U. I. A II P 0 I C I TIC H MICA L I M F 0 R MAT I 0 H S H e ! T This qu.stfonnolre hot lteen pre11ared 10 that you can give the U. S. Air Force at much lnfarmatlon as pot~fltle concernln1 the unidentified aerial phenomenon thot yov hove ot,,.,v..cl. Please try to anawer 01 ... ny questlena you possibly can. The information that you give wall uted for re1e1rch pur,eaee, on4 will "-re,.rded 01 confidential material. Your name will ,.., lte uted In cennectlen with ony atetttlllfttl, concluslens, or publication without your per tlttlen. We request thlt penOMI lnf"'otiM thet, If It Ia d .. .,..ct nceuory, we may contact yov for further dttellt. 2. Time of day: 3. Time zone: (Circle One): ~!) Eeatern It, Centrel c. M.vtttelft 4. Peclflc (Circle OneJ: o. Oaylithf Sevl"l b. Standard 4. Whtre were you when yeu aew the oltj.ct? Aclditl1nal , ....,lcs: Stete., Cetrr 5.1 Circle .,. of the fellewlnt te lft41cete hew certelfl you ore of your onawer to Quetleft .S. 6. Whet wes the cwltl ef the tlayt (Circle One): o. ltht cloyllthf lt. Dull deyllpt ) Bright twllltht c. Not very aure d. Juet fUe d. Just o trace of doyll1ht No trace of daylight 7. IF you aow the oltfect durint DAYLIGHT, TWILIGHT, ot DAWN, wher wos th. SUN locotd you loo1ctd ot the obiect? (Circle OneJ: a. In front of you lt. In baclc of you c. To your right ~ To your left Overhead f. Don't remember I. IF you saw the oufect .t NIGHT, TWILIGHT, or DAWN, what did you notice concernlnt thtt STARS and MOON? 1.1 STARS (Circle o,.J: 8.2 MOON (Circle One}: a. Bright ntoonllght 1. Dull toonllght No moonlight -pitch darlc Don't remomlter ... Don't remember 9, Was the oltfect brlghtw than the ltaclcpound of the alcy? (Circle Ortel: a.~;~ ... Na c. Don't reme tw 10. IF It was BRIGHTER THAN the airy Hclc .. und, waa the brlghtneu lllce that of an automot,ll8 headlight?: (Circle 0,.1 a. A nttle or ntore away (a distant c)? Several bleclca away? c. A blocll away? d. Several yard away? 11. Did the oltfect: a, te atand atlll at anr tl e? It, Suclclenly apeetl up and ruth away at anr time? c. &r.alc up lnte parts elatle? d. Give off alee? e. brlghtneaa? f. Chqe shape? (Circle One lor eo~lt question} Don't Know Don't Know Don't Know Don't Know Don't Know Don't Know Don't Know I Flfclc, throlt, pulaate? 12. Dfcl the obfect ntcwe behind IONthl"' at anytime, particularly a cloud? (Circle One}: Ye1 (~ Dott't Know, IF you onaweretl YES, then tell what 13. Did the oltiect 111ove In front of taMethi"t at a"ytl .... , partlcully a cloud? (Circle O~tel: Yet ~ D01t't Knaw. IF you aneweretl YES, then tell What 14, Did the oltject (Circle One): S.llcl? It, Tranaparent? c. Don't Know, Did you oltserve the oltfect thrOugh Oft)' of the following? E)'OgiOtHI Blnaculara Yes ... Sun glaases Yel .. f. Teleacope Yes Windshield Theodolit Window gloss 16. Tell 1ft fw 17. Dr.w ,..,... "-t wlil the "-....... ef the tct eltl.ctt. l.o'-1 w Include In your alcetch Ofty detelle el "-tt.t ,_ wiRII, ..,.,, ate., M4 ea,.clelly trella or wper trella. Place 1L The ... ,., ef the ~lect w1re1 (Circle O.e)t Fvaay ~lwr-4 ~ Lle.ellra,htatlr ..4 ~M~t .,. te 1h1w the directl thet they were trawl '" 20. Draw a picture thnt will show the motion that the, obi~ct or obj tch made. Pinel! on "A at the Ltoglnnlng of the path, a e at the end of the pnth, ond show o11y changes in di,ection dvring the course. 21. IF POSSIBLE, try to gu.,sa or estimate what there'll siz., of the ohject was In Itt longest dt~Mnslon 22. How large did the obj~ct Clf obi~cts oppear as comporf'd with one of th following objecta heiJ in thf' l,onJ and at about arm's longth? (Circl~ One}: Head of a pin g. Silver dollor Grapefruit d. Nickel (D Bo~lcetball Balf doflor 22.1 (Cirde One of the following to indicat" how certain you are of yolll answ., to Question 22. Certai" c. Not very swe ~ Fairly certain d. Uncertain 24. In dar th.t yov catt tlvo as clear a picture as p"ulble of whet you ew, we woYI4 lllae fw )'OY to letlne thet yoY ceul4 contryct the altject thot yeY sow. Of whot typo mcrtltf'lel -.oYI4 you ntello It? How lert would It M, ontl whot hopo weYI4 It hovo? Oo1ctiN In yow ewtt words o h"'"'Oft oltject or oltjcta which wh" plec.4 up 1ft tho ala, woul tle tho somo oppeerMce tho oltjoct which yoy aow. 25. Where were~ located when you sow the obj.c:t? (Circle Ott.}: 26. W~e you (Cirde One) a. Ina Ideo bullcll"' lt. In a car a. In the business section of o cit)'? 1. In the resldentiol section of a city? d. In an olr,lane c. In open covntryalde? d. Flying neor an airfield? Flying Oer a city? f. F I ylnt over open countfy? 27. What yov clol,. et the tiMe yov MW th. o~ect, hew clicl you happen to notice It? 28. IF )'OU w MOVING IN AN AUTOMOBILE or othef vehicle at the time, then cor.tplete th e' following questlona: 28.1 Whtlt cUrectl were you mowl"l? (Cirde One} ... Northeett cl. Southeost f. Southwest h. Natthwest 28.2 tt.w fe1t were you MOYing? - ---------Miles per hour. you thtp at any tlrne while )'OU were loolclng ot the ol.i.c:t? (Circle 0..1 Ye1 No 29. Whclt cllrectl were you loolll"' when you first ... the olject? (Circle Orte) '"l Northeoat h. Northwes t f. Southwest cl. South.aat 30. Wt.t cllrectl .. ,. you lool&lftl when you lnt HW the oltiect? (Cirele OtteJ '-f. Southwea t h. Northwest cl. Southeoat lt. Not1heaat 31. If you ore fontllior with Moring terma (aneular directiOR), try to eatift'ICite the nu"'ber of degree the object wos from true North ancl alto the nuntw of de"' It wos upward from th horizon (elftvotion). 31.1 When It first appeared: o. Fro tfue North-----clegr .. a. 1.. From horizon . degrHt. 31.2 When it disopp1ared: a. Front true North -----degr .. a. Ia. Fro horiiOft degreea. 32. In the following sic etch, I maglne that you o~e at the pol nt sh--o-...,-n-. -P-Io_e_e_ u_n A_"_on th_e_c_u_r_'l_ecl_l_in-e-to-:-;,- -~=.,---l high. the oltiect was abo'le the horizou (slcyline) when you lirst sa.., it. Ploco a e on the sCMte curved lintt to ahow how high the object was above the horizon (skyline) when you lost saw It, 33. In the following larger alcetch place an A" at the poaltion the object was when you lirt 10w It, and a e ot its poaltl wh1n you lal 1aw lt. Refer to t~MIIer alcetch a1 an exontple of how to complete th larget sketch. 34. Whot were tho weather conditions at the time you saw the obJect? 34.1 CLOlOS (C lrcle One} 'a:: cr tlcy c. Scattered cleu.lt cf. Thick or heav, ,louds 34.3 WEATHER (Circle Onel ~. Foe, Mitt, or light ral~t c. Metlerato or heavy relft 34.2 WIND (C lrcle One} (a) No wlncl b. Slight breeze c, Strong wlncl 34.4 TEMPE~ATURE (Circle One} e. Don't remombef WhM dW ~u report to lOIN official that you ha4 '"n the lct? l6. Wat OftJiftl ' with you et th time you saw the olttect? (Circl o,..J @ He 36.1 IP you OftiWirld YES, clid they '" the oltfect too? 36.2 Pfee fltt fhelr MNI and MclriiHIZ 37. Wat thla the flrtt tl1111 that you hed '""Oft oltfect ol.iectt lllro thla? (Circle 0} Ne 37.1 IF r red NO, thM wh.,., where, .... under what cltcUMstencoa dl4 you, .. other onea? 38. In yow opinion what do you thinlr the oltJect waa a,_, whet might have cou1ed It? 39. Do )'OV thinlr you con estimate the speeJ of the object? (Circle On,} IF you answered YES, then what apeecl would you eatlmat.? 40. Do you thlnlc you con estllftCite how for away from you the oliect waa? (Circle One} IF you answered YES, then how for away would you aay It was? 41. Please gle the followine lnforiiMitlon alut yourself: Zone Stote Please Indicate any spclal educational tralnlrt9 that you have had. Grode school Technlcl achool ----------- it. Hith school ---------- f. Otloer apecial trelnlftl ---------- ... Past gra4uate --------- eted thia questlor..-.lre: U. I. A I R P 0 R C I TIC H HI CAL I H P 0 R MAT I 0 H S H I! e T (SUMMARY DATAl In order thet your lnferiMtlon mo, b. fll.cl ctM coded aa occuratl, 01 poulltl, pleau us the foll .. a,. ., te write ovt a ahort cle1crlptl of the vent that you oburvd You may, .. , , I thlt pu h. already given In the queatiOfiftalre, and odd ony furth., comfn9nb, ahlte"'"' ala.tehe1 thlt yo-. t,ellwe ore lmpartant. Try to preaent th. detail a of the obtwva- tlon In the 1ft which tt., occwred. Addltlanel pap1 ol the tome all poper moy !. ottaeh..J Not Wrl,. '" Thl.t Spo~8) U. I. AIR POICI TICHMICAL IMPORMATIOM SH II T This ttWttfonnofre hot lteett te thet ,ov con give the U. S. Air Force 01 much lnformotion ot pe .. fWe concetnlftt lhe vnfdetttlfled oeriol phenomenon thot you howe at,urv.d. Please try to ontwer 01 t~Yettl 01 you pottlltl, con. The information thet yetu give will .. us eel for reu tch ,.,..et,' .... will .. retenfo4 01 confidential material. Your name will ,.., ~ use4 In COftNCtiM with OftJ 1 tl, Clttcluslent, or publications without your pmitsl-. We request this peraanol lnlorotl lhet, If It It doo1110d necestar,, we N1 contect '" for further detellt. 1. When 414 you e the oltiect? 3. Tlnte IOfte: (Circle One): e. eostern c. Meun,.ln 4. Poclflc 2. Ttme of do,: (Cirele Onel: (Cirde Onel: a. Daylight So1"1 4. Where weto yov when 1ou tow lho oltiect? N..,t Patel A44ru Additional remorlts: 5, ettlflteto Mw IOftt yov HW lhe oltfoct, 5.1 Circle 011e of tho followlnt te ln41"te how corteln you oro of your 0111wer te Q.,.atlon 5. 6. Whot wo1 the cofMIItiCR of the ellr? (Circle Otto): Brlpt rllthf N.t very ture L .lvtt eueu 4. Juet o troco of d.,lleht e. No tree of do,light 1. IF you sow the oltfect durlnt DAYLIGHT, PILIGHT, or DAWN, where was the SUN located o1 yov loo1ced ot the oltiect? (Circle Onel: a. In frOftt of you t.. Itt bocl& of you c. To your rftht d. To your left e. Overhead f. Don't re._ber llNct:ASSJFIED JiTJl u:.1 3 8. IF you tow the ouJect at NIGHT, TWILIGHT, or DAWN, what did you notice concerning th" Si ARS and MOON? 8.1 STARS (Circle o,.}: cl. Don't ren-.omlt 8.2 MOON (Circle Onft}: a. Bright moonlight 1.. Dull moonlight @ No moonlight -...... cl, Don't remember 9. Was the oltfeet brighter than the IHiclcground of the alcy? (Circle One}: 1.. No c. Don't remeNer 10. IF It was BRIGHTER THAN the elcy l.aclcpound, was the hrlghmeu lllce that of an automollle headlight?: (Circ:le OneJ@ A mile or More away (a cllatont car)? I,, Several bloclce away? c. A bloclc o'llfay? cl. Several yards away? 11. Did the alfec:t: (Circle One for eoclt question} a. Appear to stand 1tlll at any time? ~ No Don't Kno'llf 1.. Suddenly speed up and ruth away at any time? Yes Don't KnN c. Brealc up Into part1 or explode? Yet ~No Don't KnO'IIf cl. Give off amolce? Yet ,JroJ Don't Know e, Change brlghtnett? Yes Don't KnOOM r. Change shape? Yet Don't Know I Fllclcw, thral, or pultate? Yet Don't Know 12. Did the obfec:t move Nhlncl something at anytlfM, porticulatlr o cloud? (Circle O~te}: Yea Don't Know. IF you antwerecl YES, then tell what 13. DW the oltfect 111cwe In front of to~ttethi"' ot anyth, particularly a cloud? IF you anwerecl YES, than tell what (Circle O~te): Yea @ 1~. Dicl the object appear: (Circle O~te): Sollcl? I.. T rantparent? Q Don't Know, 15. Did you oltaerve the oltjec:t through ClftY of the foiiOOMint? a. Eyeslatee Sun glasses c. Windshield d, Window glau e. Binocular Yes ~ f. Telescope Yes ~ g. Theodolite Yos (t5 16. Ton In few w.Na the lollewlftt thlnp al.a.t tho oltfect. 17. Draw a plctwo thet wlil the ef the eltfect oltfecta. LeMI _. lnclutlo In yow al.otch cmy cl.t.lla ef the ...... , thet r-11w -" ll'eltwalefta, ote., an4 oap1cfolly .... uat troll or "'"" trella. Place 18. The otl111 ef tho ollfoct were: (Circle O..el1 _,... Fuaay ltlvrr~ ~ Lll&e llrltht ,.., 19. If ....... MORI THAN ONE olltect, "'-hew Drew ,acturo of e.. ther wore ...4 put te ahew tho dlroctl that they wore trevollnt 20. Ora~ o picture thnt will show the mution that th. oLjec:t or objects made, Place an "A at the beginning of the path, o a nt the nnd of the path, ond show any changes in der~ction dt~rl"t the course 21. IF POSSIBLE, try to gue .. or estimate what the real ai1 of the obiect woe In Ita longeJt dl,..nslon. 22. How large cUd the oblect or objects appear as compared with one of the followl"t olttects lreltl ;, tlte lto~l and at nout arm's length? (Circle o,.J: a. Head of a pin g. Silvet dollar h. Dnselall OiMe q? nropefruit d. Niclcel Baslcethall Ha lf do II Ill' 22.1 (Circle One of the following to indicate how csrtoln yo.J ore of your an,wer to Queatlon 22.