1. DATE TIME GROUP 4. HUMBER OF OBJECTS S. LENGTH OF OBSERVATION 6. TYPE OF OBSERVATION Grcund-Visua.l Stationary 9. PHYSICAL EVIDENCE 2. LOCATION van,..ert. nhio 10. CONCLUSION Other(CLOUD/CONTRAIL) 11. BRIEF SUMMARY AND ANALYSIS Object was long like a cigar wit a round section under it. The color appeared to be black. Waa not moldng. Disappeared behind a building while observer was driving through town. FlO SEP 63 0-329 lTD E) p,..yloae ecUUO'fte or th.Je ,_may be u .. d. U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con give the U.S. Air Force as much in format ion as possible concerning the unidentified ceria I phenomenon that you have observed. Please t ry to answer as many questions as you ,.ossibly can. The information that you give will be used for research purposes. Your name will not be used in connection with any statements, conclu s ions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details 1. When did you see the object? 2. Time of day: ----- Hour Minutes (Circle One): Day Month Year 3. Time Zone: (Circle One[: Eastern"'. (Circle One): a. Dayli~ht Saving d. Pacific 4. Wh(;re were you when you sow the object? Nearest Postal Address City or Town State or County 5. How long was object in sight? (Total Duration) Minutes Sec:onds a. Certain . c. Not very sure Cb~irly ce~ . d. Just a guess How was time in sight determined? ..., 5.2 Was objec~ in sight continuously? 6. What was the conc!;tion of the sky? a. Bright 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): ~t.Q..n~u IT In back of~ c. To your r ig t d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thla form euperaedea FTD 16-4, Jul 61, whic h le obeolete. 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? STARS (Circle One): 8.2 MOON (Circle One): a. Bright moonlight b. Dull moon I ight 4Co No moonlight-pitch dark Don' t remember Don't remember What were t he weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): G." Clear s ~ b:t=og, mist, or light rain Scattered c I oud s c. Moderate or heavy ro in Thick or heavy clouds Don't remember e. 10. The object C?peored: (Circle One): b. lrons porent d. As a light e. Don't remember 11. If it o ppeor&d as a light, was it bri ghter than the brightest stars? (Circle One): a. Br ighter c. About the same b. Dimmer d. Don't know 11.1 C ompare br i ghtness to some t.ommon object: 12. The edges of th e object were: (Circle One ): a . Fuzzy or blu rred b. Like a bright star L<;: S!i!?r[!ly outlln!d"i d . Don't remember ... Did the object: (Circle One for each question) Appear t o stand still at any time? Don't know a. Suddenly speed up and rush away at any time? Don't know Break up into parts or explode? Yes Don't know d. G ive off smoke? Yes No (Uon't know_] e. Change brig,t ness? Yes Don't know f. Change shape? Yes Don't know Flash or flicker? Don't know h. Disappear and reappear? Don't know 14. Did the object disappear while you were watching it? If so, how? ;yj_,.a_. 15. Did the c:,ject move behind something at any time, particularly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what Did the object move in front of something at any time, particularly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what 17. Tell in a rew words the following things about the object: a. Sound /J 0 A.! c.- We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how the object is covered by the head of the match. If you had performed this experiment at the time of the sighting, bw much ~f the object would have been covered by the match head? .l:;j . 19. Draw c p icture that will show the sf-lope of the object or objects. Lobel and include in your sketch any details of the object t:.ot you sow such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place on arrow Seside the drowin3 to show the direction the object was moving. 20. Do you think you con estimate the speed of the object? (Circle One) Yes No r IF you answered YES, then what speed would you estimate? ~J~J /f"J>f ./,/>---~ 2 1. Do you think yov con estimate how for away from you the object was? (Circl~ One) ~ No IF you answer~d YES, the n how for away would you say it was? 22. Where were you located when you sow the object? (C irc/e One): a. Inside a building c. Outdoors In an oirplo:'le (type) e . At sea 23. Were you (Circle One) In the business section of o city?_ In the residential ~ection of o cityV '--...--4Jr-, .... op countryside? d. Near on a irfield? Flying over a city? Flying over open country? I 24. IF you were ,Y8VING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 w;,at direc~ion were you moving? (Circle One) b. ort eos t d. Southeast h. Northwest f. Southwest 24.2 How fast were you moving? -Y J miles per hour. 24.3 Did you stop at any t ime while you were looking at the object ? (Circle One) No Did you observe tne object through any of the following? a. Eyeglasses Binoculars Yes b. Sun glosses Yes Windshield g Theodolite indow g lcss In order that you con g ive as clear a picture as possible of what you sow, describe in your own words a common object or objects whkh, when placed up in the sky, would give the some appearance as the object which you saw. 27. In the following sketch, imagine that you are at the point shown. Plac e on "A" on the curved line to show how the object was above the horizon (skyline) when you first sow it. Place o "B" on the some curved line t o show how high the object was above the horizon (skyline) when you last sow it. Place an "A." on the compass when you f i r s t saw it. Place a "B" on the compass where you los t saw t he object, 28. Draw o picture t hat will show the r.-totion that the object or objects mode. Place an "A" at the beginning of the path, a " B " at the end of t he pa t h, and show any changes in direction during the course/. 29. IF there w:~s MORE THAN ONE object, then how many were there? -.....!!:=---------- Draw a picture of how they were a rra nged, and put an arrow to show the directio n that they were traveling.