20, Oo you think you can estimate the speed of the object? Inside Q building In a cor 25. Did you observe the object through any of the following? Binoculars In open countryside. Near an airfield? Flying over o city? Flying over open country? 2d. IF you were MOVING IN AN AUTOMCSiLc or other vehicle ot the time, then complete the following questions b. Northeast d. Southeast f. Southwest h. Northwest liles per hour. (CircU One) (Circle One) IF you answered YES, then what speed would you estimate? ^ Windshield Theodolite Window gicss appearance the'horizon path, a "S" at the end of the path, and show any chonges in direcrion during tho course. 29. IF there wot .MORE THAN ONE object, then how mony were there? Drow a picture of how they were arranged, and put an arrow to show the direction that they were traveling 30i Hqv you ever sen this, or a similar object before. If so give dote or dates and location. 31.1 IF you answered YES, did they see the object too? (Circle One) addresses; 32. PUa$ sivfi rho following inforn>otion about yoursalf T::L PHONE NUMBER Fifst Nam C.LS'/^LA:^ additional information experience, pertinent. 33. When and to whom did you report that you had seen the object? 34 Dote you compl^f^ this quostionnoira Informerton which you faai partinant ond which is not adaquotaly covered in th quastionnoira or o norrnfiva axpicnotiqn of your sighting. Wrtgfrt-Pa'ttcrson APB, Ohio 45^33 Pierce &iis Clereland, Ohio unidentified obserratioa 'Joreaiber iaforaatlon sufflclant evaluation^ observation SECTOR QUCrrARILLA , Jr, Ma^or, USA? U.S. AIR FORCE TECHNICAL INPORMATtON this quasHonnpire has baan praporad so that you con giva tba U*S* Air Forca os much inforrMtfon as possible concerning the unidentified oariol phenomenon thot you hove observed. Pleose try to answer os many questions os you possibly con. The informotron thot you give will be used for reseorch purposes. Your noma will* oot be used in connection with ony stotements, conclusions^ or publicotions without your permission. We request this personot informotion so that if it is deemed necessory, we may contoet you for further detoils. c. Mountain d. pacific Neofest petrol Address 5. How long was object in sight? (Terol Ouretion) Q. Certoin det.f?nin.d? 5.2 Wos cb;scr in sight continuously? c. Not very sur. d. Just a guess ! 7. IF you saw ^he object during DAYLIGHT, where wos the SUN located as you looked at the object? (Circle Onej; o. In front of you d. To your left b. In bock of you e. Cverheod Toyourri^t 6. What wos the condition of the sky? 3. Bright 10. Th objCT app^ofdd: (Circio Ona): b. Trcnspcranf e. 1 e. Don't romomber 11. If it appoorsd as a light, was It brighrsr thon th brightsst stars? (Circia One)^ q. Bfiphtar b. Oimmor c. About tho same d. Dont know- 1 1.1 Comporo brightnoss to somo common objsct: rM4./y pcane 12. The edges of the object were: {Circia Orta): a. Fusty or blurred b. Like a bright star 13. Did the objecrt a. Appeor to stond still at any time? c. Break up into parts or explode? d. Give off smoke? e. Change brightness? f. Chonge shape? g. Flash or flicker? h. Disoppeor and reoppeor? each question) Dont know Dont know Don't know Dont know Dont know particularly IF you answered YES, then reJI what particularly in front of: experiment, Draw G picture that will show the shape of the object or objects. Lobel and include in y of the object tt*ot you sow such as wings, protrusions, etc., and especially exhaust troll Ploce on arrow beside the drawing to show the direction the object was moving.