rl.'-OA TE ~ TIME G~OUP _ 3. SOURCE .!. r.;UMBER OF 03JECTS PROJECT 10073 RECORD 2. LOCATION 10. CONCLUSION 5. LE:'I:GTH OF O:iSERVATION 11. BRIEF SUMMARY AND ANALYSIS 6. TY?E OF OBSE=!YATION 9. PHYSICAL EVI DE~CE Observer noteu white changi.ng to red light that dis- appear~d b~hind trees. Obnerver said speed of UFO l-:oul:i compare with sppeed of 6mall, light aircraft. There is no evidence in thia report that the object~ were not aircraft. FTD SEP 63 0-329 (TC'2) Preletu e dlUont of thle fol"'ll ma' be ueed U.S. AIR FORCE TECHNICAL INFORMATION T h is questionnaire has been prepared so that you con give the U."S. Air Force as much information os possible concerning the unidentified aerial phenomenon that you have observed Pleas~ 't':"f to answer as many questions as you possibly con. The Information that you give will be use~ for research purposes. Your name will Dot be used In connection with any statements, conclus 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. Wh!n did you see the object? Hour Minute a (Circle One): 3. T ime Zone: (Circle One)"] Ea!t.e c. Mount a in (Circle One): a. Dlight ~aving C. b. St~ndarCl d . Pac:ific: 4. Wher~ w're y~ when you saw t he eb!ec:t? City or Town State or County S. How long was object In sight? (Total Duration) o. Certain ( b) Fairly certain 5.1 How w:~s t i:':"'e in sight determined? 5.2 Was objeet in s ight continuously ? 6. What was the condit ion of the sky? Minute a Seconcla c. Not very sure d. Just a ~uess ~ ' (NIG.HT..) Ca. ~rignt 7. IF you saw the objec:t during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One}: a. In front of you b. In baclc of you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thle form euper11edea FTD 164, Jul 61, which Ia obao l ete. 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? 8 .. 1 STARS (Circle One): d. Don~ remember 8.2 MOON (Circle One): a. Bright moonlight Dull.moonlight ~No moonlight -pitch dark (JV Don't remember 9. What were t he weather conditions at the time you saw the object? CLOUDS (Cirde One): ~Clear sky WEATHER (Circle One): b. Fog, mist, or light rain c. Scattered : I oud s c. Moderatf't or heavy rain d. Th ic:k or heavy clouds d. Snow e. Don't remember 10. The object appeared: (Circle One): (1)As a I ight b. TrcnsDorer:t e. Don't re member 11. If it appeared :~s a light, was it brig!-trer than the brightest stars? (Circle One): ~Brighter c. About the same b. D immer d. Don't know 11.1 Compare brightness to some common obf,ct: 12. The edges of the objed were: (C irc:/e Or:e ): a. Fuzzy or blurre d ~Like a br ight stcr Sharply out I ined d. Don't remember 13. Did the object: (Circle One for each question) a. Appear to stand still at any time? Don't know b. Suddenly speed up and rush away at any time? Don't know c. Break up in to parts or explode? Don't know d. Give off smoke? Don't know e. Change brig,tness? Don't know f. Change shape? Don't know g. 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? 15. Did the ob ject move behind something at any time, porticulorly a cloud? (Cird e One): ~;~9 No Don't Know. it moved behind: .,. / A./ -.7 A ~ IF you answered YES, then tell whtJt 16. Did t he object move in front of s.omething at any time, particularly a cloud? (Circle One): Yes (~ Don't Know. IF you answered YES, then tell whet 17 . Tell in a few wor~s .J.he following things about the object: :.-7-::-: - 18. 'H!! wish to know t he angular s ize: Hold a match stick at arm's length in line with a known object and note how much of th e object is covered by th e heed of the match. If you hod performed this experiment at the time of the sighting, how much of the object would have been covered by the match head? 19. Draw c p i:tt.:r~ that wi II show t he shape of the object or objects. Lobe I and include in your sketch any details of the object thct y ou sow such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an crrow beside the drawing to show the direction the object was moving 20. Do you think you can estimate the speed of the object? (Circle One) (!~.. _, No IF you answered YES, then what speed would you estimate? tL~ 21. Do you th ink yo1. can estimate how far away from you the object was? (Circle One) Yes No IF you answer~d YES, then how far away would you say it was? -LliJO () 1; 22. Where were y .~ located when you sow the object? (C ire /e One): 23. Were you (Circle One) o. In the business section of a city? a. in side a b~.:ilding @ In the residential section of a city? ~- In c car c. In open countryside? c. Outdoors d. Near an airfield? d. In on a irplene (type) e. Flying over a city? f. Flying over open country? 24. IF you .or~re /V"t:VING IN AN AUTOMOol L E or other vehicle at the time, then complete the following questions: 24.1 Whot d ire:1ion were you moving? (Circle One) n. Nor~ c. East b. Northeost d. Southeast f. Southwest 24.3 Did you stop at any time while you were looking at the object? (Circle One) observe rhe obj~ct through OI}Y of the following? Eyeglasses Yes e. Binoculars b. Sun glosses Yes c. Windshield Theodolite Window gloss h. Other es h. Northwest In order that you con g ive os clear a picture as possible of what you saw, describe in your own words a common object or objects which, when placed up in the sk , would give the same appearance os the obiect which you saw 27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved I inc to show how the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first sow it. Place a "B" on the compass where you lost saw tho object. 28. Dro.,w c p :: t ure that will show the mo~io:1 that the object or objects made. Place an "A" at the beginning of the pot!i, a "a" at the end of the path, a nd show any changes in direction during the course. IF there was MORE THAN QtiE c;bjer.:t, then how many were there? - 1J.(:.Jk[{!~t; [.-Q1!:::-...l.:!::-=::::: Draw o picture of how they were arranged, and put an arrow to show the directi that they were traveling 30. Have you ever seen th is, or a simi lor object before. If so give date or dates and location. 31. Was anyone else with you at the. time you sow the object? (Circle One) C Yes:;? No 31.1 IF you cr.swered YES, did they see the object too? (Circle One) (Y~s:) No and Gddresses: Please give tne following information a F lnt Nome Mldd le Name City Zone State T2LEPHONE NUMBE Indicate any odd!tionol information a bout yourself, including any special experience, which might be pertinent. Itt t't :-; 34. Date you completed this questionnaire: 35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnair~ or a narrative explanation of your sighting.