o TE TIME GROUP NUMIER OF OBJECTS 5. LENGTH OF OBSERVATION TYPE OF OBSERVATION PHYSICAL EVIDENCE CONCL.USION EVL.l.UE.'tt:d cor.vcrs~'tion BRIE, SUMMARY AND ANALYSIS 20. Do you think you can estimate the spded t.'f the object? (Circle One) IF you onswered YES, ther. wh<~t speed would you estimar::: 21. Do you think you can ~stimate how far away from you tho object wos? (Circle One) Yes i No IF you an~wered YES, then how far away would you soy it was?---------- 22. Where were you located when you OW the object? (Circle One): 23. Wt!1re yoy .(Cirde One) a. In the ineu section of o ci~? a. Inside a building (h. In the le.si.Jc::HI~i st~cttcn of" :V:ilt? b. In~ car.. c. In open countryside? . c. Outdoors d. Near en airfield? . c[ In an airplone (typej Flying over a city? " At sea f. F ly tng o-.~r cp<tn countr;? 24. IF you were MOVING IN AN AUTOMOBILE 0 1 orhor v~hicle o' t he tim~, fi'u~n '!(')mpl.lh! ~h~ folfow1n~ q\Je:stlon$: 24.1 What direction were you moving? (Circle One) b. Northeast d. Southeast f. SOIJlr. W.tl? h. :"! OITn we~ t l 24.2 How fast were you moving? , mils P'" ~our. 24.3 Did you stop atony time while you were looking at the object? (C Ire /e One) No Yes 25. Did you observe the object through any of the following? Eyeglasses Sun glasses Windshield Yes Window gloss Yes Binoculars Theodolite In order that you can give as clear a picture as possible of what you sow, des(.r!~ i"! y.,ur eo.ttn ,.,~nd! o - m/1'1\j./' object Of obiects which, when placed up in the sky, would give the same oppeoratlC8 as ~"! .:bj~;;-o::t ~;~ i:~:: : o...-"~ In the following alcetch, imogin. that you are at the point .~=~ Pl:1ee a n '~. . :, .. =:.f"!i:~ :o ah~w h:J high the obiect woa above the horizon (skyline) when ycu First saw it. P h.:.a ~ 'H,. ca" the ~II; ~Jrved liM t.-::. ahow how high the object was above the horizon (alcyline) when you Ja:ot so~ t .. ;:'ldew ~" ''.~' \)11 the compass when you first aow it. Place a ua on the compau wh.,re ) 'OU last $OW rh~ "b.j~:.;c 28 . . Draw o picture that will show the motion that the object or :>bjocts rrwc!~,. ?beer:"' " A wt t h., be;;::;nltl~J ot tn a path, a "8" at the encl of the path, and show any changes in direction d1.rirg rh~ c-:>; (:u. IF there was MORE THAN ONE object, then how mcny wer there? _ Draw a pieture of how they were arranged, ond put on otrow to show the d;rection t h:n t~f w.,r(l t:.-:r-,it,,R 30. Have you ever seen this. or a similar objf!c:t before. If so givo date or dates 'Jnd lecotion. 31. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you answered YES, did.they ue the object too? (Circle On~) 31.2 Please list their names and addresses: 32. Please give the following information about younelf: TELEPHONE NU Mldd !o Name lndic:ate any additional information about yourself inc:luding any speciai experionc3, whi..:h mi~ht be p-:t:~tnoftt 33. When and to whom did you report tt-!at you had seen the object? Month Yeor 34. Date you completed this questionnaire: 35. Information which you f .. l pertinent and which is not adequately covered in the specific points of th. queatlonnolre or a narrative explanation of your sighting. . , ' 25 March l~ ,Mdtticnl Snfol"'D&'tioD 18 e8aential for eya]natian or yotJZ Bi&btins I 1b&l4 1'0U. pleaae eoeplete 'the 1Dcl.Caed tom and return it to Hq Air Foree, SA70I-PB, ill tbe enftlOJICI provided. 'JJank Y'O'l tor report~ tbta \IDlmavn obJect to tbe Air Force. ~ 3 SiDe ere ly t lf:TOR QlJI:f'LUilJ,A Captain I USAJ' Chief', Aerial fhenomena U.S. AIR FORCE TECHNICAL iM FORMA'rtOH This questionnaire has been prepared so that you can g ive 1h e U.S. A1r Fore~ a:; m\.Jcl\ information as possible concerning the unidentified oer!ol phonomtwor. that you have ol.se rvec . Please try to answer as many questions as you pouibly can. Thl; tntor.natio;. t hot y o u g lve wiil be used for research p~o~rposes. Your nome will not be used in cot'lnec:tion wit~. :Jny ~tabrr.nts, conclusions, or publications without your permiss;ion. We requ.ut this persona l infc:-,n;r~tlcl" so that if It Is deemed necessary, we may contact you for further details. ' 1. When did you see the obiect? Month Yeor 3. T 1me Zon: (Circle One}, ~ Eastern b. Centra l c. Mountain d . Pacific l Circl'! One ): a. O JJg Savin~ (_ -.il~ Stol'\dard ~ -1. '.:here were you when you saw the object? Nearest P ostal Aderu11 S t(lff' lJI t =' f 5. How long was object in s ight ? (Total Ourofion) a. Carta in b. Fairly certai n .~in11te a Sec:onch c . Not very sYre d. Just a guess Was object in s ight continuously? 6. What was the condition of the sky? ~ Bright. b :-7"'c-r-l ou=-Ciy 7. IF you saw the object during DAYLIGHT, where wos the SUN iocot~d c s you foo~<~d rJt h ~ o~: t c .. ; (Circle One): a. In front of you b. In bock of y ou c. To your r ight d. To your leh e. Over.,e'Jd f . Don'!' remember 8. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON (Circle One): a, Bright moonlight b. Dull m nlight_ --c.""Nomoonlight -pitch dark d. Don't remember 9. What were the weather conditions at the time you saw the abject? CLOUDS (Cirele One): WEATHER (Circ:le One}: Clear sky- F~; .. .aist,.-or light rain c. Scattered clouds or heavy rain d. Thick or heavy clCMJds e. Don't remember 10. The object appeared: (Circle One): a. Solid . &; -Trant parent d. As a light e. Don't remember 11. If it appearad as a light, wos it brighter than the brightest stars? (Cirde One}: a. Brighter c. About the same d. Don't know 11.1 Compare. brightness to some common obiect: 12. The edges of the object were: (Circle One): a, Fuzzy or blurred b. Like o bright star c. Sliarply outlined d. Don't remember 13. Did the object: a, Appear to stand still at any time? b. Suddenly speed up and rtJsh away at any time? c. Break up into parts or explode? d. Give off smolce? e. Change bris;,tneu? f. Change shape? g. Flash or fliclcer? h. Disappear and reappear? (Cirele One for each question) Ocn't know Don't know Don't know Don't lcnow Don't lcnow Don't know . t-~o Don't know Con't know 14. Did the object disappear while you wftre watching it'? If e:o, how? 15 . Did the obiect move behind something at any time, particularly o cloud? Don't Know. IF you un$wered YS5, then .-ell whet 16. Did the object move in front of something at any teme, particularly o cloud? (Circle One): Yes G"' Don't i<nvw. IF 'f(l'J answered YES, .,tall 'h-.. : 17. Tell in o few words the following th !ngs about th obje( t: Ve wish to know the an;\Jior sizl!, Hold a match s~ick at arm' s l~ngrn in l!:1et N i i h o : .;,o v~ ~'bi~c~ ~J-.J ...... : -ih,.., much of the object is :overed by the head of the 1\latch. If you h\ld perforf'Tiaci this e'l; r;fn-t,,: .:.t ~;., -: h " -.f '~ sighting, how much of the object would have been covered by the match heod!' .' 19. Draw a picture that will show the shape of the object or ,bjects. Label and inclu ir, your ZKt\fch ony c~h,:1~ of the object that you saw such as wings, protrusions, ~tc:., and especially exhaust t!flih ~,. Op\:>r rr-::iis Place an arrow beside the drawing to show the direction the object was moving.