Lw^I-Cl-Vw^V U.S. AIR FORCE TECHNICAL INFORMATION This qusstionnairs has besn prspared so that you con givo.tho U>$* Air Force as much informurion os possible concerning fhe unidemified ooriol phenomenon thot you hove observed. Please try to answor as many questions os you possibly can. The informotion thot you give will be used for reseorch purposes. Your name will oet be used in connection with ony stotements, conclusions, or publicotions without your permission. We request this personoi information so thot if it is deemed necessary, we may contact you for further details. fC/rc/e One); fC/rc/e One): 4. iVSere were you when you saw the object? Doylight Saving 5# How long wot objoct in sight? (Tatol Dufot(on) 3. \..ertain Fairly certain determirted? 5.2 Was object -n sight continuously? 6. What was the condition of the sky? a. Bright 7. IF you saw the ohjeet during DAYLIGHT, where was the SUN located os you looked or the- object? (Circle One); a. in front of you In bock of you To your ri^t d. To your left e. Overhead f. Don't remember FTD OCT 52 154 This fcTin aup< PTD 194* Jul which it concerning 8.1 STARS (C/rc/e One); b. A few 8.2 MOON (Orelo One); Bright moonlight c. No moonlight pitch dork d. Don't remember conditions CLOUDS (Circle On*): c. Scattered clouds d. Thick or heavy clouds WEATHER (Circle One): b. Fog, mist, or light rain c. Moderate or heavy rain e. Don't rernember b. Trcniporent (Circle One): Brighter c. About the same b. Dimmer d. Don't know brightness .'VYUAXjk/ 12. The edges of the obiect 'were; (Circle One): a. Fuzzy or blurred Like a bright star. Sharply outlined AiAJLVj*J; 13. Did the object; (Circle One for each question) Appear to stand still ot any time? Suddenly soeed up and rush away at any time? Break up into ports or explode? Give off smoke? Change brightness? Change shape? Flash or flicker? ; -f " Don*t know Don't know Don't know particularly (C/rc/e Ono^ it mowed behind: IF you onswered YES, then tell whot particularly fC/rc/e One); Yes (3 Don't Know, IF in front of* _ IF you answered YES, then tell whot 19. Drow a picture -mot will show the shope of the object or objects. Lobal and include in your sketch any details of the object tr*er you sow such as wings, protrusions, etc,, ond especially e:d)aust troils or vapor trails, place on ciyow beside the drawing to show the direction the object was moving. 20i Do you think you con estimote tho speed of Hie object? (Circle One) IF you answered YES, then whar speed would you estimate? 21. Do you think you con estimate how for away from you the object was? (Circle One) IF you answered YES, then how for away would you soy it wos? 22. Where were you located when you sow the object? (Circle One): a. inside a bui iding e. At sea 23. Were you (Circle One) a. In the business section of o city? residential c. In open countryside? d. Near on oirfield? e. Flying over a city? f. Flying over open country? 24. IF you were tnO'^ING IN AN AUTOMOBILE or other vehicle ot the time, then complete the following questions: d. Southeast f. Southwest h. Northwest jniles per hour. (Circle One) 25 Did you observe the object through orry of the following? o. Eyeglasses e. Binoculors b. Sun glasses f. Telescope c. Windshield Theodolite d. Window glass appearance begintsing 29, IF there was MORE THAN ONE object, then how many were there? ^ Draw a picture ef how they were orronged, ond put on orrow to show the direction that they were traveling 30i Hove you ever seen this, or o similar objecf before* If so give dote or dotes and iocotion* 32* please give tHe following information about yourself: First Nem Middle Nsmt TELEPHONE NUMBER tr^dieot* any additional informotion obeut yoursolf, including ony spocial exparionce, which might b pertinont 33, Whn and to whom did you report thot you hcd seen th* ob|ect 34. Oaf* you compl*f*d this qutsfionnoire: 3S tfi^ormofioo ivhieh you fool perfinen^ and which is not adequoteiy covsrod in tho specific points of the questionnoire or a norrotrve expianotion of your sighting* ,0-KXj\,\Jl^