PROJECT i0073 RECORD CA~D 2. LOCATION CONCLUSIONS 0 Was Oolloo n .C. TYPE OF OBSERVATION Probably Bol loon Possi~ly Balloon 1. LENGTH 0~ OBSERVATION 10. IRI!II SUMIIAARY 0, SIGHTING A'I'1C POIUII .ll9 OlaY 21 1 .. 52) O: Ground Vi ~ual 0 Ai,.. Vi suol 8. NUMBER OF OBJECTS 0 Cround-Rodar 0 Air-Intercept Radar 0 Was Aircraft c Probably Aircraft 0 Possibly Ai rcroft Cl Wos Astronamical2. :... .'"'lr 0 Probdbly Astronomical 0 Possibly Astronomical C Insufficient Data for Evaluation ll. COMMENTS Thlt questionnoir~ has b~en prepar~d ao thot you con give th U. S. Air Foret~ as much lnfctmation os possible concorninl the unidentified c.~riol phnomenon that you hov\9 o!ltv.d. Pbast try to answer 01 many questions 01 you po1sibly con. The information thot you givlt wilt b us td for research purposes, and w iII be regarded 01 confidentiol material. Your nome will nof b UJed In connection with any stoternentt, concluaiona, or publlcotiona without your p.,mlsslon. W~ requeat this ~raonol information 10 that, If It 11 deemed neceaaory, wa rnoy contact you f~r f~rth tr details. 1. When did you the obiect? 2. Time of doy: (Cird One): (Circle OnJ}@Eoshtrn b. Control c. Mountoin d. Pacific: 4. Wh,t wtre you whn you auw the object? Norett P~utal AJdtel 1 (Circl On}: a, Daylight Saving b. Standard City or Town Stote or Co"ntr1 Adciftional rmorka: S, E1 timot how long you lOW tne obiect, S.l Circle on of the following to lndicot how certain you ore of your onawer to Queatio" S. a. Cettoin ( )Fairly certain 6, Whet wot th conditicn of rhe slcy? (Ci::::. One): o. Bright daylight b. Dull daylight c. Bright twi I igh t c. Not very sure d. Jutt o gu d. Just a trace of doyl ight No troce of dayli~t f. Don't rem .. mber 7, IF you sow the object during DA YLJGHT, TWILIGHT, or DAWN, wher~ was the SUN locatd aa you loofc~d ot the obiact? (Circle One}: a. fn front of y<"u b. In bock of you c. To your right ATIC FOaM NO. &64 ( ll OCT H) d. To your 1-Jft ... Ov~rhoad f. Don't tC)momber 8. IF you aaw the oi>ject, at NIGHT, TWILIGHT, or DAWN, what did you notice concern;ng th8 STARS and MOON? 8.1 STARS (C lrclo On,): d. Don't romomber 8.2 MOON (C ;,c/e One): ( o. =~right moonlight b. Dull moonlight c. No moon I ight -pitch darlc ct. Don't remember 9. Wo1 the object brighter than the background of th slcy? b. No c. Don't rememher 10. IF it was S~ JGH"fER THAN the sky background, was the brightness like that of an automobile headlight?: (Circle One}(G_)A mile or more away (a distant car)? . b. Several bloc~s away? c. A block away? d. Several yards away? 11. Old the obj,et: (Circlet One lor eadt question) a, App&cr to stand still at any time? b. Sudd,nly speed up and rush away at any time? e. Brooic up into ports or explode? d. Give off smoke? Chon~a brightnsss? 1: Change shape? g. Fliel<er, throb, or pulsoto? 12. Old tho object movo behind somethii1g~t anytime, particularly a cloud? Don't Know Don't Know Don't Know Don't Know Don't :<now Don't Know Don't Know ( C lrcle On,): Yes (No'}o Don't Know. IF you answr"d YES, thctn tell what Did the ob;ecr move In front of something at anytime, particularly a cloud? (Circle O , e ): Yes Don't Knnw. IF you answered YES, than tall what Did tht object co;>~ar: (Circle One}: o. Solid? b. Tronspor"nt? oon't :<now. Did you observe tho object through ony of the following? Eyoglosse~ Yos e. Binoculars Yes No Su., gfassos To lescope Yes Nu Windshield g. Theodol ito Yos No Window gloss Yes t't;,, r.t:1d J~JJncldl:, -:'{~HlUS~ tr~ll' or 'I:Jpor t,,li'J P!re) IP th-c!r;l w~s MORr: THAN ONE obj~c~, th:'n ho\., rr.ony \ l:>ro thers? ----D S:= ._..._. Druw .:l pi:tw!> ~:h .. ,.., th.)y w~tret ,,,. .. C1J.>d, a'1d pv~ t'Jn uavw to show r:,., di.~J~tl~>,., th~:.:i ~hy wM, tro :in~ . 20. Orow a picture Jhnt wi.ll show the motion that the obiect o.r ob}~cts macJe. Place on "A ut the b.gfnnlng of the path, o a at the end of the pat~, and show anY. chongea In d irection dc.wing the coLw.fl IF POS.'.i'BLA;, t r y to guess 04' estimate what tha real size of the obiect woe In Its longeat dhnenslon. 22. How Iorge did the obfact 9' ob;ects oppeor a s compared with one of the fo!lowlng o\,iac.t. heiJ In the hanJ and at about arm's length? (Circle One): a. Head of o pin g. Silver dol lor Pea h. Baseball Grapefruit Baslcetb II ~ j) Half doll~' l2.1 (Circle One of the following to indicate how certain you or of your answer to Qustion 22. a. Ce~taln c. Not very sure b. Fairly c:ert\lln d. Unc:ertoin 24. In order that you con give oa clear a picture aa poulble of what you aaw, we would lllce far you to Imagine that you could conatruct the oh,.ct that you aow. Of what type material would you molce It? How large would It ba, and what ahope wculd It have? Dactlbe In your ow" warda o ~amman oblect or objech which when placed up In the alcy would glv the aam oppearance a th oblect which you sow, 25. Where w ere you I dCO te d whu n yo u saw t hu oL> jc c t ? (Circll} One): a. Inside a building L. In a co r (e:;)Outdoors d. In an a irplone 26. Were you ( Circle One ) a I n t h~ b us i n e s s s c c t i on of u c i t y ? In the rer.iJentiol s<:ction o f a city? c. In open cou ntryside ? d. Flying near o n airfi~ld? e. Flying over a city? f. Flying over open c o u ntry? e. At s e a 27. What wer~ you doing at the time yo u saw t fte object, and how d id you happen to notico it? 28. IF you were MOVING .IN AN AUTOMOBILE or other vehicle a t the t iu1e , then c o mp!e t e t he following qu.,stions: 28.1 What direction were you moving? (Circlo 011e) o. North c. Eas t e. South G.:)rie-;t b. Northttast d. Sou theast f. Southwest h. N orthwest 28.:? H:>w fast were you moving? 28.3 Did you stop at any time w h i le you were looking at the o b ject? (Circle One) Yes ~ 29. What direction w e re you looking w he n you firs t sow the obiect? (Circle On~) b. Northeast f. S outhwest h. Northwest d. Southeast 30. Who t direct ion were yo u I ook1 r.g wh~n you las t sow tho object? ( C i rclc One ) a. North c. East e. South Oest b. ~:>rtheast d. Southeast f. Southwest h. Northwest 31. If yot.. c r~ '= ~i I ior with b earin g term~ {angular dirf}cti on), try to estimate the number of dasrea s the object was from tt "!' ;'-, :>rth and also the numbe r of degrees i t was upward from the horizon (elevation). ,\'1,~, it firs t opp~orc:d: a. From true North /-: l- degrees. b. From hori7.on /_? degrees. 31.2 Whe n it di soppc:orc d : o. F rom true ~lorth _.-' ---_degrees. b. From horizon .. _/ _ ) J~grecs. 34. What were the weather conditions at the time you saw the obiect? 34.1 CLOUDS (Circle One) a. Cle ur sky c. Scattered clouds d. T hick or heavy clouds e. Don't remember 34.3 WEATHER (Circle One) 3i.2 WIND (Circle One) a. No wind (9 51 ight breeze c. Strong wind d. Don't remember 34.4 TEMPERATURE (Circle One) B: Fog, mist, or light rain b. Cool ft\Oc..l c. Moderate or heavy rain e 0 on 't remember e. Don't ramernber 35. When did you report to some official that you hod seen the ob;ect? Month Yeor 36. Was anyone else with you ot the time you saw the ob;ect? (C irc/e One) Yes 36.1 IF you answered YES, d id they see the object too? (Circle One) Yes No 36.2 P leose I ist their names and addresses: 37. Was this the first time that you had seen on obiect or objects I ike this? (Circle One) (Yes: No 37.1 IF you answered NO, then when, where, and under what circumstances dicl you see other ones? 38. In your o:-~:c, what do you think the object was and wf.at might hove caused it? 39 . Do you thiilk yo u can estimat" the s p d t:d o f thn object? , Circle One) IF you answered YES, then what spd~d would y ou o,t imate? 40. Do you think you con e s timate how for owoy from you the ob joct was? (Circle One) Yes No If you answered YES, then how for awa y wourd you say it was? 41. Pl~ase ; iv e the following information about yourself: First Name State City TELEPrlONE NUMBER ---------- What is yovr present iob? _:~::;;.. \ Prfl.\l ,J A , -f~ Age _l_'l. Pbose .ndicoto any special cdvca~ionol training that you hove had. a. Grade school e. e. Technical school High school Other special training_ d. Post graduate t12. Dote y ou completed this questk>nnoire: