U.S. AIR FORCE TECHNICAL INFORMATION This qoosNonnolro has bften pmpored so ^hat ynu can ^iya the US. Air Force us much informotion as possible concerning the unldentiFied aerial phenomenon that you have observed, pigcse try to answer as mony questions as you possibly can. The information that you give will be jsed for research purposes. Your name will pot be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is deemed necessory, we may contact you for further detoili. Month Year (Circle One) irne .Lone b. Central c. Mountain d. Pacific H*or*tt Psstol Address rate or Count c. Not very sure d. Just a guess determined? 5.2 Was ociect In sight continuously? he condition o a. Bright b. In bock of you d. To your loft 9. Overhead f. Dont remember 'V'lL,uUllUi 2Cl/ 3> If^ yoj saw. the object at NIGHT# whot did you notice concerning the STARS and MOON? d. ^cnt rofn*mb*r fnocnlight3 No moonlight pitch dork Don't romornbor 9. What v/e'9 *Ho weothor conditions at th timo you saw tho objoct? c. Scotrorod clouds d. Thick or hoovy clouds WEATHER (Crc/o Ono): Modorato or hoavy rain Don't rmombr b. Tronsporont (Cifch One): cdT~ As o e. Don't romombor a. Brightor b. Dimmor: c. About tho somo d. Don't knew 11.1 Comparo brifihtnoss to somo common objoct; Fuzzy or blurrod Liko a bright stor onorpiy out,m n tj 13. Did tho obioct; a. Apeoor to stand still at any time? b. Suddenly speed up and rush away at any time? c. Break up into parts or explode? d. Give off smoke? brightness? ]4. Did ths obict disappear while you were worching it? \f so, how? 15. Did rhe sbject move behind something ot ony time, particularly a cloud? (C/rcl One): it moved behind: IF you answered YES, then tell what particularly (Circle One): in front of: _ IF you answered YES, then tell what 13. '^e wish to know the angular size. Hold a match stick at orm's length in line with a known object and note how experiment ClCrC-^CC'-^~%' cz^rT^e.-i^.;rL 19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vopor trails. Place an arrow beside the drawing to show the direction the object wos moving. 20. Oo you- thinV you can ostSmat* the spd of the object? IF you answered YES/ then what speed would you estimate? (C/rc/e One) IF you cnswered YES, then how for away would you soy it wos? 22. Where 'Mere you located when you saw the object? fCfrc/e One): a. Inside a building Outdoofx-^ e. At sea 23. Were you (Circle One) In the business section of a city? thyra^'lSHtlnl countryside? Near on airfield? Flying over a city? Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle of the time, then complete the following questions: 24.1 What direction were you moving? (Cfre/a One) d. Southeast 24.2 Idow fast were you moving? liles per hour. (C/re/e One) 25. Did you observe the object through any of the following? h. Northwest Eyegiosses e. Binoculars f. Telescope Winosnieia Theodolite Window glass appeoronce high tha objact was abova tha horizon (skylina) whan you first saw it, Picca a on tha soma curvad lina to show now high tha object was obova tha horizon (skyline) whan you /asf saw rt* Place an on tha compass whan you first sow it. Place a ''B* on tha composs where you fast saw tha obiacr. 28- Orow 0 p'eturi* that will show th, notion that tho object or objects node, place on A at the beginning of thu path, 0 ''3" at the end of the path, and show any chonges in direction during the course. Draw a picture of how they were crronged, and put an arrow to show the direction thor rhey were troveling. 30 Hove you ever seen this, or o similar object before* If so give dote or dates and location* informotion Plfs^ Name WfWiflscfcii TELEPHONE NUMBE Indicat* any oddltionol inFormation about ysursalf, including any sp*ciot *xperi*nc9, which might b* pertinent 33. V/h*n and to whom did you report that you hod saen the object? rtirs'-icd questionnqirs Information adequately questiortnoire explanation