1. "DAlE TIME GltOUII l. S1URCE CiY.I.llan 2. LOCATION 10. CONCLUSION 10073 RECORD ... NUMBER 0' OIJICTI data p-eected to indt.cate that an a/c could NOT han bem S. LINGTH 0' IVATION 11. AND ANAL VIII U.b\ iD tl1gbt to West. Bri.Shter than 6. TYPE 011 OBSERVATION tic iloU.ca. Wa.,l cl tade aut and reappear in a ditt,- place. Br.l.gt& white. Slonr thaD jet &/c. , 8. PtfOTOS 9. PHYSICAL EVIDINCI FTD sep 63 0-329 (TOE) U.S. All POICI TICHMICAL IMPORMATIOM This questionnaire has prepared so that you can give the U.S. Air Force as much as possible lng the unidentified aerial that you have observed. PleoHIIy to as Ions as you possibly can. The I lon that you give will I. usecl f research purpoMI. Yovr name ~Ill t be usecl In ion. with any statements, conclusions, pulllcatlons wl ... out your permission. We reqyst this personal lnforntation so did you see the obiect? Hour Minute a (Circle OINt): Month Year 3. Time Zone: (Circle One): a. Eastem OJ Central c. Mountain d. Pacific 4. Where w.re you whn )'OU sow the obiect? aylight Saving City or Town St:-te or County 5. llow long .... ia-sight? (Total Dwati-.) Was ol.iect in siFt continuously? 6. What was the condition of the slcy? b. Cloucly 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you lookecl at the object? (Circle OtHJ): a. In front of you d. T () your left b. In baclc of y041 . e. Owrhead FTD OCT 62 164 c. To your risilt f. Don't rememiter Tille fur eup PTD lM, Ju1 11, wtl&ota &e ca&t 8. IF you saw the obiect at NIGHT, what dicl you notice conceming the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): a Bright moonlight Dull moonlight c. Na moonlight -pitch doric d. Don't remem* d. Don't remember CLOUDS (Circle One}: a. Clear slcy conditions cit the tl the oltiect? WEATHER (Circle One): b. Fag, mist, or light rain or heay rain cl. Thiele ar heavy clouds d. Snow 10. The object c. Vapor e. Don't remember (Circle One)i (il As a light (i)Brl.ter s It brighter than the brightest stars? (Circle One): c. About the br lOIN c~ ~iect: 12. The edge of .. oDject 'WN: (Circle OnaJ: a. Fuzzy ar ltl .. .. b. LU. o bright stew . c;) Shcwply outlined 13. Did the obiect: a. Appear to stand sti II at any time? b. Suddenly speed up and rush away at any time? c. Break up into parts or explode? d. Give off smolce? e. Change bri~tness? f. Change shape? g. Flash or fJiclc? h. Disappear cmct reappear? (Circle One for each question) Don't lcnow Don't lcnow Don't know Don't lcnow Don't know Don't know . Don't lcnow 1 .. Dlcl the oltiect ell while you were watching It? If so, how? 15. Dlcl the oltiect IINWe behl~ something at : thne, pcrtlcul~rly a cloud? Don't Know. - IF you answered YES~ then tell what 16. Dlcl the obiect ._. In_ of son.thint at any ti particularly a cloucl? (Circle OJ: ' r::~ Don't Know. IF you answered YES, then tell what 17 . Tell In a few worcla the following things about the olliect: We wish to . the-angul. size. Hokf a sticlc at s lentth in line with a lcnown oltiect ancl no .. how of the oltiect ia covered II, the head ol the match. If you had perfmed this experiment at the time of the sightin howtnt~cl. of the object would haM been covered the atch head? o ahow the shape of the oliect obiects. Label and inc lucie in your slcetch any cletai Ia Of the obiec:t thet you aaw such as wings, P,ottuslons, etc., and especiatly exhaust trails or ~or trails. Place an arrow beside the drawing to show the direction the obiec:t was mewing. 20. Do you thinlc you can estimate the speed of the obiect? (Circle One} 21. Do you thinlc you can froen you the oltiec:t ? JF. you you say it you .located when ,., aaw the obiec:t? . 23 . Were you (Circle One} . ~ !' Inside a builcli,. :._ b. In a car (c;Joutdoors ct. In an airplane (type) a. In the llusiness section of a city? J b. n the residential section of a city? In open countryside? . d. Near an airfiel~? e. Flying over a city? f. Flying over country? 24. IF you wwre MOVING IN AN AUTOMOBILE or other vehicle at the th, then the following questions: ing? (Circle O~te} b. North .. d. Southeast f. Southwest 2A.2 How fast ui .... ? ------miles per hour. t while you wareloolcing at the ~ect? (Circle 0...) 25. DW you the oltiecf. through any of the following? b. Sun glas ... e. Wincllhielcl 'e. Binoculars I Theoclol ite cJ. Winclow glass 26. In order that you con give as clear a picture as possible of What you saw, descril. in your own words a common obiect or oliects which, when placed up fn the sky would give the same appearance as the obiect which you saw In the followlnt sketch, I lne you at the point shown. Place an "A" on the curved I ine to show how high the obfect waa aiMwe the horizon (slcyline) when you first saw it. Place a "8" on the same curved line to ahow how high the ol.iect was abcwe the horizon (slcyllne) when you latf saw it. Place an "-A" on the compass when you first saw it. Place a "8" on the con;pass where you /ott saw the obiect. 2L Draw a pi~ that will show the . th~ the obiect or obiects macl Place cit:-~A." at the begi!tning of the --path, a "8" at the encl ofthe path, ancl show any changes in direction during the course . .. .... _. 29. IF was MORE THAN OI~E oliect, then how ny w.re there?---------- Draw a picture of how they were arranged, ond put an car ow ~o show the direction that they were traveling