PROJECT 10073 RECORD CA O 12. CONCLU510NS 2. L OCATION 0 Was l3olloon 0 P robably Bal l oo n 4. TYP~ ;F OB...:.S_E_R_V_II_T_I_O_N J 0 Pos~i~>ly Balloon 3. DATETI/"E CROUP 0 Grou11d-Vi $uol 0 CroundRodar 0 Probably Aircraft 5. PH OTOS cS. SOURCE 0 Was A:otronomi col 0 Pro!>ubly Ast ronO"Tnicol 0 Pos::ibly Astror>omicol 7. LENCTH OF OBS:RVATION 8. NUMBER OF OaJECTS 10. BRIEF SU,OoiJoiA~Y OF SICHTING 11 COMMENTS 0 ln:oufficient Doto fo r Evaluation 0 u~l<nown T .:l! i a f .. v ' " Js In, fol fuw:n o thin I' WO'\ MORE THAN ONE object, thcr. ho,, m-;ny voro thr~ . 20. Druw o pictur~ t hnt wi.ll show tho motion iho} tho:~ obj~c? c.r J~j, cb mud,. Pbco \ln "'A ct t!-J~ h .. Jirmll1!) of thu poth, a " B" ot ths ond of th., poth, onrl .show anY, chanoe:.1 In dit.,ctlon d..:ting tin cour:..,. IF POSS,IBL E yy to oueH o r es?im<Jt3 _who~ the real J i.t<Yt o f th., objoct wall In lt:J long~llt dima n'lion . 22. How lorga did th a object 9'" objec~:s apptJor Ci compor"d wHn one of the following objtJc.l<S. h.,/i/ i n tho f1cnd ond o t about arm's length? ( Circle One): Hood of a pin g. Si!,er <:ollor 1 Grop!! fruit Bask., tho II k . O!h!tr r'~i'. H-=H J~llo(\ j ?.2.1 ( C irci'J On~ of th~ following to indic"t~ how c.;rtoln you ora o f y olX answ;,r ?o Qve.3tlo n 22. c. t-lot ve ry :~uro d. Uncertain I 24. In ordilf that you c o n glv~t a:a clear o plctur.-o a paul blto o f what you IIOW, wo would Ilk fo r you tt) Imagine that you could ! con!l!rucl ths obic:t tl-!ot you sow. Of wh':lt typ" rnot"lrlol would you mo'< It? Ho,., Io rg e would II b.,, ond wha t Dhop 1 woviJ It hov.,? Du.c r l b e In your own worch o e ommon oblotct o r o:,l.,cta which wh,n plac~d up In the Gl<y would glva t n t l aom!l O?p.,oront::t a.s tho obi.,ct which you ~o.,.., 32. In the following ske tch, imagine that you me a t tht"! point shown. Place on "A" on t h curved line t o show how high the o bject was above the horizon (skyliue ) when you firs t sow it. P lace a "B" on the -;ome ct~rved line to show h ow high the object wa s above the horizon (sky!ine) when you los/ sow i t. 33. In the following larger sketch place on "A " at the pos i t ion the object was when you First sow it, and o "B" a t its positio n when you last sow it. Ref~r t o smaller sketch as on example o f how to complete the la rger sketch. 3 4. What WN& the wea ther conditions at the t irn-:t yo u sow tho o bject? 3.J.l CLOUDS (Circle One) _ o:_ Clear sky 'c. Scattered c louds d . T hick or heavy clouds e . Don't rcmembar 34.2 WIND (Cicle One) a . No wind b . Slight bre a z e c. Strong w ind n't rem.,mb~r 34. 3 W2ATHER (Circle One) 34..4 T EMPERATURE (Circle One ) b. Fog, mist, or light rain Moderot d or heavy rain e. Don't remember e . Don't remember 35. Wh-.,n d id you report to soma offic ia I tha t you hod seen the object ? Mon th Yea r Was onyono: else with you a t t he time you sow the object? (Circle One) Yes ~ 36.1 IF you answe red YES, did they s e e the obj~ct too? (Circle One) Yes No 36.2 PL~ose list their names and addresses: 37. Was thi3 th~ first time that you hod seem on object or objects lika this? ( C ircle One) Yes ~ 37.1 IF y oo.J answered NO, t hen when, where , and und Jr what circumstances did you see other ones? In your opinio n what do you think the obje c t was and what might hov~ c a used it? 39. Do you think you con estimate the speed of the obj.,ct? 1r: yo u ao,swered YES, the n what speed would vou estima te? 4.0. Do you th in!< you can e s t imate how fa r away from you the object Wa'J? (Ctrclo One) {,b' No IF you answered YES, then how far away would you say it was? tfiLI:-':J 41. P laose g ive the following informatio n about your:;elf: TELEPHONE NUMBE Please indicate any special educational training tha t you htJve had. f. Other special t raining---------------------- 42. Dote you completed this questionnoir..,: Yoo r Month AIR r:o~c:: TECtHllCAL lttFOR~AYIO~ qu~.stionnoire ho.!S b.,;m propor.,d s o that you con gi1.t tn" U. S. Air Forc(t o:a much nfet:rat ion as po:uiblo concorning tho unidontifi~d o"rial phenomctnon thot you hov~ o burv1td. P!&~oiot try to onswet as mony q ueJtion:l a~ you po.uibly con. Th~ information that you giv., will vud for res&Orch purpoas, and will b~ '"gord~d as conf id~ntiol materia l. Yotu nome will bo us~d in c onn'tlion with ony :Staterni)nfJ, conclusion:J, or publications without you1 p~mi~tslon. w,, raquoJt tnl~ pdrsonal information 6 0 that, If it l1 doemed nec:eaory, we may c ont act you fo r furth!lr dotaib. Whan did you su tho! object? 2. Tim!! of day: Hoot Ml;eut.., .s o~y Mon th Yoor (Circle Ona): A.M. 11m~ :enit: (Circle On~): a. Eas te rn (Circle On:t}: a . Daylight Saving (b.C~nt;oJ) 0: b. Standard ' c~-frlounfo in d. Poci fie Wh !Itt wttre yov wh"n you s ew tho object? Nor nt Poatol City o t T own Sloh or Counlt)l Addlrional r3marks: Estimot~ how long you sow trHt object, Minut .. s Second a Circle one o f the following to indicate how cortaln you or., of your an;sw~t to Question 5 . Not very s uro b:, fairly certain.) Justo guess ,., ., conditicn of tha sky? {Circler One}: a. Bright dayligh t d. J us t a troc~ of do_y_light Du II do y li oh t cp i\lo trace "of daylight) Btinht twilight IF yolJ sow th~ object during 0/\ YLIGHT, TV/I LIGHT, or DAWN, wher<! was tho SUN ocated as you loo ked at thtt obj0ct? (Circl~ Ono): o, In front of yo u In boc k of you tL Overhea d To your ri ght f. Don't ' "membe r B. lr= y.:>u aw tl.tt oujuct. at NIGH r, TWILIGHT, or DA'HN, what did you noticJ concerning ~h STARS and MOON? 6.1 S r ,\RS (C irclo Ono): ~. i::'')n'l rcmomb"r 9. Wo.; th"t obj~ct :,righter t han the bock~round of th.:t :;l<y? 1 ( Circl.a One): / o. Yo:$ b. No 8 .'2 MOON (Circb One): "' Brig ht moonlluhr b~DJI r o c , t>lo moon I ig h t -pitch dar~ d. Don' t rom&mber c . Don't remambc:tr 10. I!= II wo$ BRlGHTER THAN t he sky bac!<ground, wa~ th~ brightna.ss likrJ that of on outomobl lo headl!oht?; ( Circfo On~) o . A m i I) or mor~ away (a d istonJ cJr)? b. Sdvcrol blocks owoy? c. A b lt>ck owa'/? a. ~'"~crt:> stand s t ill o t ony ti~e? b .:>\:Jdunly speed up ond rush owoy a tony t im c . Brook up into parts or explode? d. Give off smoke'? e . Change brightness? F: Chong:> sh.ope? F licbr, throb, or pulsate? ( Circle Onu (or aoch que:Jtion) Don't Know Don' t l<now Don't Kl"ow Don't Know No Don't Know t!.o? Don't Know ' Old tho:t object move behind something at onytim~, particularl y a cloud? I (Circle On<!): ~ No Don't Know. IF you on~...-~r~d YES, th9n ?ell what j 13. Did :h9 obje: "='C''" in front of somel!.,i:1g o t anytime, particularly a cloud? (Circls One : Don't Know. IF you onsw~red YES, than t.>ll whllt ! 14. Did th.> object appear: (Circle One): o . Solid? b. Transparent? e:--'Oon't Kno'rl.l Bincculor3 r ,,loscop6 T h.,or!o l it" Did you observe the objoct t hrough ony of thtt following? o. Eyo~!ussor. Yos <t!~, o. b. Sun g l-::s :;e:; Yes .~tlo f. c . \'/indshiuld Yes J'(~ g . d . Wlrv-low gl o-.:; Yo; No h.