PROJECT 10073 RECORD CARD CONCLUSIONS 0 Was Balloon Elbur n , Ill Probably Balloon TYPE OF OBSERVATION Possioly Balloon 3. DATETl!.IE GROUP Ground-Visual 0 Ground-Radar 0 Was Aircraft P robobl y Aircraft GM~/o:n,oz tJ:Ai,.. Vi suo l 0 Ai r -Intercept Radar Po ssi bl y Ai rcroft Was Astronomi col Probabl y Astronomical 0 Possibl y Astronomical 7. L ENGTH O F OBSERVATION 8. NUMBER OF OBJECTS !l..X lnsuffi cient Data fo r Evoluotion BRIEF SUMMARY OF SIGHTING :..lPl'cared :..; t ring of three or Info very lltnitcd, p recluding con~lu~ion. GccmbEi to for m intc one :.1.l'lh L S TECHHICAL IHFORMATIOH Thlt questionnaire has boon prepared so that you can give tho U. S. Air Force as much Information as possible concerning the unidentified aerial phenomenon that you hove oburvod. Plea .. try to answer as mony questions as you possibly can. Tho Information that you give w ill be used for research purposes, and will be regarded as confidential motorial . Your norM will not be used In connection with any statements, conclusions, or publications without your pmiuion. We request this ~rsonol Information so that, If It Is deemed neceuary, we moy contact you for further detai Ia. 1. When did you see tho object? 2. Time of day: Hour Minutes Mont'\ Yeor (Circle One): Time xone: (Circle One): a. Eastern ( Circle One): Daylight Saving b. Control b. StCJndord Where wore you wh~n you aow tho object? Neoreat Poeto l Addreaa City or Town Q Stote or Country s. Es.timote how long y ou sow the object. Hourt Minute 1 Circle one of tho following to indicate how certain you are of your onawer to Question 5. Not very sure \..ertotn Fairly c ertain d. Justo guess What was the conditim of the s ky? (Circle One): Bright day I ight d. Justo trace of day I ight b. Dull daylight No trace of daylight twi light f. Don't remember IF you sow the object during DAYLIGHT, TWILI GHT, or DAWN, where wa s the SUN cated o a you look~d at the object? (Circle One): o . In front of you d. our le ft b. In back of you e. To your ri gh t f. Don't re member A T IC FORM NO. 16 .. ( 1J OCT ~4) 8. IF you actw the ooject, ot NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? 6.1 STARS (Circle One): 8.2 MOON (Circle One): d. Don't romomber 9. Was the object brighter tho.n the background of the alcy? (Circle One): ~ Bright moonlight b. Dull moonlight c, No moonlight -pitch doric d. Don't remember c. Don't remember 10. IF It wos BRIGHTER THAN the sky background, was the brightness lilce that of an automobile headlight?: (Circle One) a. A mile or more away (a distant car)? b. Several blocks away? @ A block away? d. Severo I yards away? 11. Old lhe object: lrcle One for each question) a. Appear to stand still at any time? Don't Know b. Suddenly speed vp and rush awny at any time? Don't Know l c. Break up Into ports or explode? Don't Know d. Give off smoke? e. Change brightness? f.' Change shape? g. Flicker, throb, or pulsate? Did the object move behind something at anytime, particularly a cloud? Don't Know Don't Know Don't Know Don't Know (Circle One): Yes C Don't Know. IF you answered YES, then tell what 13. Old the object move In front of something at anytime, particularly o cloud? (Circle One): Yes @) Don't Knnw. IF you answered YES, than tell what 0 id 1h~ ob jed oppeor: (Circle On8): (?:)solid? T ro nspor.,nt? Don't :<no"'f. Did you observe the object through ony of the following? Binoculars Yes No b. Sun glosses Telescope Yes No ~Windshield Theodolite Yes ( . Window gloss 16. Tell In o few words the following things about tke oblect, 17. Draw o picture that will show the shape of the ob!ect or obi acts. Lobel and .Include In your sketch any details of the oblect that you saw such as wings, protruaions, etc., and especially exhauat trolls or vapor trallt. Place an arrow beside the drawing to show the direction the object was moving 18, The edges of the object were: (Circle One): o. Fuzzy or blurred b. Like a bright stnr (?.\Sharply outlined 'J;-' Don't remernber 19. IF there was MORE THAN ONE object, then how many were there? Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. 20. Draw o pldure .thnt wlll show the motion that th. objec~ o.r obJects mode. Place on A ot the b.glnnlng of the path, o s at the end of the path, a nd show any, changes In direction during the course 21. IF POSSIBLE, try to guns~ estlmate. whot the real abe of the object was In Ita longest dlm.nalon. 22. How Iorge did the object 9' objects appear as compared with one of the following objec1s. beld In tho ho"'J and at about length? (Circle One}: Head of a pin g. Si lver dol lor Pea h. Baseball d. Nlck.et Basketball e. Ovortwf k. f. Half dollar 22.1 (Circle One of the following to lodlcat" how certain you ore of your answer to Queat.lon 22. @ Certain c. Not very sure b. Fairly certain d. Uncertain 24. In order that you con olve oa clear a picture oa posalhl of what you aow, we would lllce for you to Imagine that you could construct the o iJfect that you eow. Of what type material would you molee It? How Iorge would It be, ancl wh.ot ahop. ~ould !t have? Oeacrlbe In your own warda o ~omftlon obfect or obJect which when placed up In the ale)' would give the aome appearance cu the object which you sow. 25. Where were you located wh~n you sow the object? (Circle One): 26. Were you (Circle One) o . Inside a building b. In a car c . Outdoors ~ In on oirplone e . At sea a. In the business s ection of a city? b. In the residential section of a city? \:9 In open countryside? d. Flying near an airfield? e. Flying over a city? f. Flying over open country? What were you doing at the time you sow the object, and how did you happen to notf\ it? 28. IF you were MOVING IN AI~ AUTOMOBILE or other vehicle at the t ime, then complete the following questions: 28.1 What direction wertt you moving? (Circle One) a. No rt h c:. East f. Southwest Northwest b. Northeast d. Southeast 28.2 How fast were you tnoviny? --------------miles per hour. Did you stop a t any tiute while you were looking at the object? (Circle 011rl) Yes 29. What direction were ~u looking when you first saw the object? (Circle One) b. Northeast d. Southeast f. h . Northwest What direction were~u looking when you lost sow the object? (Circle One) a. North c . East Northeast d . Southeast Southwest h. 3 1. If you are familiar witli bearing terms (angular direction), t ry to estimate the number of degrees the object was from true North and also th e number of degrees it was upward from the horizon (elevation). 31,1 When it first appeared: a. f-rorn true North-------degrees. b. From horizon _ degrees. 31.2 When it disappeared: a. From true Norlh ---------degrees. b. Fro m h0ri4on degrees. 34. What were the weather conditions at the time you saw the object? CLOUDS (Circle One) (Circle One) ~Clear sky o. No wind Slight breeze c. Scattered clouds Strong wind d. Thick or heavy clouds d. Don't remember e. Don't remember WEATHER (Circle One) TEMPERATURE (Circle One) b. Fog, mist, or light rain c. Moderate or heavy ro in Don't remember e . Don' t remember 35. When did you report to some official that you hod seen the object? Ooy Month\ Y eor ' 36. Was anyone elc;e wit h you a t the time you sow the object? (Circle One) ~ 36.1 IF you answered YES, did they see the object too? (Circle One ) ~;t} No Was this the fir s t t nne thot you hod seen on object or objects like this? (Circle One) @ No . 37. 1 IF you answered NO, then wh~n, where, and under what circumstances did you see other ones? 38. In your opinion what do you think the object was and what might hove caused it ? 39. Do you think you can estimate the speed o f the object? (Circle One) Yes Q IF you answered YES, then what speed would y o u estimate? 40. Do you think you can estimate how far away from y o u the object was? (Circle One) Yes ~ IF you answered YES, then how far away would you say it was? feet. P lease indicate a ny spec ia l cJucoti onol training that you hove hod. a . Grode school e. e. Technical school------------------ d. Post graduate ----------- 42. Date you completed this questionnaire: