1. 04 Tf. . TIME GROUP Civ.l.Jians 4. NUMBER OF OBJECTS .2. LOCATION 10. CO~CLUSION Sebenectac\7 Flight dura.t.ion am deacrl.ption of -the ob~oect i."l accord with a/r~ 5. LENGTH 0~ OaliRVATION 11. IAI!fl SU~AJU' AND ANALY$15 6. TYPf. OF 03Sd~V-4TlOH 9. PHYSICAL EVIDINC! Brig..~ red and white object about lilGe 3d agnitude star. P~kl atr:J.iht. fli1t fro:J 1,Test t o Er1st et 45 d el:lva.t:i on. ::3,?9~ ast.iated at 1 500 n}:h a.r.d altituda a"co!f~ 20,000, t durati.~ was 2 minutes. s~cond cbsener watchsd cb jact for 5 ,':11nute:s fn the following sketch, imagin~ that yo1 ore at tho point shown. Plac~ an ''A" o n th~ curv~d l;ne to show ho . ..- high the obiect was above the horizon (skyline) when you fi;st saw it. Placf! o "B" on the same curved lin-1 to show how high the obiect was above the horizon (skyline) when you /a:;t s.:Jw it. Place on "A" on tha co:-npo~ .. first S\JW it. Place a "B" on the compass where you / o:;t sow the obit:t:t. 28. Draw a picrure that will show the motion that the object or obiects mode. Pbce o n "A'' a; rha beginning of rhe I p a th, Q If a" at tha end of th e po~h, and .::.how en~ changes in d irc::!:on d'J:itig ~r. 29. IF there was MORE THAN ONE obiect, then how rr.ony were there? -:._ . .: _ Dfaw a picture of how they were arranged, and put an arrow to :ihow the dir,ction tnor i'n.ty . ..,e..-, trov.,ling. JO. Have you ever seen this, or a ;;aimi lor objsct be fora. If so give dot~ or dates ond location. 31. Was anyo,. else wfth you at' the time you saw the object? (C~rcle One) 31.1 IF you ~nswerttd YES, did they see the object too? (Circle One) 31.2 Pl~ose I i st their names and addresses: 32. Please give the following information about youuelf: TELEPHONE NU BE l~di~ate any additional information about yourself, including any special experience, whieh might be pertinent 33. W!~-tn and to wh.,m did you report that you had se-.n the obj~ct? 'm1c!cttt1at .. ~ .~ec:t Yecl't:ta& tAJU1c1ent for" till. out the Gri:tti .. A:lr :rorce- this pxogrxn. i:-Atcli.: U.S. AIR FORCE T ECHNICAL iNFORMATION Tnis qu~stionnaire has ben prepared so that_ you can give the U.S. Air Forco a s much information as possible concerning the unidenti-fied ae~ial phenomenon that you have observed Plec~ try t~ answer as many questions as you possibly can. Tha Information that you -give will be used for rosearc:h purposea. Your name will Dot be used in connection with any stotemenh, conc!!.lsi~ns, or publications without your permission. We request this p~r~onal information so that if it is deemed necessary, we may contact you for further details. 1. When did you see the obiect? 3. Time Zor.e: Mont h \ (Circle One) East8rn c. Mo\lnt~in d. Paciric e . O:r er 2. Time of day: (Circle One): 4. Wh'!rtt were you when you sow the object? City o r Town Stat~t ':lr C:1u nty 5. How long was object in sight? (Total Duration) C b. ... 'Fo,irl~ cert~in_ ) ~ !Just a gues~. ,.., ~ o. Certain r.. Not v ary sur8 5.2 Was obi.,ct in sight continuously ? 6. What 'NOS the condition of the sky? a. Bright b. C loudy 7. IF yi)U ~a the objact during DAYLIGHT, wh~ra waos th& SUN lor:ohtd os you b ok..,d a ? the .-,biect'? (Circla One): a. In front of you b. In back of you c. To your ri ght d. To your lolft G. Qv~rh~od f. Don't remember 8. IF you saw the object at NIGHT, what did you noticl't concerning the STARS and MOON? 8.1 STARS(C;rcleOne): 8.2 MOON (Circle On~): 9. What w~re Tne weather conditions at the time you saw the object? 1 CLOUDS (Circle One): WEATHER (Circle One): b";---Fog: mist, or I ight rain (~1. Clear sky ) b:oFrazy c. Sc~ttered clouds c, Mo<hrota or h~avy rain d. Tn ick or heavy clouds e. Don't r~member 10. Th~ obi act o;>peared: (Circle One): b. Transparant 11. Jf it O;Jpeared as a light, was it brighter than the brightes.t stars? (Circl~ One): c. About th same d. Don't know Tha edges of the obiect were: (Circle Ontt ): a. FJzzy ot blurr.d b. Li abrJSibt st_ar ;; ~-Sha~Pfy Out I ined_J r.Dcn' t remember- ; 13. Oi:J th~ objctct: a. App-tor ~o st~n~ sti II at ony time? b. Suddenly spe.d up and ru:oh away at any time? c. Ortlak UfJ i.Jto part .s or explod d . GivD off smoke? ~. Chor"J brightness? f. Change :-shape? . h. Di~'::p,Jttor r.nd r.Ja;:>peor? (Circle Ore for ~cch C"JUe!>ti:>n) O.Jn't know D()n' t know Don ' t !<now Oon't kno- Donor know Don't know D )n't know Dc11't kr.0 w 14. Did thtt object disappear whi lo you were watching it? If so, how? 15. Did the -:bject move behind something at any time, particularly o cloud? (Circi e One): Yes :.~:0 Don't Know. IF you rmswfltred YES, th~n t<lfl wh~t 16. Did the o~jct mov& in front o f something at flny tima, particularly a cloud? (C ire l e One): Yel : No\ Don't Know. IF you answ~r~d YES, thsn tell whot 17 . Tell in ~ few words the fotlowing things about the object: '-H-, wish to know the angular size. Hold a match .1tick ot arm's len9th in I ine with a known obiKt and not~ now j much of the obi act is coverMI by the hacd ')f th mateh. If yeu had performed this experiment at rh~