10073 RECORD CARD Vln s IJ,.,II.,on Probably Bollo'>n Po~ s bl y Bol l oon 3. DATETIJ-1:0: GROUP lS SE RVA TIO N 0 GrovndRoJor 0 Air-lnt,rcepl Ruclor 7. LENC THOr O!lS~RVA'riON .i. N UI.I~cR OF OBJeCTS 9 . COUR SE 0 Wo .. Ai rcrnfl 0 Probably Aircraf t 0 P ouibl y Aircrofr 0 Wn:~ Astonomi col Probobl y A::.tronomi col 0 Po5sibly A~trpnomicol ln~uffictcnl Dot o for Ev ahJoloC>n o, BRIO::i' .iUMJ.IAR'I' Or Sll;~ fiNO 11. COMMENTS 34. What wer" th e Y~eorh~Jr conditions -;:t t!-:tt tltM you sow the object? 34. 1 CLOUDS ('CI:cl~ One) o. Clear sky C i cottcr.,cous;,, ,,, d ~ Thtck:.or--h.;-ovy~loud :~ e . Don't remember 34.3 WEATHER (Circle One} O!J, uti ; t or light rain c. /'~.od"rot11 o r heovy rain e, Don't nm-~tnbar 34.2 WIND (Circle OnAJ) o. No wind b. Slight bwn~ (~ C.l Strong wind ' d . Doo!t r1,membe r 34.4 TEMPERATURE (Circle One) c. - warm' e. Don't r:Jmemher 35. Wh.,n did ;rov r Jpo/1 lo .,<Hl1<t offkt~JI thJt you hod se.,n the obj.,ct? [Jcry Mo)llt!r Y ~or J6.l IF you on.s.,.,er"d YES, dl.J l1.,.il iha o b je c t too? (Circll! One) ( Ya~ tlo 36.2 Plea se I 1st their norM'l II' I r1 iclnns~&s: ! (Circle One) l : tt.S. No 37. j IF you on.swer!!td NO, th~n #hen, when,, a nd under what c ircumstanc e s dld you s ee ~th~r oneJ? U S. A I R F '0 R -c ! TECHHIC.\l IHfORMATtO"H (SUMMARY DATA) In c>rder thot your Information may be fi I d nd the following space to write out o ahort de ~ ? c: d as accurately as possible, p lease use p~ot Information thot you have olreod lv::i:t::' o t ~ eve~t that you observed. You may re- s.otementt, or sketches that you L -II y 9 I e questtonnotte, and add ony further comments ~ ..,. ore mportant T t h ' ~ton In the order in which they occ"~Kred. Additional ry o present t e detai ls of the obstsrvo tf they ore needed. . pages of the some s ize paper may be a ttached (Do Not Write in This Space) INTELLIGENCE CENTER '-T T 2 RSON AIR FORCE BASE t'~.il'c.l ln~OI'Ir.:l tit' rou fl11 out 1r.J ret'.U'fl t>o::.! l n ::!lo<>_ri '.:'ues t ionnaire 8 . IF you SC1W the objl;}d o t N IGHT, ': -'1~ ;:--: . or DAWN, whet did -you notica concern ing th.., STARS ond .MOON? 8.1 STARS(Circ/~OM}: 8.2 MOON (Circle One): o. 87ight moon!igh~ b. Dull moonlight c . No moonlight -pitch dcrk d. Do n ' t remember d. Don't Tel member 9. Wo3 the obi,.c t brirJhhtr than th ~ l:..Jdqtound of ~he s ky? ~. I l S b. No c . DIJn't r!lmdT!'lb~r j I I ~0. I~ /it ~Ill> f3f..'IGr rEF< T~IAN tho ' ky b .,c:kgrovnd, wo~ ;he bri~:~rn~s~ I~ that of on Ol ?mobil.:l llecdl:ght.? : . / I ( ( irc/.1 One) ~ A md8 or more away (J dt~tant cor)] -~i ' :. _.., ~. b . Several b lock s away? Did the nhj~ct: a. A ::lJ.M.ar l o . s to nd :i I ill b . Sur.ld::nly speed 'JP or c. Bfl~ok up in to port'5 v' d. Give off s moke? e . Change brightness'? f . C hong e shape? g . Flicker, t hrob, or p\JI ,;~ Did the object movl.t behind (Cifcl~ One): -_ Yn~ if movdd behind: rl 3. c . A blor.k away'? d . ~ ver~J I yord 3 ow-:Jy? (Circ/a One for e(rch quesfiou) ..- r ol any timet? Don't Know Don't K1io w Don't :<r1ow Don't Know Don't-Know Don't Knuw Don' t I( nl' ~ Jt anytime , particularly o cloi.Jd ? Don't Know. YES, then t e ll (Circle One ): it mov~d in front of: _ 1-1. Did r:;'! cbject oppeor: T ECHHICAL INFORMATION This qJesfionno,r;, c . o,an prepor~d so thot you .:on giv., th., U. S. A ir Foret~ o~ mvch in~crmotion as pass !:111 .: .:crning the unidentified aerial ph e nom.,non that you hov'l obs.;,rv~d. Pleo'>e try to answ.,r .1; :c ,u 1uestions a s you pas::ibly con. The i,,form<lti on thor you give will b., used for res~rch t.r).l-:>H~, and w;ll b., regarded os confidential rr.ot:)r io l. You nome will not bo '-'l..,rl tn c-:>nnecr. on "rn 1ny statemen ts , conclusions, or p ubl ication; w:thoul ;our p~.ni:U1on. W-:J r.,q,;e"t thi3 p.,r >nd " 'tlrmation so that, if it i:o d-!em<:!d nec~Bory, we may contact >OU for f,Jrr;,.,, di.l :o d s. b r lntiOI 1 ,',ci fic (l~ir-:/;, Une}: -.J, Dcylight ::>::~v1ng b. Standard 4. Wh.;~r'!t ~are y ou wh .. ~-::: object ? Nearest P<'l J Ci ly or To""n Sr:.l o Counlry " ' AJditiono( rorrkrl<-;: 5 . E .. ri:note how long ~ ., objac t . Circle on<:~ of 1h r: i_,d ,,.,.ing t o indicate how c-ertain yov or::~ uf yollr 'lO'iW:H to ~u~51Jon 5 . (Cifci"! On~): a. Br qnl doyl igh r b. ti .. .lr:Joyli<Jhr c. Not very Htre d. J u!5 to gu.,>s e. 1 h o:c Jf .loylrtjh r ~,::Ju:"l(]L)\YI_,l,lf, TW~L!G~if,<.'rOd't'l, c J ~d tl) 20. Draw a picture thnt wdl sho,, 111,, ;,~!.~.: .~ the. o [-!ct or obje-:t; mode. Place on " A a t the beginnina of tha roth, u "0" of the end of,,~ ):11;, ., , 1 ~ho.,., ony chQn:Je3 in direction Jur ing the courst!. .>r ~.! , tirnort! ..vhot 1!-:. r2cf size of !he ooject WOS i n its fompst d imension. 22. Ho.,., f .~rge .Jid th .. ohi..t or ,,:.JI :~:, u,, ~-,r ..,., s:omp-:;~": "Hi h cr.e or t!u~ following .~h,ec_t..; held ;n th~ hand a nd o} obo ... t arm'-. I n Jlh-i (Circle One): b. For It .:u !'I ttl Sd ,..,, dollar Bo'l .. i'Jall .Q.r c p e U..:.J.l L l3oskulb.dl c . Not vary :;,Jr a d. Llncartain 23. Ho w dirl the obje c t or objects ~h rroHJ( from vi-3w? In o r d.,r that you con !Si"a o s cl;o H '.:tttr.t a pos:sibl ., of wkot you s ow, we woul d l ik~t l o r y<>u to lmaqin e that you r.ould col"'~trvc:t the object thot you ':low. )f . .,hat l':fP"' mot.,rir:~l would you mal.e it? Ho-" l t:Hge woul d It J t, .Jtld what ~hnpa would it hov, ? Do!lc:rrba In your ,.,.., W'>trh o en nm?l"' obje c t o r objects which wh"n ploce d u p In the 3ky would giv!!! th, so;n, app;, or:Jr>c e os the objoc1 ,..1. r l, 'ft:lo.J so"' 16. Tell in a f-uw .Yor<ls th " following ~-:nJ::-.J \.,,,, ~h~ obj,ct. 17. Draw a pldur., that w i ll show the sl1cP9 o f the object o r o b j-!d3. labc,l and Include !n yoJr ~btch any diJtoll:t of t he object tha t y.ou \OW auch <& 'n;i, p rotrusion:s, e tc., a nd e3p'Jc iolly e xhous ? lroib or vapor trolls. Ploc& o n arrow b<'tlid" 1h~ drnwing to sh.,w th~ dir.,ctlcn tht't object was moving . 18. T he edg<H o f th e o b ject wera: (Circh Ont~): a. Fuuy ,., 1.-l c:. Shar pl r ' .,..j 19. If th.,re WO'\ MORE THAN ONE uHJ .. -:t, then how man y W!'r e there? --------------- ----------- i Draw o picture of how th "Y W":!f"J .Jfr1nqeJ, on~ pu t o n orr.~.'~ , how th e diuJct-l~n. :h~t the y W!Hf.l tr e~ in~, ... Whe r e W'3re you loc.Jro:d wh~n f 'J..J ,'Jw ,,,,.. object ? 26. Were you (Cird e One} o. In the bu3 ineH suction of a city? b. In th>.t re:osid.,n t ial ::;.,ction of o city? a. lnsid., o build ing c. In open countryside? d. Flying neor on cirfiald? c. Outdoor s e. Flying over c city? f. Flying over op~n ~;ountry? d . ,.Jn o n airplane_...... ?7. What w~re Y'J't, <!oing o t th., t irn". y ou_ s ow the objJ!c~, ond how did Y<?~ happen t.o noti c ., if? 2CI.l What d ir .. ~;rion Wtlrt'l :' 111 r "'' 11 J ' (Circle Orr e) - b. Nor tflcto "r f., Southwe;t h. Northwe!lt -m1 .,s per our, 28.2 Ho w fast were you "'' " ''l J 2S,3 Did you stop ot any l "'1 . v!tile y o u 'JJ-.:ro: l'loking at 1he object? '29. Wha t direction wcr~ 'fOU lo.'.. '~I -1 ~.-'{')I f irst sow the object? (Cirr./<1! One) h. Northw:u I c. !'forth b, Northea~t d. Soutl--eost 1 iJ. ~f-.o::r dir~ct!on wt~re you lookn!] when yoll lost s ow the obj,ct? (Circle One} c . E tiSt S. Northevst d . Southeast f . SolJthw~st h. , ' orthwest J 1. I! y o u or. fa mil ior wirh bearin g t~rms (ongulo r direction), try to esti mat<! the nurnbotr o f de greas the obj"ct wos from 'r;c North o nd ol.:;o the numb~r of d~gr~es i t was u py.;ord from th~ horiz:on (2!1..,vatirm ). oJ. f r om tru 1 1 lodh . _ d ,,reas. 32. In the fo llowing sl-etch, irr.o~in<-,:,~. "' 1 e .JI rhe poin~ shown. Place on A " on th cvrt..:d i ire to :.how how higf: the obje c t was above the ht;'lt o4J 1 ~ :"<:\ when you forst sow it . . Place o "8" on the same cvrv~d liM! to show how high rhe ob ecl was obov< : "', tti.:on (skylrne) when you fos r saw it. In the foll owing larger sketch , position when yo u las t saw i t 1 1 ',t\" o t the posirion !h.:~ object w'l .>when you fi,st sow ir, o.1d a ''B" ut i t s H~t .... r to smeller sketch os o n example of 'low to -::omolt~l~ the larger sk.,t :h, (C; rei o Or:"') you nno;were then wh, t s~f1U WIJIJid you estimate? 40. Do you think yciJ con estimate how f . ., o woy from you t h e object was ? (Circle One) y <.H IF you ons,nu~d '(ES, t hen how fa r ow,/ would you goy it was ? ~ l. Ploo:;o giv.:> th fnlloHing in fmMti cm obovt yourself: TELEPHmlE t iUMBER --~-- 'What t b? I'> your presen 10 ... Please indicote any :;peciol f-'1, .,,,.,..,al troinin9 tlot you hove hod . Grode $Chool T <tchnicol s c hoo l b. High !>chool f. Oth~r s pecia l trai n in g :]rod uo te