DAT! .\ftMI NUMIII OP OIUICTI S. LIMGTH Ofl OISIIIVATION 'i-ro uni-if:b u.~.l a. ftHOTOI 9. ftHYIICAL IYIDIMCI FTD "' u o.32t (TDI) U. lttiP IU*AIY A .. AMA&aYIII o~ hoU wc1 A/YJ r~ene.u c. e.s.th, u 51.464063 'nt AS.. l fP*I to Bq ~q ~o A!Jt Ba Gzwp, VJ]Sngtee U1! r... ..._ he 1 u aa abolaft d!;atcber 0a till ~ tM 1C)Ua of -195,, tbe aSI-D n 11\ their ra..,.nt.w at -":lhlll a cell ~eoe1 t:-e. q ~ otr blue wbat tJ'pl as.~ au !D ~ ~ ob.,_. 1lldah aa brlab' Oft%2R8 altmtlgb mt aa T1rt~ .. tt. .-a.. m.a t1nts stghted, 2230 aDd ms, the .. Me!Mad. the objea 'dslble frail to tWill "mt ~ Wa time, 1\ tollowd nra1gbt couae bw 90 to b appea.Rd to be rocmd. Bo allwd tra1l _. n . ... DO Jllud. 1a a lltra!!' l!De. t"igbtiDI . tba p.; lt. .. DD viaible, dwa to d!.._.. n. -- .zioa .. tbe auhae AM al on .. ade to a nx with tbeoc!ollte which 11aa UDINOC8se- ttll. SJIIIed.. ~ butf UDibl8 to be aocuate~ 38 at c4 ob~- .. 'l'b8 .... alMr with wtDd "' . .at f,_ 'ta. lligb\lftfr 'l'hiJ8 !a DO tio'llical oY.t.-... .. to wS up - DO iDtez- tu.. ~ Sq thta llue _. bd did reeetw a ada1r--.... UNCLASSIFIED . MESSAGEFORM I, CIOMNUIIICAflOfll CGifU. fiG. 0 lOOK MUIAGI 0 M~nfU AOCMISS 0 O'"GIN'-Mni4GI CII.YI'TOf'tltCAUTIOtt UNCLAsSiflE9 ~taW'!~ altO t.7 a'.OC 19 Ua7 '3 oa uld.-t1fte4. :,11~ :t!&Jit oft lllltP. tee1al o1tJeft _, ~ ~ a1ftnft 1)0\VNCttADED AT 3 YEAR lNTEUVA_.}~ DBCI,4SSIFIED AFTER 12 YEAR& . nate ----ONCI:ASSIEIED . IOCTtt 173 IIUUCII .-c fOitM 1ft. I .,., WIIICM MAY Ull& orfiCIA'-TITU F:1 CO 747TH AC1W SQ ELLINGT 1 AFB TEXAS TO CG ATIC WRIGHT PATTEflSON AFB OHIO I KQ077F REF PfiOJECT BLUE BOOK AND UR.. G AFOIN- A'i'IAt:-5-12-E PD SAN ANTONIO ARTC AND FT UORTn FLIGHT S~RVICE UNA3LE TO PROVIDE INFOR~TION IN EXPLANATION Of OUR FLYOBRPT OF 19 t-tAY 53 PD U. S. A I R P 0 R C I TIC H N I CAL IN P 0 R MAT I 0 H S HI! E T This questionnaire haa been prepared 10 that you can give the U. S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observecl. Please try to answer at many questions as you pouibly can. The information that you give will for re:search purposes, and will be regarded as confidential material. Your name will not be used in connection with any statements, conclusions, or publications without your permiuion. We request this personal Information so that, if it it deemed neceuary, we may contact you for further details. 1. When did you see the object? 2. Time of day: Yeor (Circle One): 3. Time zone: (Circle One): a. Eastern t) Central c. Mountain (Circle One): a. Daylight Saving b. Standard 4. Where were you when you saw the object? 11-LIIIkYDifl A1! Neareat Paatol Acldreu City or Town State or Country Additional remarks: 5. Estimate how long you saw the object. Minute a Second a 5.1 Circle one of the following to indicate how certain you are of your answer to Question 5. cf) Certain b. Fairly certain 6. What was the condltlcn of the sky? (Circle One): a. Bright daylight b. Dull daylight c. Bright twilight c. Not very sure d. Just a guess d. Just a trace of day I ight (JJ No trace of daylight f. Don't remember 7. IF you aaw the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at the object? (Circle One): a. In front of you d. To your left In back of you e. Ovwhead c. To your right 8. IF you aaw the obfect at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON (Circle One): ) Bright moonlight b. Dull moonlight c. No moonlight -pitch darlc d. Don't remember 9. Was the obiect brighter than the background of the sky? (Circle One): a. Yes c. Don't remember 10. IF It was BRIGHTER THAN the sky baclcgrouncl, was the brlghtne .. like that of an automobile headlight?: (Circle One) a. A mile or men away (a distant car)? b. Several blocks away? c. A block away? d. Several yards away? 11. Did the obiect: (Circle One lar each question) a. App1ar to stand still at any time? b. Suddenly speed up and rush away at any time? Yea Q Don't Know Yes fGi Don't Know c. Brealc up Into parts or explode? Yea D~'tK~w d. Give off smolce? Yea Don't Know e. Change brightnesa? Yea Don't Know f. Change shape? Yea Don't Know g. Flicker, throb, ar pulsate? Yea Don't Know 12. Did the obiect move behind something at anytime, particularly a cloud? (Circle One): Yea (ft'> Don't Know. IF you answered YES, then tell what it moved behind: 13. Did the obiect move In front of something at anytime, particularly a cloud? (Eircle One): Yes Don't Know. IF you answered YES, than tell what Did the oliect appear: (Circle One): b. T ransporent? @ Don't Know. Did you ob .. rve the obiect tfvough any of the following? a. Eyeglasses Yea No Binoculcwa b. Sun glasses Yea No f. Telescope Yes No c. Windshield Yes No Theodolite Window glass Yes Other EY#~1411r 1 the fellowlnt th .... eiiM the olttect. (FL~O~t'll 17. DNw 'lctwe that will ahow the np1 of the oltfect or olllecta. Lobel and Include In your al&etch any clotalla of tho olltoct that you auch wlnp, "atrwalona, etc., and ea,.clally exhaust trolls or vapor trails. Place llnldo the ,,..,;. to ahow the direction the olttect woe IRO'IIn,. 18. The edges of the oblect were: (Circle One): a. Fuzzy or blurred Lll&o a bright atar If:) Sharply outlinocl d. Don't rema111bor 19. IF there woa MORE THAN ONE oltiect, then how were there? -------------- Draw a picture of how they were rantocl, and put an arrow to ahow the direction that they were traveling. 20. Draw aplcture thnt will thow the 1n0tlon that the obiect or obJect made. Place an A at the beginning of the path, o a at the end of the path, and ahow any change In 41irectlon during the courH. 21. IF PO~IBLE, jry to gue11 or ettlmate what the real tlze of the object was in its longest dimension. 'lt/.K/l. I W(V_ feet. 22. t low Iorge clicl the object ar obiect and at about arm' 1 length? ~ear as compared with one of the following objects heiJ In the hand (Circle One): Head of a pin Silver dollar h. Baseball Grapefruit Basketball Quarter k. Other f. Half dollar 22.1 (Circle One of the following to Indicate how certain you are of your answer to Question 22. (Ji) Certain c. Not very sure b. Fairly certain d. Uncertain How did tho object or objects disoppeor from view? sztrAI(Nr . t.Mfr:ll 1/6 LiMifl R tl/41~1.1 N rHF llfCftlJSS In ordet that you can give oa clear o picture as pasalltlo of what you sow. wo would IIIlo for you to Imagine that you could construct tho ot.loct that you sow. Of what typo motetlol would you malta It? How Iorge would It bo. and whot shopo would It hove? Ooacrlbo In your own words o ~ommon obfoct or objects which whon plocod up In tho sky would glvo tho 25. Where WIN,.. loc:ot.d when ,.u saw the ol.iect? (Circle One): Inside a bullcllng lt. In o car ~ Outdoors 4. In on airplane 26. Wr you (Circle One) e. In the bualneaa section of a city? 1. In the .-.slclential section of a cl ty? c. In open countryside? d. Flyln1 n111r an airfield? e. Flying over a city? 27. What we you doing at the time you saw the obiect, and how did you happen to notice It? 28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 28.1 What direction were you moving? (Circle One) a. North J /~ c. East it. Northeaat /f/p cl. Southeast 28.2 I low fast were you moving? ---------miles per hour. 28.3 Did you atop at any time while you were looking at the obiect? (Circle One) Yes No What direction were you looking when you flrat saw the obiect? (Circle One) a. North c. East e. South it. Northeast cl. Southeast f. Southwest 30. What direction were you looking when you laat aaw the obiect? (Circle One) b. Nort"-t d. Southeast f. Southwest h. Northweat h. Northweat h. Northwest 31. If you are fomlllar with bearing term (angular direction), try to estimate the number of clegreea the obiect was from true North and also the number of clegrHs It was upward from the horizon (elevation). 31.1 When It first appeared: a. From true North degrHs. b. From horizon-- '-;. degr .. s. 31.2 When It eli sappa11recl: a. From true North _2-;::;.._'?_D clegrHa. b. From horizon J f . clegrHI. concUtiona at the time you aew the olttect? 34.1 CLQU)S (Circle O e} ScaHrcl c loucla Thick havy cloucls 34.3 WEATHER (Circle One} b. Fog, mitt, ar light rain c. Modate Ofhavy rain e. Dan't rem-'r 3C.2 WIND (Cirele One} Slltht breeae c. Strong wlncl ~ .C TEMPERATURE (Circle One} e. Don't rememl.r 35. When dlcl you repoet to Mlfte oHiclal that you hacl teen the ol.tect? -~''-tlltf r: a.r:~ o., Menth Y ~6. Wat anyone el .. with you at the time you saw the obiect? (Circle One} G) Na IF you an1w1red YES, did they '" the obiect too? (Circle One} Q No PleaM lltt lr 37. Was thlt the first time that you had a .. n an obiect ar obiecta lilce this? (C lrcle One} ~ 37.1 IF you answed NO, then when, where, and under what clrcumstancet did you'" other ones? 38. In your opinion what do you thlnlc the object was and what might have caused It? 39. bo you thlnlr you con eatlmate the apeed of the oltiect? (Circle One} <f!j} No IF you onawerecl YES, then whot apeecl would you estimate? o. Do you think you can eatl111ate how far away from you the object was? (Circle OneJ (!;.) No IF you anawered YES, then how far away would you say It waa? 1. Pleoae give the followlftl lnforftltion about youraelf: Zone State TELEPHONE NUMBE s.x .MA-tF Plea Indicate any special educational training that you have had. Grode school T echnlcal school ... High school Other special training d. Post graduate 2. Date you completed thia queatiomaire: Day Month Y ear ~ ilt.r SJ I 5 IMM .. ~ JO!~JT r,1ESSAG~f on~a UNCLASSifiED. ... Aca AaOVai'Oit COMNUNICAriONS c.vrtt ON l' ,_----------~ fROM: (Or(IIINt.,.) 0.\TtTI~.:E GRO'JI" 0 OIIIOmAl. MESS~GI 0 IOOIC I\IC:iSACC 0 MUl.TIPU ADI:IItiSS CRYI"T~IIECAUTIOit RUEM TO MESSAG: UNCLASSJFIEQ UNCLASSIFlliO