1'. \ D A Tl- t IMI GltOU' 2. LOCATION 4. NUMIIR 0' OIJICTS Behtont, Ohio 11. CONCLUSION UNRELIABlE ~RJRT ~fitness playing prank by calling in fake UFO report. 5. LENGTH 0' OISIJtYATION 11. IIIII' IUMMAY AND AMALYIII 6. TYPE OF OISI.YATIOM Gromd-Visual 9. PHYSICAL EYIDINCI SEE CASE FilE U.S. AIR FORCE TECHNICAL IHFORMATIOii Thla queationnaire haa been prepared so that you can give the U.S. Air Force as much Information as possible concerning the unidentified aerial phenonenon that you ht~ve oLservei. Plea try to anawer as many questions aa you poasibly can. The information that yau give wilt be used for research pvrposea. Your name will not be used in connee;tion with any st~tert .. nij, conc:lusfons, or publications without your permissior.. We request this personal lnforrMtion sc that if it Is deemed necessory, we may contact you for further details. 1. When did you see the obiect? (Circle One}: 3. Time Zone: (Circle One): (Circle One]: a. Daylight Sa\in9 b. StGJ'tclard 4. Where were you when you saw the object? Neoreat Pntol Acl .. ee City w Town S. How long wos ol:tiect In sight? (ToNI D"ratfM) Minvtee S.con.la a. Certain c. Not very sure b. Fairly certain d. Just a guesa 5.1 How was tln:e in si~t determined?--------------------- 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? DAY NIGHT f \l.y Bright a. Brtght ~ 'IS. Cloudy b. Cloudy 1 1. IF you saw the object during DAYLIGHT, where was the SUN located as you lookrd a~ the ob;e~tl (Circle One): In front of you In bock of ycu To your ri~t d. To your left e. Overhead f. Don't ramember FTD OCT 62 16.& Thl farm auperd Pm 16, Jul 61, which 1 obolte. 8. IF you saw the obiect at NIGHT, what dicl you notice concerning the STARS ancl MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): o. a,,., iiNOftllght b. Dull moonlight c. No l_.t-pitch clarlc cl. Don't rememlaer d. Don't reMmW 9. What wre the weather conditione at the th?t you w the oltject? CLOUDS (Circle One): .. /a. Clear elcy . . WEATHER (Circle One): b. Fog, mist, or ll.t rain c. Scattered clouds c. Moderate 011 hecwy rain cl. Thiele or cloud The obfect d. Aa o light b. Tran e. Don't rem1ustl.er 11 . If It appecarecl aa a light, wa it brighter than the brightest ats? (Circle One): o. Bri~ter 11.1 lwightneea to .._ c~ oltiect: 12. The eclgea of the obiect weJ~W: (Circle One): a. Fuzzy or blurred b. Lllce a bright star c. Sharply outlined d. Don't remember 13. Did the obiect: {Circle One for each queation) Appear to stand atilt at any tht:e? Don't lcnow Suddenly speed up ancl rush away at any Don't lcnow c. Brealc up into parts or explod? Yes No Don't know Give off smolce? Yes No Don't Change bri~tneas? Change shape? Yes No Don't lcnow Flash 01 fliclcer? Don't lcnow h. Disappear and reappear? Yes Don't lcnow