PROJECT 10073 RECORD CARD CONCLUSIONS 0 Wos Balloon Probably Balloon Possi oly Balloon 3. DATETIME GROUP .. TYPE OF OBSERVATION 0 GroundRadar 0 Was Aircraft 0 Ground Vi suo I P robobl y Ai rcroft 0 Ai ... Vi suol 0 Air Intercept Po s si bl y Ai rcroft Was Astronomica l Probably Astronomical Po ssi bl y Astronomi col 7. L E NGTH Oil OBSERVATION e. HUMBE R OF OBJECTS 9. COURSE 0 O t he r a. In sufficient Data for E val uoti on hl one Ju3t to BRIEfl SU~RY 0 , SIGHTING 11. COMMENTS ooj ch~1ng:t~t; ~olo:r "m {y:!n ~r:.1l .le>critti? n c orJ>:1:.i.1 .L I J.J .t.JL _l')n f!Jn.-;ld~r0(1 tlnrcl.i<!.l)l. . ..:ur :JtT l>c tl"'' o: r~li:.tbllit: U.S. AIR FORCE TECHNICAL IHFORMAIIOtl SHEET (SW.WARY DATA) In order tha t your information moy be filed and code d a's accurC'Itoly as possible, please use- he following space to write out o short description o f the event that you obsErved. Ye>u may re - peat ir.for~otion that you have already given in the questionnaire, and add .:~ny further cc..mments, statements, or sketches that you believe ore important. Try to !Jresert the details of the observa- tion in the order in whic h they occurred. Additional pages of the some size p~per may b., attached if they are needed. (Co Not W,ite ;,, This Space) . SIGNATURE------------- s. AIR FOR CE T ECHNICAL INFORMATIOH This questio nnaire ha s boon prepared s o that you can give the U. S. Air Force a a much lnfa-moti on a s possible c:oncor ning the unidentified a .,rial phenomenon that you hove observed. Pleau try t o answer a a many quest ions a s you p ossibly can. Tha Informat ion tha t you g ive will be used fo' researc:h purpos e s, and will be re ga rd ed a s confidential motorial . Your nom will not b. used In connection with a ny statements, conclusions , or publications wit hout your piM"mlulon. est this ~rsonal informat ion aa that, If It Ia deemed neceuory, we ma y contact you for 1. When did you ue the object~ 2. Time of day: 3. T ime zono: (Circle One): a '. E;s~orJ a, eQayl ight S;.ing (Circle One): ' b. Control b. Standard d. Pacific Where wr you when you sow tho object? City o{T own Stote or Co"ntry Neareat Paetnl Addr Additional remarks: s. Estimate how long you sow tho obje c t , Circle one of tho following to indicate how certain you ore of your onawe r to Quest ion 5. Not very sure b, )'_,fertain d. Just a guess What was th canditim o f the sky? (Circle One): Br ight dayl ight d. Jus Lo-f.ICH:&-o-f-doy.Light b. Dull dayl ight ......, tra c e of day I i gtn Bright tw iIi gh t f. Don't r .emttm bet IF you sow the object dur ing DAYLIGHT, TWILIGHT, or DAWN, where was t he SUN located o s you loalted a t he object ? (Circle One): In front of you d . a your le ft In bock of you To your right Don't remember ATtC FORM NO. 164 ( 13 OCT S4) 8. IF you saw the ouject, at NIGHT, TWILIGHT, or DAWN, what did yo u notice c oncerning t he STARS a nd MOON? STARS (C irde One): MOON (Circle One): a. Bright moonlight b. Dull moonlight No moonlight -pitch darlc d. Don't remomber d. Don't remember 9. Was the object brighter than the background of the sky? (Circle One): 10. IF It was BRIGHTER THAN the sky background, was the brightness like that of an automobile headlight?: (Circle One) a. A mile or more away (a distant car)? b. Several blocks away? c. A block away? d. Severo I yards away? 11. Old the o bject: ~ P .... Circle One for each q uestion) a. Appear to stand still at any time? b. Suddenly speed up and rush a wc1y at any time? c. Brook up into ports or e)(plode? d. Give off smoke? o. Change brightness? f , Cha nge shape? g. Flicker, t hrob, or pulsate? No Don't Know Don't Know No Don't Know No Don't Know Don't Know Don't Know No Don't Know ( Circle One}: Yes ~ Don't Know. IF you answered YES, then tell whot It moved behind: _ Did the objec t move In front of something ot anytime, particularly a cloud? Yes Don't Knnw. IF you answered YES, than tell what (Circle One): l..t. Did ihe object opp6o r: (Circl~ One): b. T ro n."oor.,nt? Did you o bserve the object through any of the following? Eyoglosses Yes No {i) Binoculars No b. Sun glosses Yos No f Telescope Yes No c. Windsh ield T ho :>dol it~ Window gloss Yos No Tell In o fo w words t he following t hi ngs about tk" o bject. 17. Draw o picture thot w ill show the shape of the object or objcts. Lobel and Include In your sketch ony details of the obj9ct that you aaw such as wings, protru J iont, etc., a nd Ollpeclolly exhouat tralla o r vapor trolls, P la c 3 on arrow bealde the drawin g to show tne dlractlon the object wo1 moving. 18. The edges of the object were: (Circla Onu): a . Fuuy or blurred b. Like a br ight star c. Shar ply outll,ed d . Do n' t rornttrnb..,r 19. IF thPJre wa s MORE THAN ONE ob!ect, th e n how mony were t here? Dro w o picture o f hQw they were arranged, a nd put on arrow to ,how the direction that they were travel lng. 20. Draw a picture thot w~ll show the motion that the objec~ o,r obiects made. Plac on A ot the b.glnnlng of the path, a a ot the end of the path, and show any, chongos In direction dlWing the course. 21. IF POSSIBLE, try to guess or estimate what the real alu of the object was In Its longest dimension. 22 How Iorge did the object 9" objects op~or as compared with one of the following objec!s betel in the hand ond at about arm's length? (Circle One}: Hood o f a pin Silver dollar b. Poo h. Baseball Grapefruit Basketball Qvorhw k. Other f. Half d ollot 22.1 (Circle One of the follow ina to lnd I cafe how certain you ore of yoU" answer to Ques~lon 22. a. Certain c. Not very sure b. Fairly certain d. Uncertain 24. In ordr thot you con glv 011 cl .;., o picture aa poulble o f whot you tow, we would like fM you to lmoglne thot you could c onstruct the obJet thot you ow. Of whot typ "'oterlol would you molce It? How Iorge would It be, oncf _wh,ot ahope would It hove? Descrlb In yow own wordt o eomrnon obJect or obJectt which V:.hen ploc.d up In the elcy would give the some oppeoronc ns the object which you sow, 25. Where were you lvcated when you sow the object? (Circle One}: a . Inside a building b. In a cor {yOutdoors 'a:-ln on airplane 26. Were you (Circle One) a. In the business section of a city? n the residentia l section of a city? ~n open countryside? d . Flying near on airfield? e. Flying over a city? f. F I ying over open country? (/ I r (j 27. What were you doing at the ti me you sow the object, and how did you happen to notice it? 28. IF you were MOVING 'IN AN AUTOMOBILE or other vehicle at the t ime, then complete the following questions: What direction were you moving? (Circle One) a. North c. East b. Northeast d. Southeast f. Southwest h. Northwest 28.2 How fast were yo u 111oving? Did you stop ato ny tiro-, while you were looking ot the object? (Circle One) Yes 29. What direction were you looking when you first sow the object? (Circle One) a. North (C~Xast e. South b. Northeast d. Southeast f. Southwest 30. What direction were you looking when you last sow the object? (Circle One) a . North c . East b. Northeast d. Southeast f. Southwest Northwest h. Northwest 31. If you ore familiar witli bearing terms {angular direction), try to estimate the number of degrees the object was from true North and also the number of degrees it was upward from the horizon (elevation). 31.1 '#h'!n it first appeared: a. From t~ue North ---------deg rec:s. b. From horizon degrees. 31.2 When it disappeared: a. From true North------d egrees. b. Fro m horizon _ degrees. 34. What were the weather conditions at the time you saw the object? CLOUDS (Circle One) 34.2 WIND (Circle One) a. Clear sky a. No wind b. Slight breeze c. Scattered clouds c. Strong wind Thick or heavy clouds d. Don't remember e. Don't remember WEATHER (Circle One) 34.4 TEMPERATURE (Circle One) b. Fog, mist, or light rain c. Moderate or heavy rain Don't remember e. Don't remember 35. When did you report to some official that you had seen the object? D a y Mo,th Year J6. Was anyone else with you at the time you saw the object? (Circle One) Yes No 36. 1 IF you answered YES, rlid they see the object too? (Circle One) Yes No 36.2 Please list their n ames and uddresses: 37. Was this the first time that you had seen on object or objects like this? (Circle One) ~ No . 37.1 IF y o u answered NO, then when, where, and under what circumstances did you see other ones? 38. In your opinion what do you think the o b ject was and what might have caused it? 39. Do you think you con estimate the speed of the object? (Circle One) Yes IF you answered YES, then what speed would you estimate? 40. Do you think you con estimate how for away from you the object was? (Circle One) Yes No IF you answered YES, then how for away would you soy It was? 4 1. Please give the fo ll owing information about yourself: Middle Nome Firat Nome TELEPHONE NUMBER ---==~----- Please indicate any special educational training that you have had. Grode school T echnic ol school High school c. College Other special train ing Post graduate 42. Dote you completed this questionnaire: