1. DAT E T IME GROUP 2. LOCATION PROJECT 10073 R ECORD 4. NUMBER OF OBJECTS 10. COHCLUSIOH ~. bENGTH 0 .. OBSI"VATION llinut <~!1 (Va r i ed) lo. TYPE OF OBSERVATION Grotmd - Vi:.m:l 9. PHYSICAL EVIDENCE Ob::;crvers :rri.L<.;.l 27. In the following sketch, i,:,agine that you are at the point shown. Place an "A" on the curved line to show how high the object waa above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to ahow how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the compass where you last saw the object. 28. Draw a picture thot will show the motion thot the object or objects mode. Place an "A" at the beginning of the path, a "S" at the end of the poth, and shu-.. \lny changes in direction during the cour ... 29. IF there was MORE THAN ONE object, then how many were rlsete? ---------- Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. 34. Date you completed this qu~stionnaire: 35. ln~cwmation which you f .. l pertinent ond which is not adequately covered in the specific points of the questionnaire a narrative explanation of your sighting U.S. AIR FORCE TECiiNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you hove observed Please try to answer as many questions as you possibly can. The information that you give will be used for reseotch purposes. Your nome will not be used in connection with any statements, conclusions, or publications without-yourpermission. We request this personal information so - that if it is deemed necessary, we may contact you for further details. . ., ' 1. When did you s .. the object? Day Month Year 3. Time Zone: (Circle One): )lt.. tastem Q,J Central c. Mountain d. Pacific (Circle One): (Circle One): a: Daylight Saving G) Standard 4. Whef'e were you when you saw the object? Nearest Postal Addrws s 5. How long was obtect in sighr? (Total DurotiOf'l) a. c .. rtoin c. Not very sure b. Fawly certain d. Just a guess State County 5.1 How was time in sidtt determined? _ .t;.,li.""'M~e;;.~a _ 5.2 Was object in sight continuously? 6. What was the condition of the sky? (OJ Bright ':. Cloudy 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a . In front of you b. In bock of you c. To your right d. To your left e. ov~rheod f. Don't remember FTD OCT 62 164 Thia farm aupened .. FTD 164, jut 61, whic h la obaolete 8. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON (Circle One): a. Bright moonlight Dull moonlight c. No moonlight -pitch dark d. Don't remember 9. What were the weather conditions. at the time you saw the-object? CLOUDS (Circle One): WEATHER (Circle One): @Clear sky. Y. Fog, mist, or light rain c. Scattered clouds c. Moderate or heavy rain d. Thiele or heavy clouds d. Snow e. Don't remember 10. The object appeared: (Circle One): b. Transparent @As a li ght e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One}: a. Br ighter @About the some d. Don't know 11.1 Compare brightn~s to some common object: &!WET ~ue-s 12. The edges of tnft obr~t were. (Circle One): o. Fuzzy or blurred () Like a bright star c. Sharply out I ined d. Don't remember- 13. Did the object: a. Appear to stand still a t any time? b. Suddenly speed up and rush away at any time? c. Break up into ports or explode? d. Give off smoke? e. Change brightness? f. Change shape? g. Flash o r flicker? h. Disappear and reappear? (Circle One for each question) Don't know Don't know Don't know Don't know Don't know Don ' t kno w Did the object disapoe<Jf while you were watching it? If so, how? .LIT 81,/Nii!EJ) dN '1-d'rr Did the object move behi,.,d something at any time, particularly a cloud? (Circle One J: Ye!' Don't Know. IF you answered YES, then tell whot it moved behind: Did the object move in front of something ot any time, particularly o cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell whot in front of : Tell in o few words the following things about the object: 18. We wish to know the-angular size. Ho ld o match stick ot arm's length in line with a known object and note how much of the-object-is cov~ed by the head of the motch. If you hod pef'formed this experiment ot the time of the sighting, how much of the object would-hove been covered by the match head? Draw o picture that will show the shape of the object or objects. Lobel and include in your sketch any details of the object that you sow such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving. .Pu<h/rl ~T 1/'~.~tl s.JS IJ-fd/1/Nlj 20. Do you think you con estimate the speed of the object? (Circle One) Yes IF you answered YES, then what speed would you estimate? ------------ 21. Do you think you con estimate how for away from you the object was? (Circle One) Yes IF you answered YES, then how far away would you soy it was? ---------------- 22. Where were you located when you saw the object? (Circle One): a. Inside a building b. In a car )outdoors d. In an airplane (type) 23. Were you (Circle One) a. In the business section of a city? b. In the residential section of a city? c. In open countryside? @ Near on a irf ield? e. Flying over a city? f. Flying over open country? J. 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) e. South g. West d. Southeast f. Southwest h. Northwest 24..2 How fast were you moYing? _m_,, i les per hour. 24.3 Did you stop at o1ty ti,. while you we;e looking at the obtect? (Circl~t o~) Yes No Did you observe the object through any of the following? a. Eyeglasses Yes e. Binoculars Yes b. Sun glosses Yes Telescope Yes Windshield Yes g. Theodolite Yes Window glass 26. In order that you can give as clear a picture as possible of what you sow, describe in your own words a common object or objects which, when pieced up in the sky, would give the some appearance as the object which you sow. 27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object was above the horizon (skyline) when you first saw it. Place o "8" on the same curved line to show how high the object was above the horizon (skyline) when you last saw it. Placet on "A" on the compass when you first saw it. Place a "B" on the compass where you last saw t he object. 28. Orow a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, o "B" at the end of the path, and sleu ~y changes in direction during the course. 29. IF zloaue was MORE THAN ONE object, then-how many were thete? -==========-- Draw a picture of how they were arranged, and put an OI'TOW to show the direction that they were tTaveling. 30. Have you ever seen this, or a similar object before. If so give date or dotes and location. 31. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you answered YES, did they s .. the object too? (Circle One) 31.2 Please I ist their. names and addresses: 32. Please give the following information about yourself: TELEPHONE NUMBE First Nome Middle No'" Zone Stote Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When and to whom did you report that you hod seen the object? 34. Date you completed this questionnaire: 35. Information which you F-1 pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting. U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con give the U.S. Air Force as much information as possible concerning the unidentified a~rial phenomenon that you have observed Please try to answer as many questions as you possibly can. The information that you g ive will be used for research purposes. Your nome will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is d-med necessary, we may contact you for further details. 1. When did you s-the object? 2. Time of doy: tf\ R R. c. h. 3. Time Zone: (Circle One): a. tostem c. Mountain d. Pacific (Circle One): (Circle One ): a. Daylight Saving 4. Where were you when you sow the object? Stote or Ceunty 5. How long w<rs object in s ight? (TO'hll Dur~ion) HoUt's Minutes Seconds a. \...ertotn c. Not very sure @ Fairly certain 5.1 How was time in s ight determined? d. Just a gu4tSS By LaokuvJ Rr TR E ewe... I( '; ~ DA-r Reo(~ Yes X No 5.2 Was object in sight continuously? 6. What was the condition of t he sky? 7. IF y ou saw the object during DAYLIGHT, where was the SUN located as y ou looked at the object? (Circle One ): o , In front of you b. 11"1 bock o f y ou c. T o your r ight d. T o your left e . Overhead f. Don't remember FTD OCT 62 164 Thl fo.-m uperd .. FTO 16 4 , Jul 61, which 1 obolte. 8. IF you sow the object at NIGHT, what d id you notice concerning the STARS and MOON? STARS (Circle One): MOON (Circle One): Bright moon I ight A few b. Dull moonlight c No moonlight-pitch dark Don't remember VDon't remember 9. What were the weather conditions ot the time you saw the object? CLOUDS ( Circle One): WEATHER (Circle One): b. Fog, mist, or l ight rain (0;) Clear sky c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds e. Don't remember 10. The object appeared: (Circle One): ~ As a light b. Transparent e. Don't remember 11. If it a ppeared as o light, was it brighter than the brightest stars? (Circle One): a. Bright~ @ About the same d. Don't know ~ . 11.1 Compare brightJtess to some common object: 12. The edges of the object were: (C ir::le Onei : a . Fuzzy or blurred @ Like a bright star c. Sharpl\r outlined d. Don't remember 13. Did the object: a . A ppe a r ~o stand still a t ony t ime? b. Suddenly speed up and ru sh away at any time? c. Break up into parts or explode? d. Give off smoke? e. Change brightness? ange shape? g. Fla s h or flicker? h. 0 i sap pear a nd reappear? (Circle One for each question) Don't know Don't know Don't know U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire hcis been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you hove observ5d. Please try to answer os many questiores as you possibly con. The information that you give will be used for research purposes. Your name will not be used in connection with any state,.nts, -conclusions, or publications without your permission. We request this personal information so that if it is d .. med necessary, we moy contact you for further details -. . ,, . 2. T ime of day: 1. When did you s .. the abject? 3. Time Zone: (Circle One): a. t::astem (b\ Central c. Mountain d. Pacific Hour Minutes (Circle One): (Circle One): a. Daylight Saving Standard 4. Where were you when you saw the object? REB To?~ k A t<aNstts: .. City or Tow" Stat Cvttty 5. How long was obted n sigh-t? (Total Duration) a. Certain c. Not very sunt ~ Fairly certain d. Ju~t a guess 5.1 ~ow was t ime in sight determined? 'e>y l~ok) f\J~ v:(T 5.2 Was object in ~ight continuously? Yes -4--No 6. What was the condition of the sky? 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a . In front o f you b. In back of you d. T o your left e. Over.,eod c. To your right f. Don't remember FTD OCT 62 164 Thla f01'1ft auper .. d .. FTD 164, Jul 61, which Ia obeolate 8. IF y ou sow the object at NIGHT, what did y o u notice concerning the STARS a nd MOON? 8.1 STARS(CircleOne): 8.2 MOON ( Circle One): a. Bright moonlight b. Dull moonlight (C':1 Many c. No moonlight-pitch dark @Don't remember .. d. Don't remember 9. What were the weath