Pl~llJrC I 100/J RLCO!~D CAI\ D 'J. LO C .'\ I lOt i 4. l'r'PC OT OUSf'!RVATION 3. 0/\ ff;TIM GIWUP \lo $ l!ul l,.on rrul. .. Jbly n ol loon f'lo:.s oiJiy Boll~.~on !.i. rHoros 7. L(NGTH OF' OBSE RVATION r,-, GtcttJnd-V1 .. u o l 0 GrounJ I~ ud~o~r n ,, I r-Vi :.ual s. Nu:.~n~:~ or OEu rcrs 1 9. COURSE t J .;. Was Aircr~ft lJ l"ruboiJiy Ait<.roft Was A!>lrotlom, c;JI ProiJubl y A. tounomicol PosSJIJiy l .:.tr"'O'lico l fn~a f tictvn t Dolo f o r Eva luation Unk nu'"'ll 10. Dfli:F SUMMARY OF-SICHTING Oujoct b-lghtcr til"l n sky . I) r ight as a b1ight u ta1. 3 nppro:c l! Itt:: ing same o b j v c t . titlJ of !->i ghtin:; .. (Lird.: On:) I 40. Oo >' JU thin'< '/ O'J c o n l' $t imof how for ow;;y from yoll thJ ohjoct wo~ ? 1, yr:,u c:n-:;wnrcd Y C5, th:m lww for ow<lY would yntJ 'HJY it wo!;? 41. P lcn:a.> oiv.., tho following information ohcrut your.i.,lf: TELEPHONE NUMBER------- _ Plouse indicate ony speclolrdvcoti onr;l !raining thot )'Ot hov.!t hod. Grode school v. o. T c~chnlcol !Jchool b. Hio h !>choo l Collt~ge _ f. O tha( !!peclol trolnlng Po:it gruduot~ 12. Dote yo u complet~d t:, b que-.~ionnoirs: In c.~ro' r tht your l n f crnv;tion may bl fi!~d end cocl"d Q3 occurotoly oe pn~iblo, pi on u!.rl .. ~ f olkt\/ing &poco to wrlt'J out <J ~hort dJ'lcrlptlon o f tht1 ~vont that you observed. You moy c p\~t lhf<Jrmoti on tl to t yo u ... w~ o lroody ~JIVII;lln in tin quo:Jt ionnolro, and odd any f urth.,r cornn:nt 1 , !>ht 1m.s1t1, c,. s!totdt<n thlll yo u bJif.Jv,, ars ln\portC~nt. Try t o pr\\ts~nt th~ d utolh o f thn <> "1:"\IC\ t ln rt 1.1 thg ,.,cJ.)r In which 1!1' Y o::.::t:rrod. A.Jdl?lonr.d par;~:t' of th~ somct nlzt!J popOJr inny L>~., ottochcd r.lr(! n~f\dJd. U. 5. A I R F 0 fl C ~ TECH HI C A L I N F 0 H M A "f I 0 N S ll ~ ~= T This que~tionnoiro has b n proporod so that you con giw the U. S. Air F orco a:~ rnuch information O:$ p ossiblQ c oncorning th" unidentifi.,d O.;)rlol ph-:1nom:mon t hat you ho1e obsorvod. P l.,o!i3 try t o onswar as many quest ions as you possi bly con. Thd information that you giYe will b, us~d for resoorch purpoBs, and will ba r~garded a s confidttntiol motor ial. Your narn~ will not b, used in conn~.tction with any stoternents, conclusiort5, or publications without your permission. W) regu~:;t t his J>.'rsonol illfarmoti on so t hat, if it is d odmed n~cc:>sary, w e may contac t you for f rth11r d~toils. 1. Wl1an did you s e e th ., object? (Circle One): 3. Tim~ zone: (Circle One): o. Eastern...- c. Moun t o in 4 . Whoret wore you when you s ow the object ? Neorcu t Po~tal Addr3SS Additio nal remarks: (Circle Ona): a. Dayli ght Saving b. Standard C i r y o r Town Stot& or Cou111ry 5. Estimate how long you sow th~ object. Sccc..nds Houra M1nvre.:; 5.1 Circle one of ~h_, following to indicate how certa in you oro of your answer t o Qu~stion 5. ("b~ Fairly c~rtoirv c, Not Vt;)ry sure d. Ju:;t a guess 6. What was tha condition o f the sky? (Circle One): Bright daylight Just a trace of day I ight Dull doyl ight No trace o f d~ylight ./ wilight f. Don't rem~mb~H 7. IF you sow the obje:ct during OJ\ YLIGHT, T WILIGHT, or DAWN, where was the SUN locat..:d a-; y ou look~d ot the object ? (Circle One): o. In front o f you To y our lt:fl b. In bock o f you e. Ove:rhcod c . Toyourright f. Don ' t remornbtH 8. IF you sow the ouject, at NIGHT, T WILIGHT, or DAWN, what did you notico concerning th n ST/\RS a nd MOON? ST Af~S (C ircfe One): MOON (Circle One): Bright moonli~ht Dull moonlight c . No moon! ight -pit ch dark Don't remember d. Don't rem~mb~r 9. Wa s the object bri ghter tha n th e background of the sky? (Circle One): b. No c . Don't r m,mber 10. IF it was BRIGHTER THAN the sky background, wos t he brightn~s:.; liko t hat of o n automobile haadlight ?: (Circle One) a. A mild o r more away (a distant cor)? Several block.; owayJ/ c. Ablockaway? d, Suvero I yards away? 1 1, Did 1he object: (Circle One fo r each question) a, Appear to stand still at any time? b. Sudd~nly speed up and ru:;h away a t any ti me? c. Break up into ports or explode? d . G ive off smok ? e, Change brightness? f. Change shape? g. F Iicker, throb, or pulsate? Ye~ No Do n't Know No Don't Know Ho Do n't l<now No Don' t Know Don't Know No Don't Know Did the object move btthind something a t onytim~, particularl y a cloud? (Circle One): Yos t' No Don't Know. IF you answere d YE S, thon tell what it moved behind:-------------- 13. Did tho object move in front of s omething a t anytime, particularly o c loud ? {Circle One): Ye s IF you onsw~red YES, than tell whot movt3d in front of: . b o .-. 14. Did t he object appear: (Circle One): o. Solid? b. Transparent ? c c: Don't l<now, Did you observe the object through ony o f the fo ll owing? Eyegla~ses No e. Oinoc ulor !S b. Sun glasses Yes f. T e lt1scope Yes Windshield Th~odol it" d. Window gloss l.S. T oll in o fow words the folfowin9 thing' about th object. 17. um.Y a picture that w i II show the shape of t h t object or objec-ts. Loba I and include in your sk t c h any dct o i I:; of thJ object tho? you :.ow such as wingJ, protrusions, utc., and o5peciolly uxhou:.t trail~ or VOfJOr tr oil:;. Place on o rro w beside th~ drawing t o :.ho w t h ,1 direction the obj.,ct was moving. 18. T~1e cJges of the object were: (Circle One): o. Fuzz y or blurrad b. Like a bright star c. Sharply out I ined d. Don'tromember 19. IF there was MORE THAN ONE object, th~n how many wcr there? . ---------------- Draw o picture of how t hey wer~ arranged, and put a n arrow to show th, dir ction that thay waro trov,l ing. ]Q. Drow o ri.ture tlw t w i,ll sl1ow th--tnJtion that tho obj"ct vr objects mod:t. Plo.::o on ".f\D ot " b . .~g,,n!ny of t t-u puth, o "B" a t th~ end of the p a th , and :::how nny chung.:s i n dir~ct ion dt.."ing !h.: c;,ur;:!l. IF POSSIBLE:, try t o guo:~ss or e~tirnot,;, what th.-. real s ize of th ~ obje-:t was ir. i t:; l ongest Jirn'lnsi<n. 22. How l'ug~ did the object or obj~cts uppoar as compurt}d with one o f the fv llowing objGct:s l1eld i11 tl1~ lrnnd e nd c t a bout arm' s length? (Circle One): Head o f a Silv.:-r d ollor d. Nicbl j. Basketh II e. O uor ta r k. Othtr llolf dolla r 2 2 .1 (Circle 011e o f th~ foii~Jwino to indicate how ccri'ain ) \J U ore o f your onsw':!r to Question 22. 6--:--Fo.irly certain c . l~ot very sur9 d . U:-~ccrtoin 23. H o w d id the object or obj~cts d isoppoar from view? 24. In order that you con give a ... c ln o r o picturo os po:;siblo of wh a t you sow, w e would lil<o f o r you to imogin" thot yo u could con .true! th., objecr that you sov. O f w h a t typ mot rifJI would yo u ma k ., it? How lorg<S w ould it b a nd v-hot ~hope w ould it hovo>? Describe i n you r own w o rds a common obj~ct o r objects whir.h wh&n placed u p In the sky wnuld giveth,. !:Onl opp1-oronco os the objec t whi c h you sow, 25. Wher~ were you located when you sow t he object? ( Circle Ond): ln~ide a building In an airplane 'J6 . Were you (Circle Ont-) In the bus in:!ss s e c tion o f a ci1y? In tho r~sid~ntinl :;oction of a city? I'"! op .. n country-; id" !..-' Flying n~r on oidi"'ld? Flyina ovar a city? Flying ov e r open country? 27. What wer you doing ot the ti me you sow th~ obj~ct, and how did you ho pp.,n to not ice It? 28. IF you we r e MOVING IN AN AUTOMOB ILE or other v ehicle at th e tim~, thon complete th9 following qu~.;tions: 28.1 What direction were you moving? (Circle One) a . t.JI'Itth c. East b. Norlhc)ost d. Southeast f. Southwest 28.2 How fast were you moving? miles per hour. Did you stop a t any time while you were look in? at the (Circle One) rYes ) 29. What direction were y ou loo!<ing when you first so w th e object? (Circle One) b. Northeast Southeas t f. Southwest h. Northwe3? h. Northwe.;t 30. Wl1ot dir,ction were y ou looking when you lost saw the objact? (Circle One) b. Nort heast d. Southeast 1 o . South f.--Sourhwest g . Wo s t h. Northwest 31. If yo u Clrc familiar with bearing terms (angular directi on), try t o estimate t he nutnb.er o f degredS the object was frorn true North and also the number o f d~grces it was upward from the hori zon (e luvation). 31.1 When it firs t appel1red: a. From true North-- / degrees. b. From horiton _ degrees. 31.2 When il disappeared: a. Fr om t rvc North , _ _ ) degrees. b. Frorn horizo n--------degrees. 32. In the following skotch, imagine that y o u ore a t the p o in t shown. Pla c e on A" em the curvcd lin t o ~how h n-v high the o bjuct was obovu the horizor (skyline} wherr you first sow it. Place a "B" on tho somu cuntcd lrrr"' to sho,.,. how high the object wos above the h orizon (skyline:} when you los t !>Ow il. 33. In the following large r sketch ploce an "A" at the p ositio n the obj~ct was when you first !:Ow it, and a "B" at its positio n when you last sow it. Refer t o s maller sketch a s e n example of how t o complete the forger sk~tch. 3 t. Wltc-f wore the weothel' conditions ot th~ t ime yo u sow th obj<lct? 3~.1 CLOUDS (C ire/\! One) o. Clear sky c. ScrJttc red clouds d. T hick o r heovy clouds e. D o n ' t r e rnember 34. 3 WE/\ THER (Circle One} b. Fog, mist, or light rain c. Moderate or h "avy rain e. Don' t remember 34.2 WIND (C ire/ One) a. No wind b . Sl ight bre&:r.& c. Strong wind d. Don'tr3m~mb,r 3 4.4 T EMPERATUR E (C ircltt On~} b . Coo! J c . W::Jrm e . Don't r . .no~mber 35. When did you report to s ome official that y o u hod :;oen thtt object? Month Y eor J6. Was anyone e l 5e with you at the timtt you so"'f t he object? ( C ire le One) 36. 1 IF you an wered YES, did they sne th obj~ct too? (C i rcfc One) (_Y_e~ No 36.2 Please l is t th.,ir nam6s and add'"'::;e-s: 37. Wa s this the first tim9 that you hod :uen on obj.!ct or obj.,Ct$ likd this? (Circle One) IF you answered NO, th~n when, where, o11d under what circum:;tanc~s did you :s,., oth!!tr o~Ms? 38. In your opinion whot do you think the object wo s and what might havo cauc;~d it? 3}. Do you think you con c:.timnte 1he speed of the ol>jcct ? ( Circlt: om~) IF you answered YES, t he n what speed would you on:;timah ? / ' ; 40. Do you think Y\'u con est imate how for away from )'OU tho objacl wa!l? (Circl One) IF you onswerud YES, then how for away would you soy it was? 41. P l?ase giv3 tho following informati on about yourself: L o s t N oml.' C ity Zon& TELEPHONE NUMBER Please indicot~ ony sp9ciol e ducat ional tra ining that y ou hav~ had. b. High school ----------- c . College f. Other special train i ng--------------- d. Post Qroduat~ ------------ 42. Dot~ you