l . DA IE TIM GROUP . .&. NUII48ER OF OBJECTS s. LENGTH OF OBSeRVATION TYPE OF OBSERVATION Ground Visual PHYSICAL EVID!HCE Wisconsir. CONCLUSION Insufficient data f c c e :alt..ta tion. BRtei= SUMMARY AND ANAL Y~l5 U.S. AIR FORCE TEC:iNI.CAL INFORMATION . This questionnaire has been prepared so that you con give the U.S; Air Force as-much for mot ion as poss ibla concerning the unidentified aerial phsnomertQn that y-o'.J hove observ,d." Please try to answeras many questions as you possibly can. The information that you give wi II be used. for research purposes. Your nome will not be used in connection with any statements, conclusiorts, or publications without your permission. We request this personal information that if i t is deemed necessary, we may contact you for further details. 1. When did you see the object? 3. Time Zone: (Circle One): a. !:astern (b.> Cen~ral c. Mountoan d. Pacific 4. Where were you when you saw the object? Nearest P ostol Acfcfr 5. How long was objact in sight? (Total Duration) a. Certain b. Fairly certain (Circle One): (Circle One): .a. Doy'light Saving ,. b.', Standard City or Town c. Not vary sure d. Just a guess State ot County 5.2 Was object in sight continuously? 6. What was the conditi on of the sky? a. Br ight ~a!"'. Bright 7. W you sow the object during DAYLIGHT, whera was th e SUN located as y o u looked at thl! object? (Circle One): a. In front of you b. In bock of y ou c. To your ri ght d. To your left e. Overhead f. Don't remember F TD oc1 o2 16i Thl " Corm ouper:t<d.,:l F TO 164, Jul o 1 , wh1r.h u obJol~t ... a. IF you sow the object at NIGHT, what did you l')otice concerning the STARS and MOON.? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON (Circle One): a. Bright moonlight b. Du II moon I ight .. c . . ~Jo moon I ight -pitch dark -d; _ Do11 't rememb tr. 9. What wtf!!re t~e weather conditions at the time you saw tb~ object? CLOUDS (C_ircle One): 'a . Clear sky ~'lEATHER ( C irde One): b. Fog, mist, or I ight rain c. Scotured clouds c. ,\.ioderote or heavy rain d. Thick o r neavy clouds e. Don't remember . - 10. The object Oi'pe_ored: (Circ:le One): d. As a light b. Transparent e. Don't remen1b~r 11. If it appeared as a light, was it brighter than the brighte5t stars? (Circle One): ~ Brighter c. About the same b. Dimmer d. Don't know 11_. 'i Co.mpore brightness to some common object; 12.-The edges of the object were: (Circ:l'.! One): a. Fuzzy or blurred b. Like o bright star c"J Sharply outlined J. Don't remember 13. Did rhe obj~ct: o. Appear to s tand still at any time? b. Suddenly s;:>eed up and rush away ot any time? c . Break u p ir:to ports or explode? d . Give off smol<e? ~. Ch(lnge brigntn~ss? f. Change shape? g. Flash or flicker? h. Disappear and reappear? (Circle One for each que s t ion) Don't kn o w Don't know Don't kno"'f Don't know Don ' t know Don't know Don't !<now 14. Did rhe object disappear while you were watching it? If so, how? '15. Did the object move behi,d something atony time, porticulorly o cloud? (Circle One J: t-.1 0 Don't Know. .IF you answered YES, then te ll what it moved behind: 16. Did the object move in front of something atony time, porticulorly a cloud? (Circle One): Yes No Don't Know. IF you answered YES, then tell what n front of. -----~ 17. Tell in a tew words the following things about tht!t object: We wish to know tl-!e angular size. Hold o motch stick ot arm's length in li r:e with a known object and note how much of the object is covered by the head of rhe match. If you had perform~d this experiment at the-time o f th'! sighting, how much of the obj~c:t would have been covered l:;y the match hr1oc!? 19. Draw o pic:ttmt that w ill show the shope of the ~bject or objects. Lebel ancl include in your sketch ony detail;~ of the object ~,ct y~u sow such as w ings, protrusions, etc., and e'pec:ially ~)(houst trails or vapOf trails. Plac:a on arrow Ses ide the drawing t::> show th~ direction the obiect was mo'i'ing. f)o you think y o u can estimate th~ speed of. Hhe objec t ? (Circle One) Yes ' Nroj IF y ou on'sw~red Y ES, then what so~ed Wl.llu'ld you estimate? 21. Do you thin~ you con estimate how _for c:...wo.y from you the objec t wos? (Circle One) IF y o u onsw~red YES, then how for OWC"f' Yt?uld you soy i t was? Where w~re you located when you sow t!i1-t. ' Object? (Circle One): a . Inside a building h. I n c car <... Outdoors ~ In "" oirplone (type) Were you (Circle One) . cr. In tl--~ business section of o city? tn~ rec;idential saction o f o city? c . In open countryside? d . N.,a r ~n airfield? e . F lying o wH a cirt? f. F.lying over open country? 1:: , .; were MOVING IN AN AUTOMOol,l..~ o r other v~hic le a t th-:: t ime, then compl~t~ th~ following gu~stions: ~at dr:ec:tion were you movrng ? { Circle One ) b . t--Jrtheost d. , '..1 theost f. South ""'es t H ow ::1st were you rnoving? Dd y qJ stop at any 'time whil., .,,~,, wer& l ooldng at the ooj~ct? ((' =le One) Yes No h. Northwest u oost '~ ~he ~bject through c .-,y d th~ fo llowing-? c y egla. s Sun g lo r; -:. e . B i noc:.~ Iar s f . Telescop~ g-. Theodo li t e rver 'that ~:J :l give a s c l.c,ar a p i c ' '.:sre as pos:;ibla o f whot you :;aw descrrb~ i n your own wods c common :, i' :h, whe n placed ll!' i:- the sky would g ive the ~Or.'l~ qpo e orance a s the object wh icn ypu s a w . 27. In thtt following sketch, imagine that you ora ot the point 3hown. Place a n "A" on t'-1'! cur ved lir'le t o show h ow high the objecr wos above the hori:on (skyline) wh'n you first saw it. Ploc'!t a "B" on the ~am~t curvd l ine t o show how high he object was above the horizon {.:.lcyline) whn you last :;ow i~. Pl.1c~ on "A" on fhe cornpau when you firs: 30W it. Place a "8" on the c ompau where you lost 5aw the object. 28. Orow o p icture that w ill show the mot ion that the object or objffcts made. Ploc~ on "A" ot the btginning o f the path, o "B" a t the end of the path, and d.u~ .:.ny changes in diraction during rhe cour~e 29. IF there wos MORE THAN ONE object, then how many war there? ----------- Drow a picture or how they were arranged, a nd put on arrow to show the direction ~not th'Y YU!Ke traveling 30. H ove you ev"'r seen this, oro sirni lor object before . If s o give d ote or date s and locatio n. 31. Wos onyo~ ~\se with yo u at the time .you sow the object? (Circl e One) 3 1.1 IF yo~; answered YES, d id they see tht! obj~c:t t e o ? ( Circl~ One) 31.2 Pl~cse list th~ir names a nd oddress.es: 32. Please g ive the Following information about y TELEPHONE NUMB First Nama Middle Name Z o11e Stct<t~ - _ Indicate any additional information about yourself, including any speci a l <3Xperienc:e , whic h TTJight be pertine n t 33. 'Hhen a nd to whom did you re port t ha t you had se'!!n the obj-:!~t? Day Month Yo:or 34. Date you completed this questionnaire: Information wnich you feel pedinent and which is nat adequately coverecj que,tionnoire or a narrative explanation af your sig~ting:.... . the specific points of the