PROJECT 10073 RECORD CARD 7. L ENGll4 01' OaJUYATIOH 10. BQIE!l S.t .. lltwARY or SIGHTIHO 4-5 Oojt., 12. COHCLUSK>HS lnsuffic ient Oota for Evaluation 8. IF you sow the object ot NIGHT, wha t d id you not ico-conceming tho STARS and MOON? 8.1 STARS ( Circle One): 8.2 MOON ( C ircle One): Bright moonlight Dull moonlight No moonlight-p itch dark cL Don't remember d. Don't remember 9. The object appeared: (Circle One): o. As a light b. Shiny c. Dark Don't rem~mber 10. If it oppeot'ed as a light, was it brighter than the br ighteststars? 11. Did the object: ( C ircle One for each q uestion) a. Appear to stand still ot any time? b. Suddenly speed up and rush away at any t ime? c. Brook up into parts or explode? j Don2_ Know Don't Know Don't Know d. Give off smoke? i tio--Don't Know e. Chonge brightness? I Yes Don't Know f. Change s hape? Don't Know g. Flash or flicker? Don't Know Disa ppea r o nd reappear? Don't Know 12. Did the o bject move behind something at any time, particularly o cloud? (Circl& One): {_Yes No Don't Know. IF you answered YES, then tell what 13. Did t he o bject move in front of something at any t in-e, particularly a cloud? (Circle One): Yes ( No . Don't Know. IF you answered YES, the-n tell what 14. D id the object a ppear: (Circle One): b. Transparent c. Vapor d. Don't Know 15. Did you observe t he object through any of the following? a. Eyeglasses e. Binoculars b. Sun glosses c. Windshield Theodolite d. Window glass 16. Tell in a few wOtds the following things about the object. 17. Draw a picture that will show the shape of the object or objects. Lobel.ond include In your sketch.ony detoi!~ of the object that you sow such as wings, protrusions, otc., and especially.exhoust trolls or vapor trails. Place an arrow beside.the drawing to show the direction.the object was moving. 18. The edges of the object.were: (Circle One): a. Fuzzy or blurred b. Like o bright star c. Sharply outlined d. Don't remember 19. IF th~e was MORE THAN ONE object, then how many were th~e? .'?" -r h c ,J 4 -I'N f~. '- Draw a picture of how they were orronged, and put an arrow to ~how the direction that they were traveling. 20. Draw a picture that will show the motion that the object or objects mode. Place on ''A" at .the beginning of the path, a "B" crt the end of the path, and show a ny changes in direction during the course. 21. How Iorge did the object appear to you as compared to on object with which you are familiar? 22. We wish to know the angular si2e. Hold a match stick ot arm's length In line with a known objec:t.cnd note how much of the object is covered by. the head of the motch. If you hod performed this experiment ot the time of the sighting, how much of the object would have been covered by the match head? 23. Did the object disappear while you were watching it? If so, how? 24. In order that you can give as clear a picture as possible of what you sow, describe In your own words a object or objects which, when placed up in the sky, would give the same appearance as the object which you sow. 25. e were you located when you sow the object? , C .rcle One): Inside o building Ovt&oors .... In on airplane (type) 26. Were you (Circle One) the business section of o city? In the residential section of o city? In open countryside? Near on airfield? Flying over o city? Flying over open country? 27. 'W'hot wef"e you doing at the time you saw the object, ond how did you happen to notice it? ~ = you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 28..1 'Khat direction were you moving? (Circle One) b. Northeast d. Southeast f. Southwest h. Northwest 23.2 t-::>w fost were you moving? miles per hour. ::~.3 Did you stop at any time while you were look ing ot the object? ( Circle One) :n. lll'n~ c iredion were you looking when you f irst sow the object? (Circle One) h. Nonhwest d. Southeast f. Southwest .... ..,ct direction were you looking when you lost sow the object? (Circle One) e. South ~h. :-:ortM-cst d. Southeast f. Southwest I 3i. : )'1)U ere familiar with bearing terms (angular direction}, try to estimate the number of degr&es the object was :...~true North (thru east) and also the number of d~rees it was upward from the horizon (elevation}. Wren it first appeared: From true North b. From horizon de-grees. When it disappeared: a. From true North ?'3 (' degrees. From horizon 34. What were the weather conditions at the time you scrw the object? CLOUDS (Circle One) a. Clear sky ottertd clouds d. Thick or heavy clouds wEATHER (Circle One) b. Fog, mist, or light rain c. Modorote or heavy rain e. Don't remember 35. When and to whom did you report th'at. you hod see.n the object? 36. Was anyone else w ith you at the time you sow the object? (Circle One) 36.1 IF you answered YES, did they see the obj~t too? (Circle One) 36.2 Please l ist their names and addresses: 37. Was this the first time that you had seen an objKt or objects like this? (Circle One) 37.1 IF you answered NO, then when, where, and undet what circumstances did you see oth. ones? 38. In yoUf' opinion what do you think the object was ond what might hove eoused it? 39. Do you think you can estimate the speed of the object? (Circle One) Yes IF you answered YES, then what speed would you est imate? f-A s -. ~0. Do you think you can estimate how far away from you the object was? (Circle One) IF you answered YES, then how far :Jway would you say it was? 41. Pleas give-the following information about yourself: lndicoht ony additional information about yourself, including any education, which might:be p.rtinnt. 42. Date you completed this questionnaire: :Day Month U.S. AIR FORCE TECHtHCAL .INFORMATION SHEET This questionnaire has been prepared so that you con give the U.S. Air Force o s much infetmOtion as possible concerning the unidentified aerial phenomenon that you hove observed. Please try to answer as many questions as you possibly con. The information that you give will be used for research purposes, and will be r09orded as confidential material. Your norr.e will not be used in connection with any statements, c onclusions, or publications.without your ~mission, We r&quest this personal information so thot, if it Is deemed necessary, we may contact you for furthef details. 1. When did you see the object? 2. Time of day: 3. T ime Zone: (Circle One): A.M.. or P.M. (Circle One): o. Eastern b. Central (Circle One): ,0..-Daylight Saving b. Standard c. Mountain d. Pacific 4. Where were you when the object? City or Town State or Country 5. How lcog was object in sight? 5.1 How was time in sight determined? o. Certain c . No t very sure b. Fairly certain d. Justo guess 6. What wcs the condition of thesky? b. Cl.oudy 7. IF you s ow the object during DAYLIGHT, where was the SUN located as you looked at t h e object? (Circl~ One): o. In front of you b. In bock of you d. To your left e. Overhead c. To your right f. Don't remember FEOBP~AO 164 c:' " Tiais fotm supersedes ATIC l G-l, 13 Oc[ r 8. IF you saw the object at NIGHT, what did you notice conccming rhe STARS and MOON? 8.1 STARS (Circlf!t One): 8.2 MOON (Circle One}: b. A ff!tw b. Dull moonlight No moonlight-pitch dark d. Don't remember \ .d. Don't remember 9. The object appeared: (Circle One): a. As a light d. Don't rem~mber If it appeared os a I ight, was it brighter than the brightest stars? 11. Did the object: (Circle One fCK each question) a. Appear to stand still at any time? Don't Know b. Suddenly speed up ond rush away at any time? Don't Know c:. Break up into ports CK explode? Don't Know Give off smoke? Don't Know e. Change brightness? Don't Know Change shape? Don't Know Flash or flicker? Don't Know h. Disoppear.and reoppeor? N9 Don't Know 12. Did the object move behind something at any time, particularly o cloud? (Circl& One): ~ . -s ~o Don't Know. IF you answered YES, then tell what 13. Did the object move in front of something at any time, particularly o cloud? (Circle One}: Yes ..._ N,o_ Don't Know. IF you answered YES, then tell what 14. Did the object appear: (Circle One}: a. Solid b. T ronspor$nt c:. Vapor d. Don't Know Did you observe the object through any of the following? o. Ey~lasses e. B inocul01's b. Sun glosses f. Tt!lescope Windshit!ld g. Theodolite Window gloss 16. Tell in o few words the following things about the object 17. Draw a picture that will show the shape of the object or oblecta. Label.and include In your sketch any details of the object that you sow such as wings, protrusions, otc., and especially exhaust tr ails or vapor trails Place an arrow beside.the drawing to show the direction.the object was. moving. 18. T he edges of the object.were: (Circle One): o. Fuzzy or bl urred Like a bright star c. Sharply ov11in..d d. Don't remember 19. IF t here woa MORE THAN ONE object, then how many were there? .=- " ._. ._._ Draw a p icture of haw they were crrang..d, and put an arrow to 'Show the d irection that they were traveling. . 20. Draw o picture that will show the motion that the object~ objects mode. Place on Au ot the beginning of the path, o "B" at the end of the path, and show ony changes in direction during the course. 21. How Iorge did the object appear to you as compared to on object with which you ore familiar? 22. We wlsh to know the angular size. Hold a match stick ot arm's length in line with a known obje<"t.ond note how much of the object is covered by. the head of the match. If you hod performed this experiment ot the timo the sighting, how much of the object would have been cov&r&d by the match head? 23. Did the object disappear while you were watching it ? If so, how? 24. In order that you con give os dear a picture os possible of what you sow, describe in your own words a object or objects which, when ploc&d up in the sky, would give the some appearance os the object which you saw. 25. WhMe were you located when you sow the object? (Circle One}: Inside o building b. In a cor In on airplane (type) 26. Were you (Circle One) In t he business section of o city? In the residential section of a city? In open countryside? Near on airfield? Flying over a city? Flying over open country? 27. What were you doing at the time you sow the object, and how did you happen to notice It? 28. JF you were MOVING IN AN AUT OMOBILE or other vehicle ot the time, then complete the following questions: 28.1 What direction were you moving? (Circle One} a. North e. East b. Northeast d. Southeast f. Southwest n. Northwest 28.2 How fast were you moving? miles per hour 28.3 Did you stop at any t ime while you were looking at the o~ject? (Circle One} 29. What direction were you looking when you first sow the object? (Circle One) Northeast d. Southeast f. Southwest 30. What direction were you looking when you last sow the object? (Circle One) g .. West a . North c. East e. South h. Northwest b. Northeast cJ. Southeast f. Southwest I. Overhead 31. If you ore familiar with bearing tMms (angular direction), try to estimate the number of degrees the object was from true North (thru east) and ol so the number of degrees It was upward from the horizon (elevation}. 31.1 When it first appeared: o. From true North1 degrees. b. From horizon degrees. 31.2 When it disappeared: a. From true North. degrees. b. From horizon degrees. 34. What were the weather conditions at the time you sow the object? CLOUDS (Circle One) WEATHER (Circle One) a. Clear sky b. Fog, mist, or light rain c. Scattered clouds Thick or heavy clouds /d. c. Moderate or heavy rain e. Don't remember 35. When and to whom did you report th'at.yo u had seen the object? 36. Was anyone else with you at the time you saw the object? (Circle One) 36.1 IF you answered YES, did they see the object too? (Circle One) 36.2 Please list their names and addresses: 37. Was this the first time that you hod seen an object or objects like this? (Circlt~ One) 37.1 IF you answered NO, then when, where, and under what circumstances did you a&e other ones? 38. In your opinion what do you think the object was and what might hove caused It? 39. Do you think you con estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimote? ~'). Do you thinlc you con estimate how far away from you the object wos? (Circle One) IF you answered YES, then how far away would you say it was? 41. Please give the following infonnation.obout yourself: T ELEPHONE NUMBE Middle H"' I bHeoto ony odd;t;onol ;nfo,mot;on obout yousaiF, ;nefud;ng ony odueoUon, whleh.mlght,be pertinent. .!2. Dote you completed this questionnaire: Month Yeor U. S. AIR FORCE TECHNICAL .INFORMATION SHEET This questionnaire has been prepared so that you con give the U.S. Air F orce os much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions os you possibly con. The information thot you give will be used for research purposes, and will be regarded os confidential material. Yo1..or nome will not be used in connection with any statements, conclusions, or publicotions without yo~ permission. We request this personal information so thot, if it 1s deemed necessary, we may contact you for further details. When did you aee the object? 2. Time of day: (Circle One): 3. Time Zone: (Circle One): o. Eastern b. Central c. Mountain d. Pacific ,..,.,.,. were you when you saw the object? l'l .... reat Postol Address (Circle One): o. Daylight Saving lb. Standard City or Town Stote ex Country 5. How long wos object in sight? 5.1 How was time in sight determined? o. Certain b. Fairly certain 6. What was the condition of the sky? b. Cl.oudy N.ot very sure. _ Justo --ss 7. IF you sow the object during DAYLIGHT, where was the SUN located os you loo(ed ot the object? (Circle One): o. In front of you b. In bock of you d. To your left e. Overhead c. To your right f. Don't remember AT I C :Eo: 164 This form supersedes A TIC 16 4, 13 Oct 5 1.