1. OA TE TilliE v~OU,. 2. LOCATION 3. SOUiifCE Ci vil.i..?.n 4. NUBe~ O'F O&JICT$ 5. LfNGTH 0~ OSSIRVATION J. :-.inute, 2'J seconds 6. TYPE OF OSSIRVATION -..rr~un - v :tsu.a 10. COHC\.UW)N 11. BRI!P' SUWIIA~Y AHD 4'N4L.YSIS Object appaar d as an a/c light. Objdct Jis:\ppear~d e.J.l of P. sudden. Obje ct, appeared t o h~\v~ a pulsatln~ r-ad llbht . 'I'E-~a l:linu t.gs l3.te r red pulaa.t.ing light. was si.ghL.~d n~a1 g~ound l e v el a eros~ the r o:1d ti in a nei;;nbo:-' s ba.c~: f ield. I3y the 1--------------t ti.rne ob3~rve..:s went t o get fle.shli3hts ~ncl coc..t s , object 'tlas 7. COURSE t 9. PtiYSIC..\l EVID!NC! gon~. ,.as r aining at -..!e t~m~. U.S. ,.., I R FORCE. TECHN I Ct. L ! t-IFOr\t~;:.T I GN T H I S QU!STIONNAIRE HAS OEEN PREPARED SO Tltr\T YOU CAN GIVE THE U.S. I'.Jil FcR:E AS liU:H I'IFORt~TION :.s POSSI::LE C7.~1CEflNING THE L'UIDfNTIFIED AERI AL PHENmlENON TH.;T YOU H.\VE 005ERVED. P LE,\SE TRY TO t.N~.~Er~ AS lif1NY QlESTI;JI'.IJ AS YOU POSSlCLV CAN. THE INFOR~TION TH.:.T YOU GIVE Wll.l. OE USED FOR R!: ScARCH PURPOSES, YCUk tl~!'oiE ';liLt. I'CT u~ US~I) IN CO:\lNC:CTION WITH AI~Y ST.\TEMEr>TS, CONCL.USI(INS, OR PUGLICATIONS 'IIITHt;UT YOU.< PE~II\ISSJC:~. ~!E F<EQUE~T TliiS PE-{S~Nt~L ttlrO':.Mt.TtC.N. SO TH,,T IF I T I S CcE:-!EO NE.c:::;sAP.Y, \-.~ MAY CO~ITAC'T YOU FOrt FLf<TiicR CET.:.I LS. 1. ';lhfN 010 YJU SEE THE 03JECT? (CtPCLE ONE) Zo'liE: 'f:': EASTER~ITJ!AT; c . i~OUNrAlN; D. Pi\CIFICj E . OTHER t6..,/ DAYUGHT SAVIW3; O. ST.:.No;.Ho (CIRCLE ONE), ------- CIRCLE ON!:, 4 ~-IHER6 .W!:i(t: YOU WHEN' YOU St..W ntE OuJECT? NEAREST POSS I OLE ADDRESS: 5. HOW LC1'.3 '<lAS OJJECTlN SIGHT? (TOTAl. CUKATION) HOURS: ........... _ .. _, .. iI!NUTE3: .. l . SEC-:li\IDS: " ) 0 5.2 ~lAS OQJECT IN SIGHT CONTINUOUSLY? YES ... ~ NO ... --.. ---~-- 6. H.:.T \oi~S Ti-le O'JNOITtOH OF TH! SKY? OhY: A. BRI\iHT B. CLOUDY; NIGHT: A OP.I GHT {). Ct.OUDY. 7 IF YOU s;.y THE OOJECT OURINo3 ~:.YLIGHT, \oJHcRE WAS THE 511~ LOC~TED AS YOU LOOKeD AT T HE OUJEC7? CIRCL~ :iNc: Ae HI FRONi OF Yvu; n . I N B4CK OF YvUj C, To YOIJR RIGHT; D. T:> 'I'IJUR LEFTj E , OVeRHEAD; F. 00~4'T REMEMOER. a. IF YCU SA._, THE OOJECT AT NIGHT ':f"!AT 010 YOU NOTICE CONCi:RNHJG THE STARS t.ND tt\,ON? fV () 8 I ST:.P.S ( C I Rct.E ONE) ~ NONE; 8 , FE\vj C f.~y i D DoN'T REMEMCER 8.2 ~lOON {CIRCLE ONE) A. BRIGHT t-iCJNl.IGHTj o. DULL tlO?NLlGHTj@ t!O tIOONLfGHT-PITCH o;.RK; D. DvN T REMEMEiER. 9 WH;.T 'dE.:\: THE WEATHER CONiJ!TI S AT THE TIME YOIJ S~'ll Tt:tE OGJCT? ~l<_,,, 0 '{ ClOUDS (CtnCLE ONE) A. Cl.EAR Si<Y; o . HAZY; C , SC1\TTEP.ED CLOUDS;@) TlilCK OR HE;,V'( CLOUDS, 'tiEATHER (CIRCLE O~lE} A DRY; c . FOG, MIST, OH LIGHT RAIN; c . ~:oo~Rt.TE CR Hiit:..VY R.~lil; 0 . St!OW; E, DON'T 10 . THE OOJECT APPEARED: (CIRCLE vt>J!:): A . SOL.JD; El, TRi,NSt>ARENTj C. VAPOR; 6);\S t. L IGHT; E . DON'T RE:~EMOER II. IF rr .:.?PEARI:O AS A LIGHT, WAS IT ~IGHTER THA.~ THe uRI GHTESi sr.;Rs? (CIRCL~ ONE):~ ORIGHTERj o . 011-;t.~ER; c. AuOvT THE SAME; D. OO:..r'T K:HM II .I CQi.I? ARE !:RIGHTNESS TO SOME Cvi-'.'" ON OOJECT: t 2 . THE EOG:S OFT..-: OBJECT 1,.;E~E: (CIRCLE OUTLINED ; O. DON' T RE;-IE~BcR; E, OTHEH ONE): A. Fuzzy :>R -Lllf\1\Eu;@) L I KE A C.:iiGHT ST.:.R; C. Srt.rtPLY A , ;..r-?::..:.i'! TO SThNO STILL f..i ANY TI~1E? o . St:::::~ 'I' S?EED UP AND RllSH A'IIAY AT ANY T Jr~E? c. 82E.:.~ ~? !~TO P)RTS OR EXPLOCE? D , G1 1FF SMOKE? E . C-1.-:,:;:: :KJGHTIIESS? G, FL~SH 0~ FLICKER? H, DI~.:.?PE.:.R AND H:APPEAi17 I ~. D l C THE vOJ~t::T DISAPPEAR V./Hli.E VOV 't/F.RE \-1~\TCHING IT? lr so, HOi-;? FOR EkCH QUESTION) OJN ' T l~i lt)W DON'T KN0'.-1 0JN'T KNO'n OCN'T KNOW 00:!' T KNIJ'N OO'J' T KNOW 1) . uiC TtlE OJ.JECT MOVE OEHIND Sv<ICTidN~ Ai i".NY Tlf.:E, Pt.i1TICUL.:.RLY i.. CL0\.:0? ( Cli<CLE CiNE) YE:i IF 1\NS.E~ED YES, THEN Ti:LL WHXi I T t.~QVED oEt-IIHD: DID THE: OOJECT ~OVE I N FRONT OF SO~lETHt~IG AT L l\'T ;.no,J. IF :.~15',1ERED YE5, THEN TELL \'JH.'~T .\~lY T 1 l>lE, p,\RT I CvL:.RL'( ;.. CLO:JD? ( C I i<:LE c~,::) (7, TELL IN A f(;W WORDS TH2 FOLLOVIINC THINGS .HJOUT'THE O~JECT! . WISH T O KNC'.-1 THE ,'\rlGl:LAR SIZE, 'HOLD,\ 11,C.TCH STICK AT J,Hil'~ LENGTH l i l LINE \o11Tit J, ;~;~u':/:-J O:WECT Ht W r .. uCII OF Tt1E OOJECT I 5 COVcP.E D 3Y THE HEAD OF n:E W.TCH. IF YO'J H.;o PEnFO:~IE 0 THI S EXP:11 Ill~ IIT TWE OF T...,E SIGHTINC HO'tl j\,U: H OF THE OOJ E\:T \-/OULD HJ.Wc UEEN COVEi;ED CY THE f.i. TCH HE/~0? ;',NL JIJTC 19. DRAW A PICTLRE TH1\T \>/ILL 5HOW THE SH:.PE OF THE OQJECT OR Otl.JC:CTS . L;,:.EL ~NO INCLUtE HI (01JC: ~KcTCit r,r,.v CETl.ILS JF THE OOJ!:CT TH-4T YuU SA\1 SUCH AS \>liNGS, P~OTRUSIOI\ '; ETC., t.N!; E5r:::CI.'1LLY :xii .. U~T Tf~r\IL~ OR V~;'vA TR-.II.S. P L;.CE AN ARROW uESI:iE THE DRAWING TO $!-!0\'1 TI-!C Dlf~ECT10N THE O!..JECT ,;;,:; ilOVJ::~. OJ Y-:\.t Tn INK YOU CAt~ EST I t-1.:. TE THE SPEED OF THE OOJECT? IF Y:Ju MJS~t~cr<E D YE':. THE:-1 'llir~T S?EED 'It :JUL.!) YvU EST lft~,.TE? 00 YOU T.,INK YOU c.;N ESTIMATE H~W :=t.R ANS'nERE J YES THEN HOW Ff.R f.HA Y 't/OUL D AWAY FROM YOU Trl':: OOJECT \ /AS? (CIRCLE CNE) YES YOU s;.v IT ~1/.,S? 22, , - .lvHEi; 'dc?.E VOU LOCh TE !l \/'-='I Y':JJ Sf...W T HE 0 CJE CT? {_C.( Ol/i:~:RSj D, IN AN AIRPLA'JE (TYPE); E. ~\T SEt.; ( CIRCLE ONE}: t. . INSIO~ A !:.UIL DI'::; ; F, OTI!~R . 0 , PI A CAn; C:~, E V~'J (CIRCLE ONE): A .-J...N Ti-l~ 6USn1ESS SC~TION (!;.)I N QEN COUNTRYSJDE?;(e} ~.;.:.~ .:.1 J.IRFIELD?; E, IJF A CITY? j FLY lilG OVER 0 , IN THE RESIC~NTI~L SCCiJON OF f... CITY?; t.. CITY?; F . FLYii!G OVEP. O?ct l COiJNTP.Y?j 24 , IF Y.-U v;ERE ~;QVING 1~1 AN kUT~:iC?ILE OR OTHER VEH I CL E AT THE Tltt.E THEN COI<IPLETE THE FOL LOHING QUES-r!ONS: 24.1 v1HAT Cli1ECTION \/ERE YOU MOVING? (Cif\CLE ONE): A, IJCRTH) ll., NoRTHeAST; C, E,~sT; D. SOVT:iEAST; E , SvUTHj F. S-' l il..'tiEST; G, '.~ESTj H . NOP.TI NSST. 2~.2 rlO'II Fi .. ST ~/ERE VOU MOV lNG? MILES PER HOUR. 24, ) DI D 'f":U STOP AT ANV TIME ';/HILE YOIJ \vERE LOOI<ING li.T THE OOJECT? ~Cif.CLE Ot~E) YES NO DID YOU OJSERVE THE OBJECT T HROWH ANY OF THE FOI.LOWHIG? A, EYE~Lf.3SES YES UINOCULARS S~N GLASSES TELESCOPE YES C \IIN~SHI ELD Tt-:EOCOL I TE YE!i 0 \>II :O~i GLASS 26. IN ORCER T!-iAT YOU CAN GIVE A S CLE~rt A P I CTURE f,S POSSi uLE OF ~/rlnT YOU s,:.w, t:ESCRI J E IN YOUR O'I'IN ':lORDS t. C~!.lroiCN OBJECT 0~ OI:JECTS ti:;ICH, W!->EN PL.C.CED UP IN TnE Si<Y, WJUI.D G IVE Tl-tE s :.tt.: i,Pr-c~rt~NCE s THE OLJECT 27, !rl THE FCLLO'iJIN3 SKETCH, lf'I.:.Gnc: TH.l.T YOU ARE AT THE POINT S~OWN. ,':.Li~CE .:.N u,:;n CN ThE CUkV:O LINe TO Snv'l'i. H0'.-1 Hl'jH THE Ot;JECT \'lAS ~tov: T:-1E HORIZON(SKYLINE) 'tiHEN YvU FIRST S~M IT. P L,.CE ;, ON -1-E s,:.to~C. CURvEt L 1 NE TO Sr0\ol 1-'v',t/ H 1 GH THE O~ECT ~l.\S I. DOVE T hE HOR llON ( SKYLI ~IE) ~IHEN YOU L;.ST SA'.oJ IT P L ,CE M l A" CN T'iE COMPASS w,:N YOU FIRST SA'I'I II. P LACE A ON THE CCMPASS WHER: YOU LAST SAW n !E Ol:J~CT. !;R,'.tl A PI CTIJi .E TH.'. T If/Ill S "'Ovl THE litE I'I",TII, ;.. f,T TH: END vr THE D~at~l0 T~tE C~LR3i, EVcP. SI:EN THIS, OR ~ SIMlLhR OJJECT OEFbRE. IF SO GIVE O.:.TE c~ D."TE!:i ,..ND :..or.:rtCti. )1, tI.:.S ;..w . c ELSE \'liTH YO\.i AT iH~ TltE YOU SAW THE O!.IJECT? (CI\CLE ONE) Vss NO JJv .:.~l!:\IERC:D YES, Dl D IHEY SEE THE or:Jr:CT TOO? (CiRCLE ONE) 31. 2 PLEASE LIST THEIR MES AND AOtRfSSES: 32. PL~AS!: ~ IVE THE FOLLOviiNG INFCJ?.~.A.AT I ::N AuOUT YOUR~:::Lr: !. .N:: STt.TE TE:..:?HO~!E NLMSER l~lDICATE ANY I NFCJPMA710N ;.S;JUT YJU SEL F , IN!;LUDING ADD rr I ONAL t4 I t;HT ~E i'ERT I NE~IT. 33. ',IHEN A.\10 TO \!tl01o1 01 D YOU RE?ORT T!I.:.T YOU Ht.O SEEN T:IE OJJECT? J4, DATE YC:) c:~:?LETEiJ T HIS Qt..::STI\::~i~AI?.E: !~:.;; lTH YEAR 35. I NFORMATI7N ':1'-li~H Y'JU FEEL PEP.TI'lENT :.No WHI .1 I S r.Oi ~OEQU .. TELY COV EO IN T~: S?:CtFIC POPTS OF TnE Ql.IESTI(.~'IAIR: OR A Nt.i!Rt.T!VE f X2L.:.N.:.TION 'J F YJUR Slm.TING,