11. OA Tf: Tl~c G~OUP f -$0UP.CC! i. NU V.S:: R Or 03J !C TS ~. LENGTH OF OB~i:RVATION T'f ?c Of OSScQVA 1'l:JN J 7. CCUQSE 9. PHYSICAL EVIO!~Ce 3 4. Datf' you compl~t~d this questionnair~: lnformot.i on wh i :h you feel pertinent and which is not adequately covered in the 5pecific points of the quos ti.onna ire or 0 norrathe explanation of your. sighting. 1. \.,h~m Jid 'l':!v se~ th_, object? AJ R FO RCc T .ZCHNIC~L J~ FORMA no~ ( C ircfe Ot., ~): 3 . Tim:: Zone ( C i rei e Ont:): Ea est em c. Moun~ain d. Pccir:c v'--.~re wer~ y ou wh~n you S\JW ~he ob i~c ~? 5. r; J'i'f l.:>,lg W05 cbi~ct in 'iight? ( T otal D Jr'ltic'l) o. Fcirly c~rtoin i-jo,y 'r"OS t=rre In !il<; t Oetermined? ~ c . Not very sure d. Just a guess~, ,y 6 . Wh<:>t wcs rhe c ond;tion of the sky? b. Cl.)udy a. 8ri ~1ht b, t... C..uGV f r:Jrt of '/ c. To your right 1ft r~.i'~ml;.,r 8. IF you sow th" object at NIGHT, what did y ou noti ce concerning the STARS und MOON? 8.1 STARS (Circl~ One): d. Don't remember 8.2 MOON (Circle One): a. Bri ht moonli ht Dull moon I ight c. No moonlig t -pitch dark d. Don't re,.mber 9. What were the weather conditions at the time yoo sow th_, obj,ct? CLOUDS (Circl~ One): WEATHE" (Circle One}: b. Fog, mist, or light rain c. Moderate or haa-1y rain a . c l~ar sky c. SctJttered clouds d. Th ide or heavy clouds d. Snow e. Don't r.:>member 10. Th& obiec:t appeared: (Circle One): i b. Tron.sparent r rerriembc!r G Brisht~W c. A bout ~hs sam8 d. Don't know 1 i. 1 Compare brightness to some common obj1Jc~: 12. Ths edg4tS of the object were: (Circle One): a. Fuzzy or blurr.,d : e a bright star Sharp y out 1~ed c. ::J. D on't remember 13 Did th.t!! object: ( Circle One f or ec;ch qv~stion) Ap;:>ear t:l stand still at any time? Don't know sp~ed up ond rush O'Yay ot any tim~? Dol1't !~no.Y 8.-~,o'< up into pcrrt'i C'r ":! <plr;~<~t? Don: t !-.r1 tJ W c. (~ive '..>ff Don't kn:>w Change brighrn.~s3? o n t k11ow Ch~ng~ s~ape? Don' t ~now Fi.:: ;h o r fJ idc:!r? Dr }ap;>'!cr o~d r~oi)pear? Don't '<no w 15. Did th~ oS e c : mova behir.d 3omething at any time, porti\:ubr !y a ciJud"? li .rov~.:! 6eh'nd: Did ~h~ .)~;ect mov., in front of so:-ne'"hing at 01,y rime-: po:tir.t.dorly o clcud? (Circle One): Yes @ Dv1't Know. IF y ou on;~ttnd YF.SJ .1'~n :j ~}at j T ~II in o f~w words the fol towing 1+1 i~gs abou~ tht! obj~ct: ! b. Color _ c.~.o.L/l.L. Ve '"lc;h ~o know the angular siz~. Hold r: rnaid"l !;~ick c.i ..ir:-n's ien9tn io l ine 11th a .. .-c '.vn f'!ICr . md n!lt~ ::..")H mt.:Cn OT the object is COVered by the h~od vt ine r.1CtCM. if you hod perfOfmed rni:.; t.U~flT:~nt at tf,~ {itr.e OT :~! I :-:iqhtiPg, how much of ~he object would hav~ been cover~ ~y the match !1~ad? YJi!fTc. T'f-L:JJ-~ -- Draw c picbra ~.:Jt will sho w th~ shape of the ob!act o,-objects. Lebel ~;,d inc!~:~ in your :.o'<~tch ;:.ry deroii:: ' of tho!J object tr.:;~ 1ou sow su~h as wings, protrusion.;, ere., and ~spechliy .;:,xhov~> rr:tib or 'IC;>c r u~d:;. ~I..J:a o n orro~ ~side the drawing to show th e diracts~n - obj~ct W'JS rr:o..,L"'g. i '/f), D') you think you c a n estir.1ot.., the :.peed of th~ obj~ct? lr-: .lliiJ an5wer' d YES, than whut sp~eJ would you tHtimot.,? D0 JtJU thin k you :.::n e:atimate how for away from yotJ the object was? IF yc.u ani'v~red YES, rhen how for away would you soy it wos? j 22. ~i~:!r' we!r~ y ~ ~cot!d wh~n you -;a,., the object? 1 23. Were you (Circf One) j ! o. In th~ busine:is s~ction of a city? J b. ln th.~ r~..;idel'lti'll section of o ci~? j O t.:tdocr3 d. Near en airfie ld? 1 ci. In un oirplcr-, (type) e. Flying ov~r ct city? j -,, At ~-"O f. F lying over ope .. n co nt!'(?~: .l ':),(. IF ycJ v,e MOVING IN AN AUTOMOBILE or othar vehicl~ at th~ time, th..n compl~te th ., follcwing c;uastion -~ c . Norrl1 b . Nort~acst f. Southwest 24.J D id you stop at any time while you wer.;, looking a t the ob!,ct? (Circle Ontt) t, . Northw~ s t '25 . Did :'o'J obc;erve the object througn any o f th~ followinJ? ~y~glasses {'(es) No e. Binoculars b. Sun glasses f. Teles::ope w. ,:i jh i ~ ld g. Thec.>dol i te ',/inck>w g l'ls s .2S. ln d~r t:,ot you ccn giv~ as clacr a pictur~ a s possible of what you saw, d>!scri!:>e in your own y.~ord"l u co,-, mon lr th" followinJ sk~tch, imogin~ that you or~ a) tha point .ihown. Plac~ on "A'~ 'Jn th, curv~d l im' to !~how no.-~ j h iah th~ obj~ct was abov e the horizon {skyline} wh~n you first sow it. Place a ''B on ;h , Jc:m& c urve d l ir.:.~ ! C1 show how l,i~h t'-l~ object was obovtt the horizon (skylina) when you last saw it. Plac~ an .. -A, on th~ comp<~'S"'i when. you f:~s f s~w it. P.lac.e a "[3" on the .compass wh~re Y?U last saw the object. LJraw a oi:n .. r~ t u t WI s.1cw tne mo:on tnu~ tn~ ::;:,!~C'i' :~r ~.o~acr:j ;r.o\:ie .J '":C.) en 29. lF th~r~ was MORE THAN ONE obj-!tct, then how many wer-. ther~? _. _ Diaw a pictur~ of how th~y were arranged, and put on crrow to show the dir~ction rnot th"y were t:-av~l i ng~ .t!Ver seen th i :a, or o or dot and locotinn . j JL '"c.L~ anyone els!> wit~ yot:J at the t i m:! you sow the . ohj3ct? ( C ircle One) IF }'"u ';iSIf'r~d YES, did they see the chj ~cr too? (Circle One) 32. Plea~H' giv~ tt1e following information abou t yours~lf: ir~t NoPHt Midd l!t Nome lr.~i~..;te any additional in b rmation about yoursalfr ir.~iuoing any S?eciol -,.'<p~ri~nce, which might b., ~ar~inent. lntorrnotton whicl1 Y"U feel perti 1ent and which is not adl:)qua:-.Jiy covert'!d in tht-' sp'!cific points ,_,f i !-le qu~n~ionnoire ~' a ncrrative explanation of your sighting. U.S. AIR FO RCf T ECI-itH CAL JN rO RMA TION Thi s qu.,stionnoir~ has bf:en prepared so that you can giv~ the U.S. Air Fore~ n!l much information as possible concerning the unidentified aeri~l phenomttnon ~hat you h'Jve obs~rv~d. Pl~t:se ~ry to onsw8r as many questions as you pos-.ibly can. Th41 information that you "giv~ will be us,d for research purt'oses. Your na,.,. will not be used in c onnection w ith any .;tat.ef"llent'S, conc~usions, or public:.ttions without your permis~ion. w~ :'.,quest rhis pl:lr~onol i,f.,rm<Jtk, s o th-Jt if it is d::temed necessary, we may contact you for further detail.1.