1. DATI TIMI G.OU, I. LOCATION NUMII OP OIJICTI J. LINOTH OP OIIIIWA II. CONCLUMOM A .. ANALYIII TY~I O'.PIIVATIOM ~HYSICAL IVIOIMCI ~ ... U. S. A I R P 0 R C E T E C H HI CAL I H P 0 R MAT I 0 H S H E ~ T (SUMMARY DATA) In OtM thot your lnfarmatlon rmy be flied and coded at accur.,tely as possible, please us' the followift1 apace to write out o short description of the evnt that you observed. You may re- pet lftfmotiM thot you have olreocly glv~tn lft the qu.stionnalre, ond odd any f urther \':Omm.nts, atotelftenta, or alc .. chea thet you believe are lmportartt. Try to present the detoilt of thtt o bs .. rva- tiOft In the ordtr In which they occurred. Additl.:.nal pagea of the 'am size paper may be uttaehed If the, ore neded. (Du Not Write in Th;:s Sptlc,J U. I. A I I P 0 I C I T I C H MICA L I H F 0 R MAT I 0 H S H E E T Thit .,ettionnoire hat been properetl that you can give the U. S. Air Force aa much lnftiM po11llle concernlnt tho unidentified aerlol phenomenon that you hove observed. PI trr te anaw menr question you poaalbly can. The information that you give will ~ uao4 ,_ r01earch purpoeea, anti will be retarded at confidential material. Your nome will not Ito ute4 In cMn1ctlon with onr ltateRW~nte, concluaiona, or publications without your permiuion. We re41ue1t thlt peraanol infer1110tion that, If It it d .. med neceuary, we may contact you for 1. Whott tiNI ,.., tho oltioct? (Circle OrteJ: a. tl. Pacific (Circle One}: (Circle One}: a. Do li t Saving AMitlonol romt:ka: hew lont yeu aaw the oliect. Citr or Town Stoto Of Cowntr7 5. I Circle 0110 of the followlnt to Indicate how certain you ore of your onawer to Oueatian S. 6. Whet ....... cwiti Clft of the a ley? (Circle One}: a. Bright daylight 1. Dull doylight c. Bright twilight c. Not very sure d. Juat a gueu d. Just a trace of da I ight '-.. ~ tror;oc.-orda f. Don't remember 7. IF you sa the obiect during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located oa you looked at the obiect? (Circle OneJ: o. In front of you b. In bock of you c. To yoUt right d. To your left Ove1head f. Don't rem.rnber 8. IF you saw the oulect at NIGHT, TWILIGHT, or DAWN, what dlcl you notice concerning thft STARS ancl MOON? 8.1 STARS (Circle Onel: 8.2 MOON (Circle OneJ: o. Bright moonlltht 1.. Dull mOOftllght c o moonlight -pitch ~ 9. Waa the ol.iect lwlghter than the Mc ... und of the slcy? 10. IF It wet IRIGHfER THAN the Icy ltaclcground, w.a the lwlthtn lilce that of an automoltlle h .. dllght?: / ) .') (Circle ON) A II 011 away (o dlstont car)? lt. S.veralltleclla c. A bloclc away? fl. Several .,_.,, awoy? 11. Did the c*tect: a. Ap1.., to stond at Ill at any tltM? Suddenly apee4 up and ruth away ot ony ti1M? c. Breelc up Into porta or plocle? fl. Give off tMolce? f. Char.w ahepo? I Fllcllor, throl., or pul10te? (Circle One lor eoelt qwfl01t) Yet ~ Don't Know Yet ~ Don't Know Ye ~ DCMt't Know Doa't Know CQ~'t K;m> Don't Know 12. DW the oltiect MOYelehl...t tonlhl"f ot onytltM, particularly o cloud? (Circle OJ: Yea ~ Don't Know. IF yov onawerecl YES, then toll what 13. DNI tho oltJect move In freM of to111ethi"1 ot anytl .... , portfculorly a cloud? (Circle OJ: IF you answer eel YES, then tell what 1 ... Diet the oltject appear: (Circle OneJ: b. Transparent? Ditl you oltaarvo tho oltfoct thra.,.h Y ~ the foll .. l"f? E,-.latses Binoculars No b. Sun glaases Windshield Theoclol ite Window gloat 16. Toll 1ft few w1rda "'-fellowlftt thl"'l allout the o .. lect 17. O..w plctwe .._,will the of tho ...... ,., oltlects. Lot.l and lnclucle Itt your alcetch.,., detell ,..,.,..,.,,etc., -.4 pclallr ollhvat trell1 or I"' trella. Piece II. Tho ..... el the ellloct wore: (Circle O.e): 19. If wea MOR! THAN Drew plctuq el ... ther .. ahow tho tllroctleft thet thor wore nftl 1ftt. 20. Draw a plcturft thf1t will slow t!.c motion that the,ob1ec t or objects mode . Plocft an "A at the beginning of the path, a s at the end of th e path, and show any changes In direction during the course. 21. IF POSSIBLE, try to guess or estlmote what the reol size of the object was In Itt longest dimension. ~l'""'ftul' ltN feet. How taro-did tiM object 01 objects appear as co,.,ored with one of the following obiecte heiJ In the hortrl and ot about orrn' s ler19th? (Circle Orte): ($;,-H-e-nd-of_a._pi-.;> e. Quorter f Ha It dollar g. Si IYer dollar h. Baseball I Grapefruit I Baslcetbatl 22.1 (Circle One of the following to ln!.flcote how certain you ore of your answer to Question 22. G::c~,;~ c. Not Yer'f swe b. Fairl'l certain d. Uncertain 23. How did the obiect or o!J;.cts disappoar from Ylew? 2~. 1ft ..... th .. yeu c glvo a clear a plcturo os pctultle of what yeu , w wovld like r .. yeu to ltlftO that yeu covltl cons,.vct tho oltiect thet yeu aow. Of whet t)'pe MatOtlal -.viti )'Ov It It? Hew lett wevltl It lte, aM what ahop woultllt hovo? Ooscrllte l1t yow owft w .. d, ~ .......... "loct., "ict which whoft plece4 up l1t tho ally wovl4 elva th some .. , ... .,.. tho eltlect which reu 23. Whore we,. )'OU located wh ... )'OU saw the abfect? (Circle OuoJ: ~ In eer 26. Were you (Circle One} a, In the business section of a city? b. In the resldttntlal section of a city? c. In open countryside? cl. Flying near an olrflolcl? Flying over o city? f. Fl lng over open country? 21. IF ,.., MOVING IN AN AUTOMOBILE or ether vehicle at tho time, th.n COtltplete the. following queatlont: Whet cllrectl you MWI"'? (Circle Olte) 1.. NNtlet h. Northweat t low fett wer you movlnt? ~niles per hour. 21.3 Dltl y1u ,.., at "J tl .. while you were loolrlttt at the obfect? (Circle 0...) Yea Ne 29. Whet ., .......... ,.., loeld"' w'-' )'OU firat ICIW the oltiect? (Circle o ... } 4. Southoaat f, Southweat h. Northwott 30. Whet ctl wore }'eu lldftl wh. ru lt tho oltiect? (Circle Otae} .. Nortll . 1.. Notthnat f. Southweat h. Northwest ... South 31. If you ore falller with beorlftt ter1111 (aftlul direction), try to oatiMato the nu"'bet of degr .. the object was from true North ancl olao the ftUMW of degr .. a it wot upward from the horizon (olevotion), 31.1 When it first oppeaNcl: b. From horizon ~ 0 d~r .. s. 31.2 When it cliaappaared: o. FroM true North -----d ...... b. Fro horizon degr .. a. 32. In the fellewl"l a ketch. Imagine that you ore at the point ahown. Place an A" on the curved line to a haw how high the eltfect woa oltove the horlzore (allyllne) when you litJI aaw U. Place a e on the same curved line to at.Gw how hfth the oltiect was al.ove the horizon (skyline) when you last sow lt 33. In the followln1 ._.., alletch ploce on A at the poaltiOft the oblect wea when you lirtf It, oncl "B" at Ita 'ltl wheft you loaf aaw lt. Refer to aMOII., alcetch 01 an exaMple of how to co .. lete the lor.., alcetch 34. What were the weather condition ot the time yov tow the oltJect? 34.1 CLOUlS (Cirele One} c. Scatte4 cleudt tl. Thiele or hr cloUII1 34.2 WIND (Cirele OneJ 34.3 WEATHI!R (Citcle One} U TEMPERATURE (Circle OneJ 1.. Fog, mitt, light roln c. Moclerote ., haovy raht e. o ... , reMemtt.r 35. Whe~t cl hi you to offlcfel that you hod en the oltfect? 36. Wo1 "7 elM with Y" at the tiM you ow the eltfect? (C lrcle OrteJ (!._;~ Ne 36.1 IF you tl YF.S, 414 the,'" the oltfect toe? (C lrcle Ortel (Y.e;) Ne 37. Woe thla the flret tt .. thet yeu h.4 tMn on oltfect oltfect like thlt? (C lrcle OrteJ ,y;;) Ne 37.1 II' yeu tl NO, then wlten, wh~re, "' Uflder whet clrcatencea cUcl you other one a? 38. In your opinion wh.t cle you think the oltfect wee ontl whet mftht have couse4 It? 39. Do yow thitt JOU can estlrrttlte the speeJ of the oblect? IF you anewer.d YES, thett what speed would you ettl ate? . Do )'OV think )'OV Caft ettiiiMite Mw fGr OWO)' frOM )'OU the oltfect WOI? (Circle One) ..::Ye No IF yoyOfttwered YES, th.,. how,_ awo1 would you soy It woe? PleoM Indicate "1 special eclucotlonel "'"'"' that you hove IMNI. e. Teclwtlcal 4. Post graduate --------- 42. Dote you c .... etecf this questlonn1ire: