PROJECi 10073 RECORD CARD Q t; ~ ljg D-'1Ei\ .. E GROUP i VPE Of oase.R'I~i\ON 0 Ground 'li su o\ 0 GroundRodoT 0 Air-Vi suo\ 0 Air\nt~trcP' Rador C01'4CLUSI0 Was So\\oon Probably Bol\oon Possi ".>\y Bo\\oon Wns Aircroh P robobly Aircroh Possib\y Aircrolt Wos ,fl..stronomica\ ? robob\y /t.strono"'ico\ Possi bly Astrono"'ica\ 0 \nsu Hici"' oato for Evo fu o tion :.: ,uns one r:crtll 100 6~\Ef su"""RY Of SIGIITIMG 11o CO"'fo\OtiTS lo. T\,1; In a f~w words th e following things obout :lie oblect. --1-7-. -D-ro_w_u_p_l c_t_v_r ~-t-ha_;_w_i -; l_s_h_o_w_t_h s_h_a_p_e_o_f_tn_e_o_b_l_c_t_o_r_o_b_l_w_e_ts_._L_o_be l n_d_l_n_c:_lu_d_e_l n_y_o_v_r -.-k-e-tc:_h_o-"y_d t_o_i !-.~--1-~ of th~ obict that you s ow :such a~ wings, protrualo,a, l'ttc., JJnd especially oxhauat traiLt o r vopor trolls. Place 011 tJrrow bs Ide the drowing to 3how ne dir~tctlon th object wa J moving (Cirde One): a. (Fu:.zy or blurre " b. Ll e a r1g t star c. Sharply outlined d. Don't remember 1?. IF there was MORE THAN ONE objeet, then how rnany were there? Draw a picture of how they were arranged, ond put an arrow to show the direction that they were travel fng I 1 20. Drow a pictUte that wlll show the motion that th. ohject o,r objects made. Place an ,. A at th11 beginning I 1 of the path, a "B at the end o! the path, and show any, changes In direction during the course. 21. JF POSSIBLE, try to guess estimate what the real alze of the obfect was In its longest dimension. \ if a feet. . . 22 How Iorge clid the. object f!J1 objects oppear aa compared wJth one of the followl"9 objec.ts. heli:J in the hone/ and at about ar~'s length? (Circle One): Head ol a pin f. "Half dollar Sl fver dol lor Grapefruit Bas ketba II Other I=" 0 a T Q 5 L C 22.1 (Citcle One of the following to Indicate how certain you are of yo11 answer to Question 22. a. Certain c. Not very sure d. Uncertain b. ({airly c 'erta[i;) How did the obiect or objects disappear from view? ;:{ .hl'2... ~/ .... : .... ,. T !& ! P " t.r 24. In order that you COft give a clear a plctur poulblo of wnot you tow, we would lllce ,_ you to lmagln that yo~ could conatrvct the obioct that you taw. Of whot type ~noterlol would you male It? How lorv woulcf It be, oncl whot thope would It hove? Oetcrfbe In your own worcfs a hmmon obJect or obfectt which whn plocecl up in the "Y would give the tame appearance the obJect which you sow, 25. Where were you lucat~d when you saw the object? (Circle One): o . Inside o building b. In a cor c. O~tdoors' In onairplone 26. Were you (Circle One) a. In the business section of a city'?.., b. f ln the r;sidentiol section-of a city'?;- c . In o?e-;~untry~1CJo7 F ly ing near o n oirfaeld ? Flying over a city? Flying over open country? 27. What were you doing at the time you saw the object, and how did you happen to notice it? 28. IF you were MOV lNG .IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 28.1 What direction were you moving? (Circle One) a. North c. East e. South g. W!'st b. Northeast d. Southeast f. Southwest h. Not-thwes t 28.2 How fast were you moving? -----------miles per hour. 28.3 Did you stop ot any time while you were looking at the object? (Circle One) Yes No 29. What direction were you looking when you first saw the object? (Circle One) d. Southeast a. ~'forth f. Southwest h. Northwest b. Northeast 30. What direction were you looking when you last saw the object? (Circle One) h. Northwest a. North _ b. r Northeas_t.... d. Southoost f. Southwest 31. If you are familiar witn 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 When it first appeared: a. From true North ------degrees. b. From horizon degrees. 31.2 When it disappeared: a. From true North ------degrees. b . From horizon degrees. 32. In the following sketch, imagine that you are ot the point shown. Place an A" on the curved I ine to show how the object was above the horizon {skyline) when you first saw it. Place a "B on the .same curved line to show how high the object was above the horizon (sky I ine} when you last sow it 33. In the following larger sketch place an A" at the position the object was when you first so~ it, and o s at its position when you last sow it. Refer to smaller sketch as on example of how to complete the larger sketch 34. What were the weather conditions ot the time you saw the object? CLOUDS (Circle One) ~attered clouds'\ d. Thiele-o; fieovy clouds Don't remember WEATHER (Circle One) b. Fog, mist, or I ight rain c. Moderate or heavy rain e. Don't remember (Circle One) a. No wind~ Sli ght breez~ Stro ng wind Don't remember 34.4 TEMPERATUP.E (Circle One) e.'"~o_n't reme=.~r) 35. When did you report to some official that you had seen the object? 36. Was anyone else with you at the time you saw the object? (Circle One) Yes 19 36.1 IF you answered YES, did they see the object too? (CircleOne) Yes No 36.2 Please list their names and addresses: 37. Was this the first time that you had seen an abject or objects lilce this? (Circle One) IF you answered NO, then when, where, and under what circumstances did you see other ones? In yoax opinion what do you think the object was and what might have caused it? ~ 39. Do you think you can estimate the ~peed of the object? IF you answered YES, then what speed would you estimate? 40. Do you think you can estimate how far away from you the object was? (Circle One) IF you answered YES, then how far away would you say it was? 41. Please give the following information about yourself: TELEPHONE NUMB Please indicate any special educational training that you have had. Grade school 7 T H Cr Q ~ 0 ~ e. e. Technical school _ b. High school c. College d. Post graduate 42. Date you completed this questionnaire: f. Other special training------------------ U.S. AIR F ORCE TfCHHlCAL INF ORMAT I O U SHEET (SU.\IJ.4ARY DA i A ) In or der that your information may be fil e d a nd code d as occurnto l y as possible , please us~ t h e following space to wr i te out a short de s cript :on of the event that you obsuved. (c-u may re- peat i~ormation that you have already given in the questionnaire , and add .:Jny further ct-mments, statements, or sketches that youbelieve are important. Try to FJresert the detai ls of the observa tion in the order in which t hey occurred. Additional pages of the some sixe p~,er may b attached if they are needed (Co Not W.-ite ;,, This Sjlace) UFO AnALYSIS s:-tlillr Satellite' (AFCIN-4F3, Fhone 69219) Astronomical Phenomena (Meteor, Comet, Planet, etc) - ,; ... ,. ., .. . Natural Pb.emanena_ (Ball IJ.ghtning, etc)---------------- Analysis and Conclusions! .>VHC~: u7 0 .3ighti!lg AIR TECHNICAL INTELLIGENCE CEN. UNITED S TATES AIR FORCE \\~IGH r- P A fTE~SON Al1 FORCE BASE tionaaire be forwarded t Sciences end Components 5 oc.-r s-q sAJci1- J T~ck~r/Mbb77229i