P ROJECT 10073 RECORD CARD 2. LOCATION 12. CONCLU SlOt-IS t."'l t } l. 0 Wo~ Balloon 0 Probably Bal oon r r.,ound-V, ual 0 Ground-Radar oco -:-'-------------_,. u 0 Probably Airc raft G' {. 'n>('(V, 0 Air-Vi'u(ll 0 Alrlnterc;,pt Raclqr 0 Po ~Gibly Aircraft 5. PHOTOS 6. SOURCE a. NUJ.ASER Of OBJECTS 9. COURSE 0 WatJ Astro nomi col 0 Probably Astronomi'col Pos:.lbly Astronornlc:ol 'cf Othar.CS! j I, l o;. I ' 7. LENGTH OF OB~E~VATIO~ On~ ..... v tt:io'l.:ry 0 ln.suffici~nt Data for Evaluution 0 U nknown 10. BRIEr SUMM.~':" Or SIGHTING \>inito:J oLj ect Hit h a so1iu c.n~i:.::t' Ztf'tl b l11rred not rr.uvco ~/r>nt o:tt lil<P-a li:.:hL.l1 11. COMM2~T5 l)rob.,bl'\1 tlJ(; ceLLio::.r!t!r ... t. t,o.x Ai.r:J(JCt m~nsur-Ln:.-tl.; clOtl(t lJ:-..t.:" \'-Ltnls~; l o .. :; !IC U. S. A I~ F 0 f~ C E T E C tl N I C AL HI F 0 R U A r I 0 t1 SHEE T Thia qu<~stionnoir" has bee n pteporod 1'10 that you can g iv" tho U. S. Air Fore"' o~ tnuch infOfmtJt ion a s po.aib l<l c oncern ing thzt unid~ntified o~riol phanom~non thot you hove ob.ll.)rv~d. Pl~os., try to o naw.>r o:s many que:otions o s you p.:>Hibly can. The info r mation that you giv" w il l bb uHd for rtt$ttor c h purposos, a nd w il l b., r~gordttd a s c onfidm ti o l mat~riol. Your name w il l not b > u:~ed in connection with o n y sta tom~nts, c oncluiion1, Of publicat ions w i1hout your pormi!l!lh>n. w~ requost t his personal infor mation JO that, If It is d ee rr.e d r!tco uory, W!l may c o ntact you for funh~r de tai !,. 1. Wh., , d id you 50$ th" object? 2. Timaofday: 0 '~ ; O (Circla On~): Mluut ., a (Circl!l One ). _o_._ Eostorn .) b. Co ntrol c. MolJnta ln (Circle On~): a. Doyllght Saving . b. Standa rd \ d . Poci fie 4 . Wh~r~ were! you when Y'U sow th a object? Noor~at Poata l Addtus City or Town Stot o r Countr y Add.lt i ~no I r~tmotk:s: S. Eatlmote how long you sow tho object. M lnutoa s.,c:onds 5.1 Circle one of the fo l lowing to ind icate how certa in you ore or your anuwe r to Questio n 5. c. Certo in b. Fairly c e r to in ~. Not very sure d. Just c gues s 6. Whol ""'=~ hEJ condition o f the s ky? (Circle One): a. Bri ght day light J ust a trc1c~ o f duy I ight Du I I doy l igh t No lrace of doy I i ght Bright twil igh t Don't rem'!lmbe r 7. IF yo u sow tho obiect during DAYLIGHT, TWILIGHT, or DAWN, where wa:; t he SUN locotad as y ou loo eJ ot tha Qbjuct? (Circle Ono): a . In fron ? of you b. In bn("k o f you c, To y our r luht d. To your le ft a . Ov e r hood f. Don't r o murnber IOU IICiW th. ouJuct, t1t NIGHT, TWILIGHT, l)l OA''If-.1, wh.JI ci:J 'j'.JU n;11C.J CO!lC.):'"n;'1g rh I STARS orrcl MOON'l B. i ~TA:l3 (Circl..: Ono): 0.2 MOON (Circ/-;t One}: o . Br'gh~ r<~nonlight i:.. Dt !I moonlight c. No moordight -pitch datl< d. Don't r.:.mt"r'lb-'!f I ( Cird:J C:e,l: o. Y e s l:,. N-, c. Don't rr.1m-t>~h.,r 'iO, ll-: i t Wt1J Br~IG:ITER THAN th\'J 3ky bo-=t~vroJ,'d, W(lo; ib.> brightn:ls!l lika thot of on outomobll.,) h'-3odlight?: (Circle O ntl) o. A milv N rno,a 0'.'/tJy (:l JlJttJnt c~f)( b, S{tvero I L locl<s owoy'? c. A blu<:k away? d. &tv oro I yards away? o . Oth\)r o. Ap?cor to s~ond stl!! a t any tim9? b. S uddo.,ly speed up ond r ush nwoy ot ani' tim_,? c. 8:1Jt1k up Into ports cr 1:!:-tplode? d . G ivc oa smoke? C irci.J One for oad-, qtt< fion) I Yo~.,/ 1'-lo Don't Know f-lo Don't Know Yo~ No Don't Know Don'1 :<now Don' t Know u. Change brightne~:>? f: Chango shupe? [)on't Know Don't l(now Did the object t,ovo b~hind som,:,thing at 011)/tirnt~, par tlculorl> a cloud? ( Circle One): Yes ~o 'J Don' t !(now. !F you un"lw.,r::Jd YES, rhl!ln l-.)ll \Nh~t 13. Did tho objec~ r1~- in front of som9thing at anytlme partkularly o cloud'? ! 15. Did )'OU oU5F:rve th<'1 oLjiJct through ony :>f the tollowlng? ! (J. Eyoglo3sM: Yo!l No o . 8inoc.Jlcns y,')~ o ! b . Sul1 glossos Ye~ tJc f . Tclo.;copd 'ius l'b I c . Wind::;hield Y.c.:; No g. Thaodolih Yos 'No o n t 1 n nw. 17. D~ow tJ plr.::s~r., ~rot wlll show th~ ~hopo of ~h') obj~ct or "':!ji.-d~. lc:t>"~l ond lt~:::lud~ In y t)Vi' skl!~c:, ony du?aliJ I f)foin.~uiorh,, ete. , ord ~Jpockdly }xholnt tra!lu Ol' vapor tr::1lla. P lvca r:tn t;3if{)W l.nt.l ida th~ drowin~1 to ~how th"'J diro-;:?IQ!'1 tl-to obi4ct .vo.~ m"vit19 T ho.11 .,dg.~' or tl-.l obj~ct were: (Circlu On~): .. o . Fuz.ty o r l-d~urod b:--o:~e a l::rlght :;tor c. Shcrply out I incd d. Don'r remam~r IF thura wa-c MORE THAN ONE cbj~ct, th-3n how many wero th ere? /2 'L-C Draw o pictur~ ~f how th.,y JitHo O((angt>cl . o:1d ~J~ on arrow t o s how th3 dirttction thot th"J' wor;, trov~llng. Dr ow o plchw Jhnt wtll a how th~ rnotlon that t~ obict o.r oblects ma'<ht. PJt~c" on "A o t thtt b-oJnnl~ of thtt poth, u "S ot the ~nd of the path, and :ohow any, chor.91U In dirttctlon dutfng th., cow~<t IF P05518L':, try to g'*as 01 eJHmot what th~ roal tsl:z of tn o b iect wa In U) longerJt di~Mn.s1on. 22. How large o id ~he obiect ~ obich oppeor as cornporlbd wltn OM of th8 following obiwc.ts. h~IJ In the honcl ond ot cl>out etm's length? (Cirdtt One): o. Hood of a pin g. Sllvttr doJior h. Baseboll Gropefndt . f. Ba!lk\ttboll "--lc.- Otner f. Half dollcr 2~.1 (Circ/., One of the following to Indicate how c~rtaJn you ere of y oUt answer to QtJestlon 22. a. Certoln c. Not Vl3ry IUt$ d. Utlcerto.in 23. How did the obl4itct or oi,lects discp~or from view? 'i,.... ...... :-I;,,., .. 24. In or-4., thot you colt olve oa cltar o ~lctur.oa poul~l of what you o~w, we would lilc '"'you to hnogln ta,.,, you could c.,natruct th olJct th.,. you aaw. Of whot typt motertol would you ma:C It? How larg would It b., an-:1 wh,ot ~aho,. w~uld It hou? Dserlb In your awn worda o l:.lmmon oltJect or obf~ch which whn ploc...d up In the elcy WGVId olve the ~"''" OJpearone a the obJ.-ct whleh you 5ow, 25. Wlh1r:: wvrf' you '"'cnt~d wher } 'OU !>UVI the object? (Circle Ono): o . Ins id.: a builtling b. In a cor O"~rtdoors c . In an oirplono e . At sea Other ---- - 26. Were you (Circle: One) a. In the businc:;s section of a city? b. In the rcsid~:ntirJI s:ct ion of u city? c. In open c:ountrys ide? ' d. Flying 11crH em airfield? e. Flying ovN u city? f. Flying over open couo.,.'y? 27. Whut WN:! you doi ng o t the t irne yo u suw thr~ object, and how did you hoppen to notice it? 23. IF you wro:re MOVING IN AN AUTOMOBILE or other vohicle at thc:: t ime, the n complete the following qu.t-;ti~ns: 28.1 Vfhot direction ware you moving? (Circle One) a. North c. Eo st e. South g . We-:.t b'"7' Northco!.t d. Southeast f. Southwe:>t h. Northwest 28.2 Y,:,w fost were you moving? ---------------miles per hour . 28.3 Did you stop at any tim~ while you w ere looking at th~ object? (Circle One) Yef> No 29. What direction were you looking when you fir::t saw the object? (Circle One) a. North c. Eost b. Northeast d. Southeast h. Ncdhwest 30. What direction were you looking whe n you laat sow the object? (Circle One) :.. ~:~rtheost d. South cost h. Norlhwest 31. If you C !:: c:;,;ior with bearin g term~ (angular diwction), try to estimate the numbdr of dogre~s tha obj~ct wa:> from tn .. e ~: h ond a lso the nurnbe r of dcurecs it wn:. upwe1rd from tho horizon (elevat ion). 3 1. 1 V!h<Jn it first appeared: a. F rom true North ----- -d e grees. From hori7.on - _ . degree:;. 31.2 When it d i :;a ppvorcd: a . rrom -:-ru.; North- - --------dcgiCCS. b. From horizon _ .. _ dcqrGc:>. 3 .1. What were t he weather conditions a t the t inte you saw the object? 34.1 CLOUDS (Circle 011e) 3.-1. 2 WIND (Circle One ) a . Clear sky a . No wind b. Slight broeze c . Scatter e d c l'Ouds c . Stro ng w ind d. Thick or h eavy clouds d Don' t rememb&r D on't remember e . 34.3 WEATHER (Circle One) 34.4 TEMPERATUP.E (Circle One) b . Fog, mist, or light rain ''=-"c:. ~MOderate o;.K;avy -,a-in e . Don't remember Don't rem~mber When d id you report to some offiGiol t h a t you hod seen the object? Month Year 36.-Was anyone e lse wit h you at the t imo you saw the object? (Circle One) Yes 36.1 IF you answered YES, did they see the object too? (Circle One) Y cs No . 36.2 P lease list their names {J,d addresses: ':' 37. Was this the first time that you hod seen a n object or obiect:> like this? (Circle One) , Yes 37.1 IF you answ~red NO, then when, w he re, a nd under wha t circumstoncos did you see other o ne s ? In your opinion what do you think the object was and what might hove caused it? C irclt: On:.:) If ypu lJO,-;wcrcd YES. rhe:n \ll.ot sr d w~;uf ,j )'CHJ t~Timote? rfO, D o you ihink ou <..un e:.timot.: hoN f.;r CI'N(JY from you rhc CJbjuct wa:;? (Circ/~ On~) I F you 0 1 $'t\-..:r;d YEs, 1he11 l1ow for uwOjl w.Juld )'OU soy it was? F in.t Name Midcl!o Nome Zono Stoto T ELEPIIONE NUMBER----- Plc:a:;~-indicate ony special educationa l t.aini11g tha1 )'Oll have had. c . c. "f t:chni.::al 5chool u . High ~chool C o l I f'gc c . f. O ther sp~ciol tra ini ng-------- d . Post graduate -12. Dote you completed this que:;tionnoiw: !n c-rder that }'Our infornwtio n moy btt filod und coded o.~ occuroioly O!; p.v:;sibiJ pltC:o;J use :1--~ !olbwing ~poco t o writ~ ot~t o shr.rt do.):;cription of the ~vent that you A>${.rV}d. Ycv nrut ru pect idormot ion that you hove f.Jir""ody give.; i n th:.~ qu.,.stionr1oiH~ and odd ,1ny f urthor cvmnl;Til~'i st:Jtem~nt~ or :;lwtch~.> that you b.tliovo oro i mportant. Try f o JJre;;el"t th~ detoilc; of tho ob:; ... r'/0 tion in tht:: order in which th~y oc-curr~d. Additirmol pac:;e.; of the some si:~ p.lp~r moy b::: ottm: hud i! I" y are needed. (Go Not \V,-itc ;,, Thi!' Spocc (P I o:~os" Prin:)