PROJECT 1C07J RECORD CARD 2. LOCMIOH 17. COHCLU 5l0NS D "fo3 Balloon c62 ::, :1 ,, 0 Probably ~alloon 0 Ground-Vi suol 0 Cro\onJ-PoJa r W:n Aircraft I 0 P ro b obi y Air c raft ~i~y Alfcroh 5. i'HO fOS 16. :iOU~CE 0 \'1'1" A~tronorni col 0 Probably Ast ronomical 0 Possibly A~trooorftic:ol 7. LENGTH ':.r C9$E~VATION 8. HU~BER Or ODJO:CTS 9. COU~SE 0 O~hor _ 0 ln::uffic:i.,nt Ooto for Evaluation A'I'lC FQ'q ... 1Zt I~ZV lo BZP Jl) (SU.lMAi~ I !JAT. \) !n or~.# that your information r;~oy i>e ttl d and codEJcl c-; occurchly <JS pO.J'>ibl~, pi JOH U'l~ th~ fo'l.:>...,lng spoc~ .to wri~J out o ::hort d:::~c:i!)tion of ~ha evnt tnar you ,:.,~erv"td. You may,,.,. ;~o ,.:=>r~otion that you h:w~ olt~ody <JiV n in th Cj'Jt13tionnoir..,, ond r.dd cny ~ur~:,.,, comman~. :;to; )~"1'lt,, or skvtchi}s ~hot you.b :li~v., ore important. Tr 1 to ,:ros :tnt ~hv detoib of ~ha obs,-,rvc- tio.-, in tl,e ord~r in which rhtty occumtd. Addilionol ~oqct~ of th'3::;ame si:te J<Jpcr may !>-t a~ach~d (Pboa ?rm) SICNA:L!Rc (U:; Nol WrJ:., in lhi; Spac")i U.S . AIR fORC2 T!::CHNIC.\L HlrOR~AAT~O;l SHE'Ei This qu9stionnaire has betln prepared r.o that you .con giv~ the U.S. Air Forcol o .; mJcn in(;,To~i :m as possible c oncerni ng th e unidentified aerial ph~nom.:non tho~ yo u hova observed. Pl 3d try ro an3wer as many questions os you possif>iy can. Th~ infor maiion that you giv" .,, ill b~ v.Hd for raseorch purposes, ond will be r<>gard!td os confiden?iol mot3rial. Your nome wi:lnot b, us~d ir conn,dion with any stateme nts, .conclusio :1s, or publ!cotion3 without your permi.:~sion. Wa ;~qu.,st this par.;onol information so ~:1o~ , if it 1s daemed neccss\lry, we may contact you for r-~. When cJ _,!Ju see th~ objeC:? (Circle One}: a. ::a:;tern b. C-:!t1HOI c. Mc.:ntam 4 . Wh~re '-f'!re you when you sow r : e object? Additionoi r~morks: 5. How loog was object in s ight? S.1 How was time in sight determined? :1. Certain S. Fairly certain (Circle One): ( C ircle One): o . Doyiight Saving b. Standard Cit y o r lown Slot.:. or Country c . Not ver y sur~ d . Jusr o gues:; l 6. What wcs :-~ -=~ndition o f th;!.s~y? f DAY NIGHT ~ ~ a . Bright o. Bri::~ht ~ 4 b. Clpudy b . Cloudy i 7. I F you sow :he obi9ct Juring DA YLIGH f, wnere wos the SUN located as yotJ loobd o~ ti-:e o'.,jcc? (Circle Ono): In f ront of yo u To your I ~ft b. In Lock of you Overh ad c. c To your right f. Don' t r rnemher J c. Non-: . n . t3tinht Ma,)nlct~h~ I b. A fo)W b. o.,p mOOJ.ligh~ ~ d. Don't rt!m-:mber J . ')o,,~ !'<tll'~r'lbt:r c.:. Con' : rctrl'embe r Yes uon' t i<.,ow ~ ~. ::Cnj~ Lrfir.htr?"1'is? Yyo~ N~: h. Dl o;oppaor and recppeor ? Yes l~o Don'Y :<no<~ ~ ! 12. Did ,o. oOj oct mov bhind ,,.,.othin9 ot cny ""'' policulo, :y a cloud? ! (Circl~ 01c:): Yes ((.;' Don' t ;(now. i f yo~ or-Jw!:r~ Y!:S, t[lun ~ ):1 wncr ; 13. Dio t\..~ _: -~: 'TI'JV3 in iro"lt o: somat!-iil"g a t c;1y ti ':le -nortu:ulcrly a cloud:' J ].1, O!d th.: obj ~t appear: (Cirdt} On.:): a. Soiid ) b. Tro:1J:JOr,n: c. V<1p-::r L. Di J yo 1 cL 5 rva th~ ooj .:c:t th.-ou3h a:ty of th" follo.,..in~? u . ly. JIO"i:V.n Y'}s No o. B ino(';ucr;; r'r-. No b. Stn glo3:; s Y<::s No f. T}L"'c":n Y"s r!rJ c. Wiwb'd lid Yc.; N:> g. llt-,odoli~--Y(l; No 16. T .. jJ in a few words t;e following things about the obj3ct. 17. Orow :l ?i=h.re that willshow the.;;hope of .the objoct o r objects. Label.and include in your s~otch ony d Jcail:; of th!! oo,~t that yb,u s aw such .os wings, prorru1lons, etc. , and especially elChoJs~ troib Of' \fopo r traib. Plac~ on a rro w be!llde t he drawing.to show th<~ dirl)ction th~ objecr was.moving. 18. Th.:: edgtts of the obj3ct. wer'!t: .-... r Ciclo One): a . Fuzzy cr blurrarv b. Like.o bri~ht star c . Sharply outl ined d. Don't remembe r IF th.,re was MORE THAN ONE obj~.td, t hen how tnany were ther~? _ Dro.,., a pictur!l of how t hey W'!!re arranged, and put on or~ow to 'how the di-.~:on that they wr., tra'leii,g. , you rNC per 1 orrr.ec Did the "nj :!Ct di,oppecr wh:t, you w~t.J Hatching i~? :; ,o, how? 24 :n cr r tiat y'::lu can 'JI'I~ a;; cleor o plcn"' o.s pos-;ibla ?f .~hot you a.,, de \c(Se in YrJl.r own wor i.s o cl'>mMon on:.,cr o r obj;,crs whic\ wh"'n plocad up in r;, e ::~'<i', wo~Ad ~iv~ ~he -om~ opp,c;r-:Jnc' :he o?j r: 25. Wner.:t W<)re you located wh .. n you saw the object? a. insid~ a building b. In o cor d. h c ~ir~lon" (typ~) 2.s. W.::re yotJ (Circle Onej o. In fhc: l>u~il!dSS _!~ction of o city ? b._ In th" r" .. id,mtinl.:~ecHon' of o city? c. In open coun'ryside? d. Near a n uidi lid? ~. Frying over o ci~y? f. Fiying ov~r tJpen countrv? 28. IF yo.J were MOVING lN AN AUTOMOBILE or oth.,r vehiclll ot t~e time, then compl.,to the followit'g q ue:lions: 28.' .V~ot di:ecti'J" w~r':t y~Jv "'1oving? (Circle On~) b. North~ost d. Southea~t ~. Sou~hw~s 28.2 :iow i~s= wore you r.ovh~? miles p!r hour. ~a.3 Did y:>u stop ct any liT!' while yoJ were !oo~ing o~ ~h., o!:lj:tct? (Circ!c One) Who' o! ~ction wero yoJ !oc:<ing when. you f irst ::ow the object? (Circle One) e. .:>outn d. South.,ost f. Southw!t.st Whet d: ::o:rion W'!re you looking wh:'" you lost saw the object? (Circle One) c. East ' o. South f. Southwest h. Nort~we.>~ Nor~nwe.s~ O't-::srhaod s. !1. Nor~hwe3~ :. Ov ~rh~ad li you ~re iomiliar with bearing terms (angula r dirllcf ion), ~ry to !l.i~imote she numb:H o~ d~re~s ~h~ obi~c:, from tru.: North (t hru cr.~st) c:1d also tn_, ntJmber of d.:l'l" ~s it wo.l upwtlrd from th e h.-dzon (C'I,;,t.Jriorl). 31.1 When it rirst appeared: o. :=rom tru~ North , degr:.:os. b . Fromhori.on _degree:~. 31.2 'r/i,.n it disoppecriJd: n. Fr:;,m tru " North _ d~gr..,es. b. F ro m horilon d;!gre,.s. .1" t .!Cl VI~S CJOVC dl- I ,w;.ri"':1 .I.~,, .,_,u !c:c;fo ::o'" it. Re.=~r ~o sl"dlor :;ko~::il o~ en -=t.Jonpl.., of how ~o co:r.poa?3 t:~t} t., r:nea c 3.1. What w.-re t!-lo W"oJh.,r concJi1ions a t Tho time you .;o.,., t h;) o bj ..,ct? CLOUDS (Cirde O:lo) WEA 1HER ( Circle One) a. Clecr :~l.cy b. Fog, mi,t, or. l iohJ ra in c. Sc::t!~r!td clouds c . ttlodttrot~ or heavy roil' d. Th :1( o r 1-avy cloudi Don'~ rcmemb.,r 3.5. \ 1:1en .:n~ '.-:>whom did ;ou report th'o t ,yo u had. :oean the object? 35. 1 !.= vou or.swer~d YES, di-:! .,ey ~3e ~he cbj~ct too? ncmes C'1C o-:idr"ss3s: 37. 'Has tni:1 a ii rst time tho? you hoci so~n o n objec~ o r obj~cts lit<a ~his? (Cird3 One) 3 7 . ~ IF yo ... :lO.!Wttred NO, ~hen wh~tn, Wnttr.,, and u nder wno~ cir~t.mstonc!t, cild you S!t~ oJhM ones? 1,, yo~Jr opinion what do you think tne obj:>ct was and wnnt mi~ht hov't cat-s~ it? J v.. " . :l.;timule :he speed of tb;, object? ' ( Circl.: One) ! F y.:~u cnsw~rad YES, t;,en .vho~ sp~;:,d \vould you ~sHrncte? 4 0. Do yo.1 rhin~ y ou c on ostimut~ how for ow!'ly fro;""l y<;u th-3 objac~ wcrs? :;= vov cr-swar'!d YES, tht~n how for away would you !loy i~ wos?'-==============----------~ ~ /.i. ?leoso. giv~ the fol:ow i n informa~ion OOOUf '/Oursel:: hclico cny C'ddirionai lnformcrio n about your.; li, :ncluclirg cny "duco}ion, which rnight. bfl pc:H1inen\'. 42. Dote you complttt~d this c:;uastionooira : ----7-rAontn