiect was above the horizon (alcyllne) when you lirst saw lt. Place a a on the same curved line to show how high the obiect was al.ove the horizon (slcyl ine) when yov last saw it 33. In the following larger alcetch place an A" at the position the abiect was when you lirst saw it, and a "B" at its position when you last saw it. Refer to smaller sketch as an example of how to complete the larger sketch.