PROJECT 10073 RECO~D . 1. OA.TE TIME CROUP 2. LOCATION Y cllL!..' 10. CONCLUSION 1!ili t nr:r Possihle (AJRCHAFT) NUMBER QF OBJECTS s. LENGTH OF OSSERVATION 11. BRIEF SUMMARY AND ANALYSIS 3 -6 Hinut..es 6. TYPE OF OBSE~VATION 'J,rou.--d-Vic:;.: al 9. PHYSICAL EYIOENCE Obs~rvP.r not<d .l.:tt,~ .. g r r!en licht \lith s:nallcr Hhit.f3 li{;~t. No sh.apc was ap;nr,nt lut tht! li:;.hts must have b,:m att;~r.h.:d to somethj.nc. Ohj cct wao like a Brom traffic lil;h t vic\;co !rom a mile nway. . FTn u~" A l 0-~29 CTOE) PreYICI'Qt tclJUOfta or thla ,_.. .. , t.. u 8. IF you sow the object at NIGHT, what did you notice concerning the 5 TARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): o. Bright moon I igh}'' li. lJul r moonlight . c. No moonlight -pitch dark d. Don't remember 9. What were tn e weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): b. Fog, mist, or light rain c. Scattered c: loud s c. Moderate or heavy rain d. Th ide or !1eavy clouds e. Don't remember 10. The object o!)peared: (Circle One): b. Trons::::zr~t ~As o 1igh~-' e. D:;,r' t remember 11. If it oppe-:eo os a light, was it br igl.:rer than the brightest stars? (Circle One): a. Bright~ c. About the same b. -u;mmer d. Don't l<now Compor~ brightness to some common object: 12. The edges o~ ~;,e object were: (Circle One ): o. Fuzzy or bl urred b. Like o br ight s~ar Sharply out I i ned Don't remember 13. Did the object: b. SuacJen1y s d up and rush away at any time? c. Break up i="to parts or explode? d. Give off sm~ke? e. Change brightness? f. Change shape? g. Flash or flicker? h. Disappear and reappear? (Circle One for each question) Don't know Don't know Don't know Yes Don't know Don't l<now Don't lcnow Don't lcnow Don't know Did the obiect disappenr while you were watching it? If so, how? Did the object move behi"d something at ony.time, particularly a cloud? (Circl~ One); 6;) No Don't Know. IF you answered YES, then tell what 16. Did t he obj t move in front of so.-,e thing at any t ime, particularly a cloud? (Circle One}: Yes ~o_.... on t Know. I you answere YES, then tell what 17. Tell in o fe..., words the followin g things about the object: _ 18. We wis h to know t ne angular s i:e. Hold a match stick at arm's length in line with a known object and note how much of the ob ject is covered by rh e head of the match. If you hod performed this experiment at the time of the s ighting, how much of the object would hove been covered by the match head? 19. Draw o picture that will show the shape of the object or objects. Lobel and include in your sketch ony details of the objec t that you saw such o s wings, protrusions, etc., ond especially exhaust trails or vapor trails. Place on arrow beside the drawing to show the direction the object was moving. 27. In the following sketch, imagine that you ore at the point shown. Place an "A" on the curved I ine to show how the objt~t was above the horizon (skyline) when you first sow it. Ploee a "B" on the same curved line to show how hi~h the obiect was above the horizon (skyline) when you last sow it. Place an "A" on the compass when you first saw it. Place a "B" on the compass where you lost sow the object. 28. Draw a pie~:Jre that wi II show the r.1ot ion that the object or objects made. Place an "A" at the beginning of the pcth, a "B '' ct the end of the po~h, ::1nd s!au~ o)ny changes in d irection during the course. . . ~., / ) 29. IF there wos ~ORE iHAN ONE obiect, then how many weret there?----------- Draw a pich,e or how they were crronged, and put on arrow to show the direction that they were traveling 30. Have you ever seen this, or a similar object before. If so give date or dates and location. 31. Was onyol"le e lse with you at the time you saw the object? (Circle One] No 31.1 IF you answered YES, did they se& the object too? (Circle One) 31.2 Pleose list their names and addresses: 32. Please give the following information cbout yourself: First Name Zone State TELE PHON= NUMBER tndicote a ny additional information about yourself, including any special experience, which might be pertinent. I 33. When and t o wh:>r. d id you report that you hod seen the object? Month Yoor 34. Date you completed thia questionnaire: 35. Information which you fHI pertinent and which i1 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 can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as J!lany questions as you possibly can. The information that you give will. be used for research purposes. Your name will oot be used in connectloo with any statements, conclusions, or publications without your permission. We request .this personal information so tho~ if it is deemed necessary, we may contact you for further details. 1. When did you see the object? (Circle One): 3. Time Zone: (Circle One): G:J Eastern b. Centro! (Circ:le One): a. Day I ight Saving b. Standard c. Mountain d. Pacifi c e. Oti-:er 4. Where wer~ you when you sow the object? State or County 5. How long ... os object in sight? ( Tot:d Duration) Minutes Seconds c. Not very sure o. Certain .~Fairly certain d. Just a guettS 5.2 Was obj~:t in sight continuously? 6. What was the ;on~ition of the sky? ('(;). Bright -b. Cloudy 7. IF you sow the object during DAYLIGHT, where was the SUN located a .s you looked at the object? (Circle One): o. In front of you In back of you c. To your right d. Ta your left e. Overhead f. Don't remember FTD OCT 62 164 Thia lorm auperaode10 FTD 164, jul 61, which ia ob11olete 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): Bright moonlight Dull moonlight c. No moonlight -pitch dark d. Don't remember Don't remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): {;2 Clear s ky b. Fog, mist, or I ight rain c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds d. Snow e. Don't remember 10. :rhe object eppeared: (Circle One): a, Sol;d Q As ~light b. Trons,cr~;,t e. D~n ' t remember 11. If it oppe~rec os o light, was it bright~r than the brightest stars? (Circle One): b. D immer c. About the same d. Don't know Compar~ brig~tness to some co~:nan obiect: The edges of the object were: (Circle 01"e ): G) Fuzzy or blurr~d Like a bright star c. Sharply out! ined d. Don't remember 13. Did the object: a. Appear to stand still at any time? b. Sudclen ly speed up and rush away at any time? c. Break up into port-s or explode? d. Give off smoke? e. Change brightness? f. Change shape? g. Flash or flicker? h. Disappear and reappear? (Circle One for eaeh question) Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know 14. Did the object disappear while you were watching it? If so, how? Oiq the~c!:lject move behind something at .any time, partlcul~ly a cloud? (Circle One): Yes @ Don't Know. IF you answered YES, then tell whot 16. Did th~ :>bject move in front of something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what 17. Tell i . ., ~ few words the following things about the object: We wi sh to know the angular s ize. fidld a match stick ot arm's length in line with a known object and note how t!,e object is covered by t he head of the match. If you hod performed this experiment at the time of the sighting, how much of the object would hove been covered by the match head? 19. Draw o ;:>ief-.Jre thct will show th~ shape of the object or objects. Label and include in your sketch any details of the obiec-:-tl-:c~ you sew such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place on c:-:-ow s~nide the drawing to show the direction the object was moving. (Circle One) IF you answered YES, then what speed would you estimate? ------- 21. Do you th inh you eon estimate how far away from you the object was? (Circle One) 8 No . IF you onswered YES, then how for away would you say it was? 1:::2J... 'r!\: e,;.~-.) 22. Where were you located when you saw the object? (Circle One): o. Inside a bui lding b. In a car c~) Outdoors d. In on air?l:me (type) 23. Were you (Circle One) a. In the business section of a city? b. In the residential section of a city? @ In open countryside? d. Near an airfield? e. Flying over a city? f. Flying over open country? i 2~. IF you were MOVING IN AN AUTOMOo i :_= or other vehicle at the time, then complete the following questions: 24.1 Whet dire:~ion were you moving? (Circle One) c. East e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? .!>oC....::2~0,;....._ miles per hour .. Did you stop at any time while you were looking at the object? (Circle One) Did you observe th~ object through any of the following? a. "Eyeglasses Yes e. Binoculars Yes Sun glosses Windshield g. Theodolite Yes Window g l:1ss 26. l" order that you con give as clear a picture os possible of what you sow, describe in your own words a common object or objects which, 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. Place an "A" on the curved line to show how object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to how h igh the obiect was above the horizon (skyline) when you lost saw it. Place an "A" on the compass when you f irst saw it. Place a "B" on the compos s where you I as t saw the obiect. 28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the l poth, a ''3" at the end of the poth, ond show any changes in d irection during the course. 29. IF there was MORE THAN ONE object, then how many were there? ~--~- Draw a pictur~ of how they were crranged, and put an arrow to show the direction that they were traveling 30. Have you ever seen this, or a similar obiect before. If so give date or dates and location. 31. Was anyone els~ with you at the time you saw the object? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) No addresses: 32. P leas e give the following information about yourself: T:=LEPHONE NUMB tndicate a nx od:!i~ionat information a bout yourself, including any special experience, which might be pertinent. 34. Date you completed this questionnaire: Information which you feel 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 T h i s questionnaire has been prepared so that you can give the U.S. Air Force as much in format ion as possible concerning the unidentified oer"ial phenomenal'! that you have observed. Please rry to answer as many questions as you possibly can. The information that you give will be used for research purposes. Your name will not be used in connection with any statements, conch;s i:ms, or publications without your permission. We request this personal information so that if i t is deemed necessary, we may contact you for further details. 1. When did y ou see the object? Time Zone: (Circle One): a. Hour Minutes (Circle One): Centr.:l f Mour.tci:1 Pee: ifi :: 4. Where were y ov when you sow t he o bj~ct? Neorest ?ostol Address Stote or County 5. How long wcs object in sight? (Totol Durotion) Hour a Minutes Second a o. Certain c. Not very sure d. Just a guess . \... _Foirly certain') 5.1 How wcs Ti:r.e in sight d'!termined? Yes V No 5.2 Was objec' i~ s ight continuously? 6. What was the condition of the sky? li. 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. Overhead f. Don't remember FTD OCT 62 164 Thle form supenedn FTD 164, Jul 61, whic h