l. NliM8ER O F O a.J!CTS ~. LENGTH Or 03SE~VA riON 1.5-20 minc.tes C.. T YPE OF OBSE~VATION Ground-Vi:1ual J 7 . COUP.S~ S. P HOTOS 9. PHYSIC~L EVIO.!HCk: 10. CONCLUSION 11. S~JEf 5UMM"RY .i~O .\l>t.41.Y31S Awea.red as solid black en top ' dth vapor t.rails or two cone- shaped objects attached. Oran , pink color. In piddle or object po3aible tran3p&r~t. At !irst# appeare!d as t.ha sta!"'S.J 1 then as it came clos~r it began t o take nhape a s u.~scrib~. r At first it v1as as b right a s a s:nall DdrJ" or refl-actin& bri~ , S1.mshine. These con-'s .-T~r~ :tdentical i n si~e, s~ape and colo-rj sha.oTinz no variH.t.ion in shap e s uch a s a j~t flame r.dght !:lak~.J At b~se it was not. "li9iole. ~ter A.bout 15 m:L'"'lutss t~e '5;-=.du~ travel of the object UlOVed. to an area '7.'/h::H'~ the object \>Ia~ ~ obscured b.ahind a. group of t:re in the 73-rd. ~ ARTMENT-OF-AG~leUL:'fURE U.S. COAST AL \A/J\ YS . r U.S. AIR FQRCE TECHNICAL INFORMATION This questionnair.;t hus b~ten prepared so that you can giv., t.ho;, U.S. Air Force as much ormation a; po:a~ib!" concarning the unid:'"tified aerial phenom.anon th'lt you h ave observed. Please try to answer as many qustians as you possibly can. Th~ informot i.on that you gi~:t.'wj II b" uud for r\tsearch purposes. Your name will c;ot be usad in ccnTiection w ith ony ~t .,mdnts, conclusions, or publications without your parmission. w~ re qu., s t thls per5~nol information 5 0 that if it is d,ttrl14fd nttca.sscry, wa may contact you for further details. 1. When did you see the object? 3. Time Zone: (Circie One):0.East~ b.-Central c. Mount~in d. Paeifie 4. Where were you when~u saw t he ob ject? - M inutes (Circle On~): (Circle On,&): :='--Oqyl ight Saving C b. StondarC:C"' State or County City or Town 5. How long was object in sight? (To~al Duration) Hours s.,c:ond:s c.,rtai'!-/ c. Not very sure b. Foirly certairt d. Justo guess 5. 1 ~ow was tim in sight deter:"1ined? if.v'.ti-/e!.J, ,#g 5 .2 Was c.bj~ct in ~ight c ont inuously? Ya~ V No _ 6 . 'Nhnt was 1he condition of the sky? <""Br.Gili.i:" C tee, r-I.A/Y a . Br i9hr 7. ir you .HIW thtt object during DAYLIGHT, whttnt wet' ihtt SUN locor~d tu you l.)o~.,r:! o~ th-, object? ( Circle One):~.: !njrmt ol.z.9u .. b. In bock of ycXJ c . To your ri~ht 1. T ~ ycur !drt a. ov~rh.,ad t rerru.,r'lbttr FTL> lCT 6~ 16-t B. IF you sow thtt object u t NIGHT, what did you notice concarning ths STARS and MOON? 8.1 STARS (C ire/~ One): 8.2 MOON (Circle One): c: Many . . d. Don't remember b. Dulf-moonlight c. No moonlight-pitch dark d. Don't rsmember 9. What wers the weather conditions a t the time y~ saw the object? CLOUDS (Cirde One): WEATHER (Circle One): b. F og, mist, o r I ight rain c. Scattered clouds c. Moderata or heavy rain d; Thick or heavy clouds Don't remember 10. The object cppear&d: (Circlo One ): b. -r ra~sparent d. As o I ight e. DOfl't rememb~r 11. If it oppeor~d os a light, was it brighter than ~ne bright3st .,jtars? (Circla On-,): a. Brighter b. Dimmer d. Don't know 11.1 Compare brightnss ta some common objct: 1 12. T!, -,dges of th., object w.._rs: . J (Circle One): a. Fuzzy or blurred b. _1:-ll<~ g brigh!2_tar rC: Sharply outlintth d. Don't r~member D1d ~h~ obj<!tct: (Circle One for eroch question) A?p~ar t o stond still at any time ? Don' t know Sud dsnly Sp4t!td up ond rush away at any t im-:r? Yes Don't !<now Br'o!c up in i o ~a rt:s or nxp lod'? Don' t know G iv" o ff ~mo~.t? Don't kr.ow Cht:~nge brrghtnes:;? Don't know C!ong, :shoP"? Don't know rlosh or flic'<~r? Do,' t know h. D r.:;~Jpp"or end r~oppctor? D::n't know . .. 15. Did the object move behind somethi11g at any time, particularly a c loud? IF y.:>u. answ~red YES, then t~l l whet (Circle One): c Y ets / No Don't Know. Did the object move i~ front of somethi~g ~t any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then te ll what Yes 17 . Tell in a few words the following things about the object: . i We wi3h to know the angular siz'3. Hold a match stick at orm's le ngth in line with a kno"".n obj&ct a nd not-e how much of the object is cover~ by the head of the match. If you had J)'Jrformed tn is " :cperiment :.'lt the t ime of the sighting, ~ow much of th~ objec! would h;JV~ been cover,d bVhe tch head? . l _(_, ~ ,r Draw a picture that wi II show the shape of the object or objects. Label ond inc !ude in your sketch ony details J of the obiect that you sow such o s wings, protrusions, otc., and especiatly e xhaust t rails or vapor trails. Place on arrow besid the drawing to show the direction th~ obi~tct was movinq, Do you thin!< ;ou can estimate th~ spo;ted of the obj~t":t? (Circle One) Yes /No\ 'F yc11 onsw'tred YES, then .,.,hat speed would you "1timat'? --------- Do you thin~ yov can estimat' how far owoy from you the obj...,ct was? IF you on$""'",d YES, then how inr away would you ::;ay it W'.ls'? ------------ 22. Wh~' wore ycu (Circle One}: located when yov saw the object? lnlide a buildi b. lrt Q car d. In an airplane (type) 23. Wera you (Circl~ One) 1 a. In tn~ business section o f o city? ~ ih'e-resiCfe,tiOi-~-~;i-;,-c,( ""ityr' c. In open countrysids? d. N~or an airfield? e . Flymg over o city? f. Flying over open country? IF you W$r~ MOVING IN AN AUTOMOBILE or other vcthicl., at th<e time, th.,n compl~ht the following qua~tiorn; 24.1 What direction WIJra you moving? ( Circ:fs One~ ;r(/.J b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast wers you moving? um,j les per hour. 24.3 Did you stop at any time while you were looking at the object? ( C;rcle One) 25. Did yov ~bserv., the objsct through any of the following? Ey8glasses Yes No Sun gloues Yes Wir'ldshield Wandow gl :lss Yes No Binoculars Tole scope Th~odolite 27. In the following sk'dtch, imogin~ that you ar-s a t the point shown. Pl.:~c;, a p "A" o n th~ c urved lin~ to show I~H hi.~h th!! obj~ct .vas above the horizon (skyline) ""'h" n you fir5t saw i' Pluca a " 8'' :>n 1he some curved l i1t' ! o hi9h the object was abov~ the horizon (skyl:n,) wh&n yo~ last .suw it. ?lac~ on " A " tJn the compt::S..i w,an you 1rsr S:JW 1t, .... ..., on t e compos~ w.,~re you a:; ~hJW nc 001~-= 2 8 . Oraw a pictur " that will show the mor io n that t h<t obj~:tct o r objects mod'!t. Place on " A " or th& b~g;nnit~g or rht! pcth, a "B" at the end of ~h~ path, :1nd show any chang~s in direction during th~ CO\n:;~. 29. IF th~re was MORE THAN ONE obj ect, th~n how many w~nt t here? _f?-:--:. ... / t'>:::: c~--~ Draw a picture of how they W'!tre orrarogl!td, ond put on urrow to show the direction ~hot rh~y were rrov~iing. 3 0. Hav~ you evttr s~en tnis, oro similar object befor., , If so gi1~ date or doti!P:S a nd loca i ion. 31. Was anyone ~lse w ith you at the time you saw the objttct ? (Circle One) No 31.1 IF you onsw!tr~d YES, did thay see the object too? ( CirClet Onet) 31.2 PI ~a s a I i 1t tha ir name s and odd 32. pJ.,asa give the f ollo wing information about yotJrself: F ir:st Na m Midd~. N.,m,. ADDReSS ---.....j T E L EPHONE NUMB lr.dicate any a ddi t ional in fo rmation about yourself, including any special experience, which might bo perti:utnr. I 33. Wh.,n o;,d t o whom did you raport Jhot you had so~tn tne obj.,ct? 34. Date you completed this questionnaire: 35. Information which you feel pertinent ond which is not adequately cover&d in thet specific point.s of the questionnaire or a narrative explanation of your sighting.