1. D A TE T IME GROUP 3. !iOII IKE .4. NUMBER OF OBJECTS 11, \-I!NOTH OF OlU~RVATIDN TYPE OF OBSERVATION 7, COUR5C: rHYSICAL E VIDENC E 2. LOCAT IO N 10. CONCLU SION 11, BRIEF iUMMAitY AND ANAL Ylit~ t f o.J o ulinl<~ll.; r:TO HrAJ0-129 (TDE) c:L If you ... o w t eo ob,l"c t a ! ~IGHT, wnat d1cl you nonce conce rn 1ng the S TARS and MOON? 3.1 STA~S Ctrcle One): . Don't r e me mber 8.2 MO O N (C~rcle One). ...... -, a.-B right moonligbV b. Dull moonlight c. No moonlight -pi tch dar k d. Don't remember 9. What were th~ w'!'OT!-er ;::onditions at the t ime you sow the object? CLOUDS ( Cir:t!! ..VEATHER (Ctrcle One): o. Clear sky_> b. Fog, -nist , o r I ight ra1n C. oY\Oder ate o r heavy rain -Scattered c I cuds Thick or he-:vy : e. Don't remember 1 0. i h e obi ec t o ppecr'!d b. T ranspar n '!. Dol"'' t re 'T"e m b e r b. D 1mmer - edge s oi tr.~ coi e:: (Ctrcle One J. a. F u z:.y or ::urred b. !.. ~'! o br dht star c. Si-or:>lv outl1ne d :i. :):>n' t re l'l"ember :1. Aooear t:> sonc s till o r any t ime ? Sudde n ly 'i :: .. ,..d uc and rush a way <.:. Sr'!o~ J O ,, .J oots or exo lode ?' n':lnge br1C'ntn'!~S? f. r:nanc;e -;hope' c . A~out 'the s ome ( C:rcle On .. fo r eoch question) ::t r,n y ti-ne ? O o n't know Don' t know D;::Jn't know Don't know 20. Do you IF you answer e d Y::S, men how for away would you soy it was. 22. where were ycu locoted whe n you sow the obrect ? IC ~rcle One): o. Inside o budding o. In o cor ~ . Outdoors~ In an a ir plane (tyoe ) 23. Were you (C~rcle One ) In the business section o f o city? In th e residential section of o city? In open countryside ?:::J Near on airfield? Flying over o city? Flying over ope n country? ~.i. ir you were ;OVING l'l ~N ~JTOMOBILE or other veht ;: l e at the time , then complete the following questtons: 2J. I What dtrec>to n T'OV i ng? a . Nor th c . East e. South g. West Nortl-ecs: d. Southeos f. Southwest h. Northwest 24.2 How fast were ycu no" ~g? ties ;>e r hour . 2J.3 Did you sro::> c t an)' t ..,~ while you wee lool<ing ;;; the object? Circle Q,.,e ) 25. O td you observ~ ne object through any of h e following? a . Eyeglasses Yes e. Binoculars Yes cflfo; b. Sun siosse s f. Telescope Yes eNg) .... i -dsn e ld Nhco .... g loss g. Theodolite f Yes CNo:, 26. 1"1 order ~ot ,-:>u con give as clear a picture as possible of what you sow, descr ibe in .your own words a common .,b ct o r obp~-s which, when place up in the sky, would g 've the same appearance as the object which you saw 27. In the following skstch, imagine that you are at the poin t .shown. Place an "A" on th e curved lin to show how high the objec t was above th e horizon (sky l ine ) when you first sow it. Place o "B" on the same curved line to show how high the object was above t he horizon (skyline) when you lost saw it. Plac-;, an "A" on the compass when you f irst saw it. Place a "B" on the compass where you lost sow the object. 'J~ f!J sTnt i Jt.T :s . .Jrcw a p icture trot wrll show tL,e mot ion that the o b ject o r o je cts made. Place on "A" a t the beginning of th. poth, a " B" or the ~nd of th e ;:roth, and slru-. .:.ny change n d irection durrng the c ourse c A e MCTEL 29. IF ti-ers ..-as MORE THAN O,._.E object, then how many w~re rhere? :: ::=:::::: ::: .,.~!A:'?~:/ Draw o :lctur~ or "'o"" the y ""ere arranged, ond put on ~row to show the direction that they were traveling jPj'tf <t~ :.omilar ob:~-: 'oefor:;:. , f"tJs onycn~ eo e ,...ith you ur the ~ime yot.. 31.1 IF you answered YES, did they see t h e object too? ( Circle One) 31.2 P lease ios : '1etr names and addresses; 32 ?tease give tne '"J:Io w tng tnfcrmotton obou; ;?ur Smf' 70t>rJ. J >l(czLL .. lev> fojr:..!..A)J-~ 34. Date you completed th i' questionnaire: 35. 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. )ife c ~t.AI s& . be.f"o1'e rr p heS US _NTO . twD C::o tn ,'JY J /CJ tnivEviA)" .tJJe -3o CJD 5 tR A I G H I up . CJ ;SJ EC/ U.S. AIR FORCE TECHNICAL IH FORMATION T hs questionnaire has been prepared so that you con g ive t he U.S. Atr Forc e os much informot1on as possible concerning the unidentified aerial phenomenon that you hove ob5erved. Please try to answer as many questions os you possibly con. The information that you give will be used for research purposes. Your nome w i ll not be used in connection with ony statements, conclusions, or publications w ithout 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 t ne object? 2. Time of day: 3. T ime Zone: (Circle 0-:e,. :J. eastern (, b.J;,arrnl ~ c. Mountain '!. Pacific ( C ircle One): ( Ci rcle One): a. Daylight Saving b. Standard srats or Counry 5. how long was ooject in sisht ? \ T oto I Durot o" l Minutes Seconds o . Cerrain c . Nor ve ry sure (b. F a irly certay -d Justo 9~2 J ,}' j ~ "cs cbject i.., s ight continuously? Yes Y No _ 6. What was -,e c o nd11ion of the sky? !:1. Cloudy 7 . IF you s e w rhe ob ject during DAYLIGHT, where was the SUN located as you looked a t the obj"ct? ( C 1r:le One): a . In front o f you d. To your left b. In bock of you c. To your right e. Overheod f. Don't remembe r ,;:r o "CT 62 lod 14. Did the object disapoear while you were watching it? If so, how? 15. Did the object move behind something a t any t ime, particularly o cloud? (Circle One): Don' t Know . IF you answered YES, then tell what it moved behind 16. Did the object rr.ove in front o f so.,.,ething a t any time, particularly o cloud? (Circle One): Yes Don't Know. IF you answered YES, then te ll what Tell in a few words rhe following things about the ob1ect: J s ::overeo -:J'I the head or t'-le match. If y ou hod perfor med this exoeriment o t the time o f the 19. Draw:: o cture rot will show the shape of t!-le ob1ect or objects. Label and include rn your sketch any details of he obtect the: you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Pice:~ an a rrow beside the drawing to show the direction the object was moving.