PfWJ'.:CT IC07:1 RECCi~D C:\ W l. DAT E 2. LOC'.TION 12. CO~ICUJ5iQ;I5 J. 0\~E-TP.>.:: CqC,I:' 4. TYP.:: OF OFISERV:.Titl~ 0 Grou:o.!-Vosud 0 Groui"J-R oJor 7. LENOIH OF 03SERVATI ON 0. NUMEIEP. OF OBJECTS 9. COURSE W<>s Bnlloon Probahl; Udloun P o,;,si :l: y Bull~on Was Aircraft Probabl y Ai r c r aft Pos:;d .. ly Aorcr<:~fr Was A:;t r;)namo col P robnbl y A ::I rol"oon i col Pos.:;ibly A~tronomicol lnsufiocicnt Duto ro r Evcluo:ion 10. BRIEF SUM.~A~Y OF SICHTING ;,is:a1: :Jn 1d'Yt1jt;y o: :'lie~/ t l U. S. A I~ F 0 R C ~ "( ~ C H N I CAL IN f 0 R MAT I 0 N SHEET Thi J qu.utionnoit~ ho:o b ltun ptoporod 110 that you COil g ivo th~ U. S . Air Forco O J much lnfc.rrrotion o s poHibl> concerning th" unid~ntlfii'd oariol p henom.,n on that yo u hovo ob&-'rV)d. Pl:c H try to on:swor os many question:s oa you pouibly c on. Th;, inrormotion t hat you ~;ivo3 will b t .n~d for resCHJrch purposes, and will ~ reoord~d 01 confid ttntial n'<lt.,r iol. You r nom' will II()/ b:t I.IJetd ln connection with ony stotom~nh, conclu:sion:s, Of publications without your prniJJ ion. .e r.,qu6st thb porsonol information 50 that, If It I~ deerMd n"c"uory, wo may contoc t you for fvrthar d~ttoll,, Whttrl did you so~ tha objact? 2. Time of day: Yeor (Circle Ona): (Circle One): o. Eo stern c. Mountain t,, Wh~r~ W(Jr~t you wh"n you s o..,. th:3 object? Addl~ionol remark:.: ( Circ/., O:ro): o. Da yli gh t S,wing b. Standard City Of Town Stole O f Country 5. Est imate how long you sow th e object , Hour a Minut o 5. 1 Circle one of t h.! following to indicate how c"rtain you or~ of your answer t o Ou1utio n 5. o. Certo in c. Not very :sur" b. Fairly certain d. J u3t o guuss 6. Whor -we:l h0 conditicn of the sky? (Cite.~ One): a, Bright daylight d. Ju:;t a trace of doyl ight Dull daylight e. No trace o f daylight c. Brigh t twilight f. Don' t remember 7. IF you sow the object during OAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you look.:d ol t h " o b ject? (Circle Ono): a . In front o f y olt ~. l11 bock o f y o u To your ri ght d. T o your le ft tl. Overhead f. Don't romamber ATIC FORM NO. tCo-1 ( 13 OCT ~I) 8 . IF yo\J :.aw tha oujoct, at NIG!-JT,: TWILIGHT, or DAWN, what Jid you no ,ico concernin9 the STJ,RS and C.l STARS (C ircl<> One}: 8.2 MOON (Circb Ont:): a. Brlg!,t moonlight b. A few b. Dull moonlig h t c . No moonl ight-pitch dark d. D;)n't r Jno;omber d. Don't rememb.,r 9 . Wa:s tl'l<t obj:~ct brightor tha n th9 bockgrolJnd of tho z!<y? (Circl~ One): c, Don't r m,m\,!tr 10, IF H wo:; BRIGHTER THAN t he sky boc!:ground, wo!l tho brightne:s3 li!<.l that o f on outomobfl., h.,odlight?: (Circle One) o. A milo or more away (a distant c ar}? b. 5.9veral b loc b a way? c. A b lock away? d . Sovo:o I yards away? 11. Did the obj.:)ct: ( C ire h One for enh qcast ion) a . App-!Jr to stand 31111 a tony tlma? b. Suddenly speed up ond r ush owoy a t any t ime? c. Brook up into ports or explode? d . Give oFf smoke? o . Change brightness? f ,' Cho~ga shape? 9 Flicker, throb, or pulsate? Yo:s, No Don' ~ Know Don't Know No Don't Know Yos No Don' f Know Don't l<now Don't Know Yos No Don't Know O ld t he object move behind something a t anytime, particularly o cloud? ( C lrclc Oni:!): Don't Know. IF you on1\wer~d YES, then t II what 13. Did th o obje=t move in front of something a t anyt ime, pa rt ic u larly a c loud? (Circle c-_.): Yes N Don't Know. IF you on.Jw.,red YSS, tho;, tell whol 1 1. D:oi th~ object oppoor: (Circle O n e): o . Solid? b. Transparent? c . Don't l<now, Old you obst:rvo the oLjoct through any of the following? EyoglcJS<:tl$ Yo:: B inoculars Sun glosses ToiElscopa Yes Wirvhhield Thoodoli~o Ye3 ~lo Windo .... g loss S:.>urul F u:-ty or blu~-. J Llk:l a ~rijn' :.t~r Shor;::y ou:lir~rl D o11't r ll'llf!mb.,r If ih.' w a s MORE THAI'-1 ONE o b ject, ttta n how mont W<Jr<J th lr>J? --------------------- C r.l'Y o p ictJro o f hv"' ~},.,~, tuT:) l'lfrc 1tpd, ond r 11t on arrow t o 1thow ~ 1, .. 20. Orow o pkt ur' ~!tnt wl.JI :show tno motl.m thru th., o~li ~ct or I.J~j.,ci; mod.t. Pluc., .,n " A o~ th l-ginnlro o f tha path, o "8" at tne und of :h., poth, or.d 3how anY, chon:J.,3 In dir., cll? n dving rhc) cour n 21. IF POSSIBLE, try to guess or ~utill'Xll& whnt th" rou.l ul:u o f fha objoct wo.s In H.1 !otl!Jct3t dimttn~lon 1 22. How lor9"' d id 11e obi.,ct CA objact~ op~or "1 c nrrpcr"'d wl~il OM of th) following o held in th"J hcnd or.d u l about orM' s longth? (Circ/., One): H:>ad o1 o pin Sif,or dolla r h. 8 o5eboll Gropttfruit Bo ~ l<.,tboll Ho If d :>II or 22.1 (Cir cfo One o f tho) following t o indicot!t how c " Ooln you an of your answer to O u o!lflon 22. a . Certain c. Not vlo)ry n1..r~ , b. Foi rly cerloin d. u .,ccrloin 23. How did th6 objttct or object.s disappear from viaw? - --------------- ---...:.-------- In otd~r thot you c;~n give o a cloo r o pichi' o s posslh h of .,.,hot you tow, we would l!!<t fo r yo u to lmo!,Jin~ that yo u could con lrucl t~ ob1e c t tha t you sow. Of what typ-, mohrlol 'Nould you molu It? Hn.., lorJ .. would It b .. , ond whot ah'Jpe W?ull It hov..,? :>crio~ In your own .,.,.,,dl 0 commo n obi~ct o r olll~ct whlcn wh~tn ,>loc .. d u p In th .. !~ley would olv , th .. OOIT"<t oppe o ron:;, o 1 he object which yov 3ow. 25. \'/hero were you lvcult:d wh.:n you .-..u.t th..: objt:cl? o . lnsiJe o building b. In a cor c . Ourdoors (d:ln on airplane O , '"'I St:CI 26. Were you (Circle One) o. In the busine;:.s section of a city? b . In tht: rcsidantiol section of a city? c . In open country:.idc? d. I lying near <m airfield'? c. F lying ovc:r o city? f. F lying ove r open country? 27. What were! you doing a t the tim~: you sew th~ object, a n d how d id y o u happen to notice it? 28. IF you w.:!r e MOVING 'IN AI~ AUTOMOBILE or o tl.er vehicle a t tho time, th!:n complete the following c;u~ .. t ions: What direction were you moving? (Circle One) Nort h East South. VI est b. Northeast d. Southeast SoJthw.:st h. Nonhwest ~i les p;r hour . How fast were you ITIO'I i ng? Did you s top a t any tir~e whil e you wero (Circle One) Yes lookin g ot the object ? 29. Whor dire ctio n we r e yo u looking when yo u first s cw tho o b ject? (Circle One) b . N~rtheast d . Southeast f. Southwest What d 1r ection were you loo~ing when you last sow th e o bject? (Circle One ) c . t-!c r t h c. E a s t !::. r ~rtheast d . Southeast f. Southw~st h. North west h. Northw est 3 1. If you c 'l.!milior with bearing term:; {angular direction), try to estimate t ha number o f d1are~s th~ o~j'!ct was from true North and also the numb.:r of degrees it vtos upward from the horizon (elevation). 31.1 When it first a;>pF:orcd: a. F rom true North .:... , degrees. b. Fro m horizon _-:_ ------ d 1 s::~ppccrcd: dvrJrcc-:. From h Jriton d~o:gtl.<!S. What w..:re tht'! wcothur conditions ot the tirnn you sow the objoc:t ? Scuttl!r<:d c I ouJ s Tl11ck or ltoovy c louds D,n't romernber 34.3 ';.J=.ATHER (Circ le One ) b." Fog, mist, or li']hl rain c. Moder a te orh~avy roin (Lirci..J One ) Sl in'1t br ~-:~ Stron9 w ind Don' t remember TCMPERATUP.E (Circle OmJ) Don' t re member c. Don' t romt>mber 35. When did y o u report to some official that you ha d -;c~n the objecr? 36. Was anyone e lse with you ot the l imo you sow tho obj'!ct? (Circle OM) Yes No 36. 1 lr you answered YES, did the y see the object too ? 36.2 Pieose list their n-:un::s end odlrc~sses: 37-Wos this the first time t ha t you hod soen an object or objects liko this? (Circle One) 37.1 1:= you answered NO, then when, wh~re, and undt1r wha t circtJms:onces did f O U see other ones? 3 8 . In your opinion what do you tnink the o'Jjt:cl was and whot mi~ht h11vc ccwsi!d it? 39. Do you think you con estimate the speed of the object? 1 Circle One) IF you answered YES, th~n wha t speed would you cstirnot~? 40. Do you think you con cstimola h ow fa r away frorn you tha object wa:>? (Circle One) Yes No IF you answer.,d YES, then h ow for away would you s a y i t was? ~ 1. Pl~o~3 givo the following i nformation about yours.,lf: Middla Notn. Zono Stoto TELEPHONE NUMBER Pleas~ indicate any special educctional trainin!) that you have hod. T echnicol zchool o. Grode s chool High school f. Othe r special training Post graduate 42. D.1te ycu co:nplet'!d this questionnaire: