1~ DATE TIME GROUP 2. LOCATION 10 June 66 11/0l33Z Cleveland, Ohio (2 witnesses) 3. SOURCE 10. CONCLUSION J (, /(_ ~ Civilian Other (reflection) res -~ t /A.I.,f:$,..... 5. LENGTH 0~ 08SI!RVATIOpV" 11. 8RII!~ SUMMARY AND ANALYSIS 25 -30 seconds ~ . Observer noted heard loud jet noise causing him to look up. ~------------------'--~ About 4o plane lengths in front of the noted jet aircraft 6. TYPI!! OP' 0811AVATION was a bright light larger than the brightest landing light Ground Visual . on the aircraft. Observer was certain jet was pursuing the UFO. All during sighting. the light seemed to stay ahead 7, COUASI! 9. PHYSICAl. !VID!NCI! of aircraft. It appears freD the information available that witnesses sav reflection ot landing lights of jet aircraft off' of' scattered clouds. 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 aerial phenomenon that you have observed. Please try 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, conclusions, or publications withoot your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details. 1. When d id you see the o bject? 2. Time of day: --~--- Day Month Yeor 3. Time Zone: (Circle One): !:astern a . d. Pacific 4. Where were you when you saw the object? (Circle One): (Circle One): 'a: Daylight Saving b. Standard City or Town State or County 5. How long wos object in sight? (Total DJrat;on) Hours Minutes Seconds o. Certain c. Not very sure b. Fairly certain d. Just a guess 5.2 Was object in sight continuously? 6. What was the condition of the sky? _ai Bright 7. IF you sow 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 . c. Toyovrright d. To your left e. Overhead f. Don't remember FTD OCT 62 164 This form superedes FTD 164, jut 61, which is obsolete. 8 . I F you saw the object at NIGHT, what did y ou notice concerning the STARS and MOON? STARS (Circle One): MOON (Circle One): Bright moonlight A few b. Dull moonlight c. No moonlight-pitch dark Don't remember d. Don' t remember 9. What were the weather conditions a t the time you sow the object? CLOUDS (Circle One): WEATHER (Circle One): b. Fog, mist, or I ight rain Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds d. Don't remember 10. The object appeared: (Circle One): d.' As a light b. Transparen t e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): d. Brighter b. DimrT'er c. About the some d. Don' t know 11.1 Compare brightne~s t o some common object: i 12. The ~ges of the nbject were: (Circle One ): c. Fuzzy o r blurred Like a briyht star c . Sharply outlined d. Don't remember 13. Did the object: (Circle One for eoch question) a. Appear to stand still a t any time? Yes ,tiro Don't know b. Suddenly speed up and rush away at any time? c. Break up into parts or explode? Don't know d. Give off smoke? Don't know e. Change brightness? Don't know f. Change shape? Don't know g . Flash or flicker? D i sappeor and reappear? No' Don't know Did the object disappear while you were watching I . If so, how? Did the object move behil"d something a t any time, particularly a cloud? (Circle One}: Don't Know. IF you answered YES, then tell what i t moved behind: Did the object move ont of something at any time, particularly a cloud? (Circle One): Yes No LDon' t-Kn'OW.' . -.... ..,... IF you answered YES, then tell what in front of: Tell in a few words the following things about the object: We wish to know the angula r size. Hold a match stick at arm's length in line with a known obje_ct a nd note how much of th e ob ject is covered by the head of the match. If you hod performed this experiment at the time of the sightil"'g, how much of the object would hove been covered by the match head? Draw a p icture that will show the shape of the object or objects. Label and include in your sketch any det ails of the object t hat you saw such as wings, protrusions, etc., and especially exhaust t rails or vapor trails . Place on arrow beside the drawing t o show the direction the object was moving. 20. Do you think you con estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimate?.--4,: :-' . [ 21. Do you think you can estimate how for away from you the object was? (Circle One) Yes IF you answered YES, then how fo r away would you soy it was? ---------- 22. Where were you located when you sow the object ? (Circle One): 23. Were you (Circle One) a. Inside a building b. In a cor In on airplane (type) In the business section of a city? In the residential section of a city? In open countryside? Near an airfield? Flying over a city? Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle ot the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) a. North c. East e. South g. West b. Northeost d. Southeast f. Southwest h. Northwest How fa~t were you moving? miles per hour. Did you stop at any t ime while you were looking at the ob1ect? (C ircle One) Yes No Did you observe th., object through any of the following? Eyeglasses C'ie.s No e. Binoculars Yes No Sun glosses Yes Windshield Yes No g. Theodolite Yes No Window gloss Yes No h. Other 26. In order that you can give as clear c picture as possible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the same appearance as the object which you sow. 27. In the following sketch, imagine that you ore at the point shown. Place an "A" on the curved I ine to show how high the object was obOYe t he horizon (skyline) when you f irst sow it. Place a "B" on the same curved l ine to show how high the object was above the horizon (skyline) when you last sow it. Plac e on "A" on the compass when you first sow it. Place a "B" on the compass where you lost sow t he object. 28. Draw o picture thnt will show the motion that the object or objects mode. Place on "A" at the beginning of the path, o "B ,, at the end of the path, and shu~ .:~ny changes in direction during the course. I 29. IF th=re wcr.; MORE THAN ONE object, then how many were there?----------- Draw a picture of h o w they were arranged, and put on arrow to show the direction that they were traveling. 30. Hove you ever seen this, or a simila r object befqre. If so give d_ote or ~ates and location. 31. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you a nswered YES, did they see the object too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the following informat ion about yourself: TELEPHONE NU Indicate any additional informat ion about yourself, including any soecial experience, which might be pertinent. 33. When and to whorr. did you report that you hod seen the objec ~ _ Month Yeor Date you completed this questionnaire: Information which you feel pertinent and which is not adequately covered questionnaire or a narrative explanation of your s ighting. in the specific points of the