) 3 . SOURCE ! C i vi li~:.:'l l e.bot:.t 2 0 ,: =.SE RVA TION TY?E O'F ~SS2~VATION PHYSICAL ~ v.::, =}.;CE PROJECT 1C073 RECC.~D LOCATIO:-.: 10. CONCLUSION Ptovloua cC:.t..:~::; of thi~> form c :.'/ bo u :;cc. 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 aer.ial 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 wi II not be used in connection with any statements, cone l1.1s 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. When did }' ou see the object? 2. Time of day: ----- 3. Time Zone: (Circle One):('a. t:astern - b. Central c. Mountoin d. Poe iTi~ 4. w re w you when you saw the ob ;ect? 5. How long was object in sight? (T ol Duration) a. Certain r b .. F oirly certain (Circle One): (Circle One): .. ~Q,, Daylight Saving c~:.) Standard City or Town State or County Hours Minutes Seconds c. Not very sure d. Just a guess 'L. c1 c IC: 5.2 Was obje:t in s ight continuously? 6. What was t ::::>nd 1ti on of the sky? ,...._NIGHT 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you In back of you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thla form auperaed .. FTr> 164, jul 61, which is obotete 8. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One J: 8.2 MOON (Circle One}: a. Bright moonlight b. Du.ll moon I ight cc; No moonlight-pitch dark c(. Don't remember 9. What were the weather conditions at the time you sow the obiect? CLOUDS ( Circle One}: a. Clear sky c. Scattered clouds d. Thick or heavy clouds WEATHER (Circle One): b. Fog, mist, or light rain c. Moderate or heavy rain e. Don't remember 10. The object appeared: (Circle One): e. Don't remember b. Tr~n S?~=-~nt 11. If it oppear~d os a fight, was it bri;l-,t~r than the brightest stars? (Circle One): ~. 8.-i;hter c. About the some b. D immer d. Don't know Corr.pcre brightness to some common obiect: 12. The edges of t:--e object were: L t: s s J3 ~ t G~t t r (C irc!e Or.~): o, Fuzzy or blurred b. Like a bright stor ::. Sharply out I ined c. D~n't remerr.Ser 13. Did the object: (Circle One for each question) a. Appear to stand still at any time? b. Suddenly s~eed up and rush away at any time? c. Break uo ir"to ports or explode? d. Give off sn oke? e. Ch-:lnge brightness? Don't know Don't know Don't know Yes No" Don't know Don't know f. Change shape? g. Flash or flicker? Don't know Don't know Don't know Disappear and reappear? Did the obiect disopoenr while you were watching it? If so, how? /' I 15. Did the object move behi~d something at any time, particularly o cloud? (C ire le One): Yr.~ J No Don't Know. IF you answered YES, then tell whot Did the C>l::ect move in front of s o mething atony time, particularly a cloud? (C ire le One): Yes Don't Know. IF you answered YES, then tell whot i e !I in 0 rew words the following f., i ngs about the obiect: We wish to know the angular size. Hold o match stick at arm's length in line with o known obiect and note how much of the object is covered by th e heod of the match. If you hod performed this experiment at the time of the sighting, how much of the cbjeet would hove been co~ered ~,Y th~ match~ head? 19. Draw a p ie rure ~:,~twill sho w the shape of the obiect or obiects. Lobel and include in your sketch any details of the obiecr t you sow such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place on crr::>w ~side the drawing to show the direction the obiect was moving. Do you think you can estimate t eed of the obiect? (Circle One) Yes No IF you answered YES, then what speed would you estimate? _;2' ~--:_..-f_(} 21. Do you think you can estimate how far away f~om you the obiect was? ( C;rcle One) IF you OT'!swered YES, then how far away would you say it was? 22. Where wer~ you located when you sow the object? 23. Were you (Circle One) (C ire /e O.,e ): a. In the business section of a city? a. Ins ide o building (')In a cor c:~.)n the residential section< a city? c. In open countryside? S V [3U (~ t-s c. Outdoors d. Near an airfield? d. In an a irplane (type) e. Flying over a city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 Whot d irection were you movin~? (Circle One) b. Northeast c. ~ ost e. South f. Southwest --h. Northwest d. Southeast 24.2 How fast were you moving? -_.3 -::... ,miles per hour. 24.3 Did you stop at any time while-you were looking at the obiect? (Circ le One) 25. Did you observe the obiect througn 0!1Y of the following? C_A-f~ E.NG-1 N E . J ~-cl OC) T, Eyeglasses Yes No e. Binoculars Yes No b. Sun gloss~s Wind sh :~ id {Yes,., No Telescope Yes No Theodolite Yes No Window ;loss In order that you can give as 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 sky, would give the same appearance as the object which you saw. 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 object wos above the horizon (skyline) when you First saw it. Place a "8" on the same curved line to show how hi~h the obiect was above the horizon (skyline) when you last saw it. Place a!" "A" on the compass when you first sew it. Place a "8" on the compass where y-ou last saw the obiect 28. Dr ow a pict~.:re that wi II show the rroot ion that the obiect or obiects made. Place an "A" at the beginning of the potn , a "B" ct the end of the path, ~--d sh"'~ ~ny changes in direction during the course. IF there wcs MORE THAN ONE object, then how many were there? ~ _,. 0 '\..., <L Draw a pic re of how they were orr"l"''ged, and put an arrow to show the direction that they were traveling. Have you ever seen this, or o simi lor obiect before. If so give date or dates and location. 31. Was anyc-n~ e :se with you at the time you saw the obiect? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) 31.2 P lecse list their names and addresses: 32. Please g iv~ the following information obout yourself: NAME I I ' First Nome Middle Name ( :f NCf I~IIA 7-/ TELEPHON:: NUMBE Indicate cr"y cdditionol information obout yourself, including any special experience, which might be pertinent. When and to wh~r-: did u re rt that you had seen the object? Day nth Year ~. Date you completed this questionnaire: 35. Information whic:h you f .. l pertinent and whic:h is not adequately covered_ in the specific points of the , queetlonnaire or a narrative expl~notion of your sighting. _ 5 August 66 Conversation with .... ot Barnes Aerial Advertising, Winchester, Kentucky concerning the observation er an UFO ever the Cincinnati area. was flyin~ at the time of the sighting advertising for Avis Rent-a-car. He was in the air between 2100-2230. On the bett.m or his plane is a seriws of lights. From ither side er the aircraft in the distance the advertising appears only as a row of blinking wBite