Pf~OJt:r:r lC073 P.EC0;:;~o CA:W 1. D ~TC 2 . LOCATI'ltl 12. CCNCLUSl'.l:-1.; OA rt:: Til~ J. TYP~ OF USSE:l{V..-TIC!-1 tl Grnund Vo su;,l 0 C.rovnriR J " Wu-. B.,ll oil Prub.J'>It 13nll<"ou ; A. SOIIItCE - Wo, Ai rcrrtlt p,.,bohly Mrvoh P o sso bl y Ai rcrolt U Wrn A-.trollo,.ic:ol l.Etl.:iTH OF O:l~<:RVATIOII U Probably A!;trono,..ocnl U Po:;~i~ly Astr>no,.,i-:ol l11suffi c,.,,, Dolo fo r EvolvotoiJn U. S. A I R f 0 R C E T ~ C H H l CAL I H f 0 R M T I 0 H SHEET This qua~ti~nnoire ho:. b"~" prepurod GO that you C.Jn gi,., the U. S. Air Fore> a;\ t:l v : lnfctmafi\)n en pos,ibl" conc\Hning tho unid'tlntifi a e rial ph., nJm8non t hat you hov .. , r>t>:--''lf .. v! . Pltai~ try to Qfl:IWM 05 m,"Jny que~tions 0!\ Y''u p0$'ibly can. Tho information that you siv.> b vsed for ros&arch purposos, ond will ~ ''gc:ardJ~d 111 confiJ bntiol motMial. Your nom will ::. b. UJod in connection with any Jtot~mont, conclusions, or publications without your P'.;f'tnisli :...-. '" , .,quest this pctr5onol information ao th-Jt, If it l1 deern,Jd n~c.)sscry, wo may c ontoct you i..,, fvr~h :>r do toils. 1. W}ur. did you sea tho obioct 7 2. T i rno of day: (Circle One): 3. Tim 1ono: (Circle On~); a~ c . Mountain d . Pacific (Circ/~ One): a. Daylight 5avi.; 4. W'r.~r w~r., you wh..,n you s a,.-the objuct? City or Town Ad..ll~ional remarks: oatal A.d ~ro u S. Euimote how long you saw th~ obiect. 5.1 Circle one of tho fo I lowing to indicate how c~rtoin you ore of your onswsr to Quo~t ion 5 (a.: Cor to in ""ti. F o ir ly certain 6. Who: oJ~' the conditi co of tha sky? Brigh r dayliaht Du II do y I i ~h t c. Bright twilight c. Not very s uro d. Just o guess d. Just a trac~ of da y I igh: e, No trac e of doyligh~ f. Don't rc.-nember 7. lF you sow the object duriog DAYLIGHT, TWILIGHT, o r DAWN, wher~ was 'h~ SUN loc..:obd ~:no tha object? (C11c!e One): o. In front of you b. In bock of you c, To your r i gh I d. To y our I e f t e. Overhead f. Don't rcmemS~r ATIC FOR M NO. t 6 4 ( l-' OCT ~4) IF you '\tw t h" oi'i>ct, at NIGHT, TWILIGHT, N DAVIN, .. vhot did y ou r10lic"' c onccrnh" J rita STAf>S ,nd CON? 8.1 STARS (C i:-c:l!t On~): 8.2 MOON (Cirdn Ortt}: a. Bri~h' t ,oontlyh~ b. Dull rnor.>nilght c . No moon! iahi -pitch dar!: d. Don't remomber d. Don' t ,,,momb~r ( C lrdo One.): a. Yos b. ~lo c. Don't retn&mb tr lr H was BR .GHTER THAN th& sky background, wos th~ brightnes!l lil<! thot of an outomo,ll" h~ad:t~ht?: ( C iiclo On a) o. A mi ie or mor& a way (o dl3tant c or) ? b. ~vera I blocks away? c. A block away? d. Sevofa I yards away? 11. O ld i~o obi~c~: (CircfrJ On<' f or each question) Ap ';i r., ::.tond ~till at o;,y t.;r;~? Yes No Don't Know b. Sudd:~"'Y speed up and rush ~ .. cy ot ony tim3? Don't Kt1ow c. Brook'..:? into parts or explod!? Don't Know d. G ive c:f smoke? Yes No Don't Know Chon3:: brightnsss? Don't Know Change shape? Don't Know Flick~r, throb, or pul:;ate? Y6s No Don't Kn~w Did th~ object move behind something at anytime, portictJiorfy a cloud? (Circle On~,l: Yes No Don't Know. !F you answ~rad YES, ~h3n tall whet 13. Did tha objer:~ --:Ne in front o f something at onytlmo, porticu1arly o cfoud? (Circle Or.~,. No Don't Know. IF you on.sw,:,rod YES, than ten v.hat 17. i.)~,w e pk!.r-' t:1:1t will show the sh np:) of th~ ol,l ,,ct ~r o~joct". Lob~tl ar1d lt1clu d ' In your ckotr.:h '(JTIY d~biiJ oft:, .;, o:!bjJ~t .. ,_,,you saw such a.; wir1 Q!\ pro~ruJi~nJ, ~fc., tmd vl p.,c latly ;J:< 1ov~t hrtll:s o r vrl por ~roll~. Pl o,::) o, t1rr~w b~Jid' th .... drawing to Bh"w th" dlr~ctl~n tha C~bi<tct wat tnovir'~ Th?J .,d~as or t~a 0 bj .'!Ct were: (Circlt! 0:1a): o. Fu::xy c r blurred c. Sharply ou~lined d. Don't remambor lF thertJ was MORE THAN ONE object, than how mony wera th~re? -,------ - --------- Drow o pkhJr.!t ~f 1-:;)w they w&rs orro1g~d, and put on arrow to show the direction tho I th~y w~ra trav~l lng. 20. Draw a picture tnat wLIJ show the motion th<tt t~ ohic~ ~ obleets rnade, Ptac: en "A ot the b.~lnn'~ of tha poth, a a at the end of th path, and ~t.ow a11Y, chang In directl.,, cl\Wing th cour 21. IF POSSIBLE, try to gueas or estimate -what th~ r~al al:t of th obiect wo In lha longt dlmenslo~. 22. How large did th. obfect 9' obiects appear at compor"d with one of the following ob}ct. beltlln the hon<l and ot obout orm' length? (Circle On.): a. Hood of a pfn g. Sliver dollor h. Buteholl Grapefruit Baalcetbcall f. 'Half do1Jor 22.1 (Circlo o~ of th-e f:>llowlng to lndic:ote how eert3ln you ore of yo answer to QuttsUon 22. o. Cer to ln c. Not very s\Wo b. Fairly ~er Jn d. Unc'3rtoin 23. How did the oo}ect or obfech d isoppecr from v w? 24. In 01der thot you coft gl'le oa clear a picture 01 poaalble of what you tow, w would lll.e fot you to lmatl" t>tot you could construct t~e oilett thot Y~ aow, Of w),ot typ mohtrlol wauld you molce H? How lor; would It he, cncl_w~ot at-.ap would It have? Oeaern,. In yaur own wOf'ds o ~ommon o'-lct or ohleeta whlc~ whn ploc.d up fft the aScy woulcl giYe th a a,. op,_a,onee a a the olJIct whtch you sow. 25. Wh~rtl were you IJ..:Otl!rl wlh:n yuu r. '"'tit oh1~.:'-t'? (Circle One): CJ. lnsid~ a building u. In o c al' (c.~' Outcloors "J. In on airplone u. At s..,a 26. W' l<: y~u (Circle Onu) ct. In the LJ:>it~ ...... !i.::c~ion of u city? h . In 1ht: rc.sidr:ntiol scct i':l r of o ci~y? c. In OIJtm country!S id.:.:? d. F l yin~ 1 H.:m o n a i 1 f i I d ? e. Flying ovtH a city'? f. F I yi ng over opfJI1 counl ry? ?.7. What v.:~-:-~ yo u doing at tht! tirnc you s ow the: object, ond how c.lid you haprf'l to notice it? 28. IF you wt!re MOVING .IN AN A.UTOMOBILE or other vehicle at th.) tirn ..... , then complete the fr.,llowing qudstions: 28. 1 Nhat d irccti on were yo.,; moving? (Circle One) a. North c. Eo st C.. Northeast d. Southeast f. Southwest 23.:. Jid you stop at any t:it~ (Circle One) 'hi le you wer. looking at tha obj~ct? h. Northwest 29. What direction were you looking when you firs t saw the object? (Circ/P. One) b. Northeast d. Southeast 30. What dir~c tion were you looking when you las t sow the object? (Circle One) ~. Sortheast d. Southcasi ~ Southwest hlorthwes r 31. If yo~ c ~:::--liar with bearing terms (angular direct ion), try to estimate tha number of degrees the object wns from t r .... ~ "< --and also the number ::>f dcgrt.}CS it was upward from the horizon {clevu~ion) 31.1 When it first at>peorcd: a. From true N orth d~g~ces. b. From h o ri7.on .: , . _ dcg"'ees. it disap pc.:anxl: From trur.: thr th . b. From horizo n In the following ~ketch, imugi.w tl1.1t }'C.'U ~,.J,r: o t tl1t: point shown. Plnc;t! a n"/\" on t h: curv.:rll ino to :.lo.v how l1igh th~ ohjt-ct wos above tl, .. lu.>ri .. Oil ( d,ylinc) v1hen you f ir!>t sow i t. Place a "[3" o n tha same Cl'rVJ lin.! t o shoN how hiuh tl~t~ objec t wos above t l h : ltori!on (.-.kyline) w n you l o s t ~ow it. In th~ f:>. \.-;wing larger sketch p o s tt ion -~hen you fas t saw it. pi=:: a n "A'' at the position tht:: object was whe n you first sa~ it, and a "B" at e;'!r to smalle r sketch as an example of how t o c omplete the large r sketch. 34. What wcr(! the wt~ather conc.!itions at th1! ti m" you SliW the ohjoct? 34.1 CLOUDS (Circle One ) a. Cleor sky 0Scottcred clouds d. Thick or heavy clouds e. Don't remember 34.3 WEATHeR (Circle One) b. rcq, mist, or ligh t rai.1 c . r,'.odcrate or heavy rain 3~.2 WIND (Circlu One) n . Nv wind ~) Sl ivht hro~.Lll (S..1 Strong wind d. Don't r ornomber 34.4 TEMPERATURE (Circle One) e. Don't remember e. D on't romember 35. Whe:1 d id you report to some official thut you had seen the object? 36. Wcis anyone else with you ot the time you saw th.-1 obiect? (C ire le One) 36.1 q:: you answered YES, :ld they see tho object too? (Circle One) Yes No 36.2 Please list their names and addre ~ses: 37. Was this t h e first time thot you had ~cen an object or objects like this? (Circle One) Yes "No) IF you answered NO, the n when, where, and under what circumstance $ did you see other ones? 38. In your opinion what do you think the object wos and what might have caused it? rlO. Do you tt,in!<. you Cl.lfl C:$tillllltU ! tow f~.., .. ( 1W(ty fro.n y outh.) <.Jbjuct (Circle One) If y:>u .::n~\.,..;,~.,d YES, then ho./ f or :.JV-'uy woul.l yr)IJ :>u y ir was? T EL EPHONE NUMBER --~--'-0-C= Pleas~ ... diccte ony special e-:_:o~ionc! trainin:;J that yo~o hav-:: had. e . e. Technical s chool b. H 1gh schoo I f. Other special troining ~ Da t e you c ompleted this questionnaire: U. S. A I R F 0 R C E T E C H N I C A L I N F 0 R M :\ Y I 0 tl 5 H E E T (SUt.\MARY DATA} In order that y.:>ur information may be file d and coded as occlro toly as possih le , plca:;n use th~ following s pace to writo out a short description of the e vent that yol obsc.rved. Yc-u moy re- peat ir.formation tha t you hove a lready g iven in the questionnaire, and add Jny f urther c~:.~rnrnents, stotemttnts, or sket~hes that y ou bclbve a r e important . Try to fJrt.l!..ert the Jc:toil s of the observe ti~n in the orde r in which the y occurred. Additional page! of the som~ size p;Jper ma y be attached if they ore n eeded (PI eose P rint)