1o DATI TIMI t. LOCATION S. IOUICI .. CCIMCLUIDI ivil18D lNSUPFICiaJT DATA FOR EVALUATION NUMIII OP OIJICTI JUpiter 5h30 below horizon. Venus 15b23 and J.ara 13h08 below two horizon. J. LINOTM OP OllllriATIOII U. lltiP 15 ad.na Pla3h1ng light, no sou!'ld, remaining in view tor some time. 6. TYitl OP OIIIIYA TIOM t. ltHYIICAL IYIDIMCI U. S. A I R F 0 R C I TECH MICA\. IMP 0 R MAT I 0 M S H 1! IT Tht t qves t ion."101re has been prepared so that you con giYe the U. S. Air Force os much lnfarNtlen os ponlhle concerning the unidentified oeriol phenomenon thot you hoYe ohterYecl. Pleose try to onswer as many question ot you pottibly con. The infortNtion thot you giYe will used for reteorch purposes, and will be regc~rclecl ot conficletttiol mote riol. Your nome will nor be utetl In connection with any stateMents, conclusions, or pultlicotiont without your p.,mitslon. We r.ctuet this personal information so that, If it It d ...... d necenory, we moy contact you for further details. wh ... d id you s .. the .. iect? 2. Time of y: (Circle Otte): (Circle One):'-.!.:. Eastern b. Central c. Mountain d. Pacific (Circle Onel: a. Daylight Sa.t,. 4. Whwe were you when you sow the obiect? Citr et Tewn Miftllftee S. Eatimote how lon1 you aow the obiect. 5.1 Clr~le 011e of the followint to irMiicote how certoift you ore of your anawer to Queation S. 'a; Certain . b. Foirly certDill c. Not yery sure ... Juat Cl eu 6. Whot woa the con4itl of the al&y? (Cinle One): Bript cleylipt Dull daylight c. Bright twilight d. Juat o trace of daylight e . No lrace of daylight f. Don't reeber 7. IF )'OU aaw the obiect durift1 04 YLIGHT, TWILIGHT, 01 DAWN, where was the SUN located at you lool&ecJ ot the obiect? (Circle o,.J: a. In front of you b. In bacia of you c. To )'Our right d. To )'OUr left 0Yerheod f. Don't rementber 8. IF you saw the obfect at NIGHT, TWILIGHT, or DAWN, what dfcl you notice concerning the STARS and MOON? 1.1 ST A~S (C lrde Ortel: 8.2 MOON (Circle One}: Bright moonlight it. Dull moonlight No moonlitht-pitch darlc Don't remeNer 9. Was the oltiect brighter thaft the lt.ckgrouncl of the slcy? (Circle One): 10. IF It was BRIGHTER THAN the ala, was the brightness ltlce that of aft autoiMIIile headlltht?: ~' (Circle Onel A mile 011 are awe, (a tllstont car)? ltloclcs away? c. A ~loclc away? .J. S1vera I yards away? 11. Dttl the obfect! a. App1ar to stand still at any thne? it. Suddenly speed up and rush away at any tiMe? c. Brealc up Into parts or explode? Give oH 5mon? Change brlghtn? f. Change ahape? g. Fllc:lcer, throlt, or pulaate? """ (Circle One lrw eaelt queatlottl Don't Know Dan't Know Dan't Knaw Don't Know Yes No Ro Don't Know Yes No Dan't Know Don't Knew ' 12. Did the oltfec:t we behlntl 101111thing at a,.,...,., ,.ttc:ulcWiy a c:loutl? ( C lrcle One}: Yes No , Don't Know. IF you aftswered YES, thett tell what It movetl itehlnd: '- ..,. 13. Dttl the ol.foct Itt front of .., 1"1 at anytiMe, ,.ttcut.l, a c IM? (Circle Onel: Yes ~ 0.R t KMw. IF you wr..t YES, thoR tell what ltMavedln& 1 4., Did the oltfect (Circle One): Solftl? ~. Trauporent? c. Don't Know. 15. Did you alserve the al.foct tlwouth atty of the following? Eyeglaa ... Blttacul ... Sun glasaea f. Teleecape c. WinclshleW Theatlollte Yes Window glass No h. Other 16. Tell In e few wonla the following things about the oltlect. 17. Drew 'lctwe lhet will show the of the olttect or olttects. Lobel and Include In yOUf slcetch any details ol the or.lect tt..t ,.., ltiW auch wlnt prottvtlons, etc., onclespeclally exhaust trollt ,r vapor trails. Pf,ce er;ew ..... the ... ,. to ahow the 41rectlon the oltlect wet "'"'"' 18. The edte of the eltfect were: {Circle Otte): Fuaay ltlvrNd @ Lllce llrltht s.., c. Sharply out I ln..l 19. IF wee MORE THAN ONE ohlect, tlen how 1'1.-ty were there 'P Draw o picture of how they were orrongetl, on4 put an orrow to thew the 41rectlon that they were traveling Draw a plchft thttt will * the Motion that th. obfect or obJect mode. Place on A at the beginning of the peth, a a ot the end of the path, and ahow any chong In cUrectlon cluring the cow 21. IF POSSIILE, "' to 1 e .. l ... ,. dlt the rel ala of the oltiect woe In Ita longest ditMnslon. 22. How ' clhl the tct oltlecfs ancl at A1ut ' a CalftPO'ed with ant el the following obi.ctt lteffl In tlte ltotNI (Circle O...J: lleacl ol a pin Sliver doll Basel. II I. Grarefrult e. Quarter f. Half dollar 22.1 (Circle One of the following to Indicate how certln you are of row answer to Queatlon 22. .,. Certain ~ Falrlrc .. ln c. Not r aure 4. Uncertah How dl4 the oltiect 01 oltfect d ' ......... tlell Jl aew. Of whet tJPe terl .. weul r else It? Hew lt It M, eN whet ahepe 3... What ware the weather conditions ot tl1e time you saw the obleet? 3 ... 1 CLOUDS (Circle OneJ c. Seattecl cloud 1 flo Thick or heavy ciO\Ids Do-t't re"'ember 3 .. o3 WEATHER (Circle 0,.1 bo Fog, mist, or light raht c. Moderate or heavy rein o Don't rer11awukr ~.2 WIND (Circle OreeJ bo Slight tw.eae Co Stront wln4 4. Don't raMewuk~r 3 ..... TEMPERATURE (Circle 0,.1 35o When clkl you rapcwt to aome oHiclal that you hocl '"n the obfect? 36. Woe onyon eiH with you at the time you taw the obiect? (C lrcle One I <i.~ 36. 1 IF you cmewarefl YES, dkl they '" the Hfect too? (C lrcle Ortel ~ No 37. Wa thle the flret ,._that you...., n an ol.iect or oblacta lllle thit? (Circle 01 37.1 IF you Mawwetl NO, thM when, whe, aM urtdr what elrcUAtstancea dkl yov other on1s? 38o 1ft yow .,a..lon whet clo you think the oltject was "" what lfht hove cauaacl It? 39. Do yov thfnlc you CCift eatlrnate the s,.etl of the obfect? (Circle One) Yea No IF you answered YES, then what speed would you esthwnte? .tO. Do you think you can estl1110te how fctr awo)' from you the olttect was? (Circle Otte) IF you anawerecl YES, then how fer awo1 would you aay It wea? Please Indicate any apclol eclvcatlonol training that )'OU h... ho4. a. Grode school ----------- 42. Dote yu coMpleted thla <~ltiOfUlllre: Tectw.icalachoel _ f. Otler spclol trelnlnt -----------