1.. "DATE 'TIME GltOUP 4. NUMI! R OP OIJICTI 6. TYPE OP OISIIIVATION . Ground-Viaal 9. PHYSICAL EVIDINCI 2. LOCATION 10. CONCLUSION 11. 111111 IUMMAIIY AND ANALYSIS Obserwation of two objects in t'l1Ejtt to West at dusk. Appe as two lmding li~ts, no objects visible. Li~ta onJ.7. Clanged b1i.gbtnesa. Disappeared a' Westem horizon. \tlite color. Light a were verticalJ7 spaced. r= J .A~en 113!lek t bo O~ser4~to~J !7o:trnrcste:ra Ul!iver~ity ~::! b:.ve co.:.. )let.ad t::.c e~/alc~:ticn;:; of Jur:.c 19""v4 c3!ies. U.S. AIR FORCE TECHNICAL IHFORMATIOH?! .5~ L'5~ This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenon:enon that you have observed. Please try to answer as many queatlons 01 you poaaibly can. The lnf ion that you give will be used for research purposes. Your name will aot be used in connection with any statements, concluslona, or pullicatlon without your permission. We requeat this personal information so that if It Is cleemecl necessary, w contact you for further detai Ia. 1. When did you SH the object? Hour Minutes (Circle One): A.M. or S. Time Zone: (Circle On (Circle One): a. 0 ht Saving c. Mountain d. Pacific 4. Where were you wh.n you aaw the obiect? Neorett P A4.tre City 01 Town State 01 County J, Hw lOftt wee oejKt in aight? (T ... 1 DurOfl) Heun Socon4 6, What was the condition of the sky? a. Bright a. Bright 7. IF you aow the obiect during DAYLIGHT, where waa the SUN located as you looked ot the obiect? ( Cir-:1 0"): a. In frOI't of you lt. In baclc of Y"" e. To 'f04Jr ridtt d. T ~ your left f. Don't rerJtmD.r Thte fw eupereedee I''I'D IH, J\11 61, wtUcla ie Heolete 8. IF you saw the obiect at NIGHT, what did you notice conceming the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): a. Bright moonlight b. Dull moon I ight c. Many c. No moonlight -pitch dark d. Don't l.r d. Don't remember 9. What were the weather conditions at the ti you saw the obiect? CLOUDS (Circle OneJ: WEATHER (Circle One): Fog, mist, or light rain c. Moderate or heavy rain c. Scattered clouds d. Thiele or heavy clouds d. Snow e. Don't remember 10. The obiect appeared: (Circle One): d. As a li b. Transparent 11. If it appeared as a light, was it brighter than the brightest stars? (Cirde One): c. About the same d. Don't lcnow 11.1 Compare brightNII to some common object: ! 12. The .,jg of the object were: //0 Oi!J'fEC,T pO//Yr ::>oCJRt:'c oF PIS# (Circle One): a. Fuzzy 011 blurred b. Like a bright star c. Sharply outlined d. Don't remember 13. Did the object: a. Appear to stand still at any ti.11e? b. Suddenly speed up and rush away ot any time? c. Break up into parts or expl~? d. Give off smoke? e. Change brightness? f. Change shape? h. Di~a9p.or end riMippat? (Circle On-. f,, each ques~ion) Don't know Don't know Don' t knaw Dc:tl't know Don't know on t .<no~ 14. Did the obiect disappear while you were watching it? If so, how? 15. Did the object move behind something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what 16. Did the obiect move in front of som1thing at any time, particularly a cloud? (Circle One):. No . ( Don't Know. ) IF you answered YES, then tell what 17 . Tell in a few words the following things about the ob;ect: b. Color_ .fi:LtftTF L/d/// 18. We wish to lcnow the angular size. Hold a match sticlc at arm's lenlfh in line with a lcnown obiect ancl note how the obiect Ia covered by the head of the ntatch. If you hod performed this experiment at the time of the sighting, how much of the object would have been covered by the match head? 19. Draw a picture that will show the shape of the obiect or obiects. Label and include in your slcetch any details of the object that you saw such as wings, protrusion, etc., and especiatly exhaust trails or vapor trails. Place an row beside the drawing to show the cliNction the obiect was moving. 20, Do you thinlc you can estimate the sp .. d of the ob;ect? (Circle One) IF you answered YES, then what speed would you estimate?~------- 21. Do you thinlc you can estimate how far away from you the obiect was? (Circle OM) IF you anawerect YES, then how for away would you say it was? -------- 22. Where were you located when you saw the obiect? 23. Were you (Circle One} (Circle One}: a. In the business s ~i D. In the residential section of a ci~? _') a. Inside a builcU111 b. In a car .: Outdoors * -..~ In an airplane (type) c. In open countryside? d. Near an airfield? e. Flying over a city? f. Flying over open country? 2~ IF you were MOVING IN AN AUTOMOBILE or other vehicle at the tinee, then complete the following questions: 24.1 What direction were you moving? (Circle Orte) a, North c. East e. South g. West b. Northeast cf. Southeast f. Southwest h. Northwest 24.2 How fast were you mewing? miles per hour. 24.3 Did you stop crt any thv:e while ynu were loolcing at the obiect? (Circle One} Yes Did you observe the oltiect through any of the following? Eyeglasses Binoculars b. Sun glasses f. Telesc Yes No Windshield Yes Theodolite Yes No Window glass In order that you can give as clear a picture as posaible of what you saw, describe in your own words a common obiect or obiects which, when placed up in the slcy, would give the some appearance as the obiect which you saw. 27. In the following slcetch, imagine that you are at the point shown. Place an .. A" on the curved I ine to show how high the obiect was above the horizon (skyline) when you lirst saw it. Place a "B" on the same curved line to how high the obiect was above the horizon (skyline) when you lost saw it. Place an "A" on the compass first saw it. Place a "8" on the compass where you lost saw the obiect. 28. Draw a picture that will show the motion that the obiect or obiects made. Place on "A" at the beginning of the path, a "8" at the end of the path, and show any changes in direction during the course. 29. IF there was MORE THAN ONE obiect, th.n how many w.re there? ---------- Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. 30. Have you ever seen this, or a similar object before. If so give date or dates and location. 31. Wat anyone else with you at the ti you saw the object? (Cirele One) 31.1 IF you antwerecl YES, cUcl they the object too? (Cirele One) 31.2 Plea" list their ,.,.s ancl about yourtelf: Midtlle .._,... IMicate any additional infortnation aMut yourself, including any special experience, which might be pertinent. Whn and to whom did you report that you hod seen the object?