J DATE T'ME GROUP PROJECT 10073 RECORD 2. LOCAnON Ci v i:}J.D.n .c. NUMBER OF OBJECTS 1 J..i.amis bur a, Ohio 10. CONCLUSION (3 lli tnc s scs) SATELLITE \,/ LENGTH OF OBSERVA nON 20 Ninutes TYPE OF OBSERVATION Ground-VisuDJ. 9, PHYSICAL EVIDENCE FTD SEP63 0-329 (TOE) Obs erver s object brit;hter NE. Object the birghtest n whito light of a s a t ellite 8. IF you saw tfte object at NIGHT, what did you notice concerning the STARS and MOON? STARS (Circle One): d. Don't remember 8.2 MOON (Circle One): (d.) Bright moonlight b. Dull moon I ight c. No moonlight-pitch dark d. Don't remember What were the weather conditions at the time you saw the object? CLOUDS (Circle One): a. Clear sky c. Scattered c I oud s d. Thick or heavy clouds WEATHER (Circle One): ' b. Fog, mist, or I ight rain c. .~oderate or heavy rain e. Don't remember 10. The object appeared: (Circle One): b. Transparent @As a light e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): )Brighter c. About the same b. Dimmer d. Don't know 11.1 Compare brightness to some common object: 12. The edges of the object were: (Circle, One):~. Fuzzy or blurred (_b~ Like a briyht star c. Sharply out I ined d. Don't remember a. Appear to stand still at any time? (Circle One for each question) Don't know b. Suddenly speed up and rush away at any time? Don't know c. Break up into ports 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? Don't know h. Disappear and reappear? Don't know U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the u.s. Air Force OS 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 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 you see the object? Day Month Year 3. Time Zone: (Circle One): (a.~ tastern ~. Central c. Mountain d. Poe ific (Circle One): (Circle One): a. Daylight Saving b. Standard 4. Where were you when you saw the object? Nearest Postal Address City or Town State or Ceunty 5. How long was object in sight? (Total Duration) a. Certain Fairly certain How was time in sight determined? 5.2 Was object in sight continuously? 6. What was the condition of the sky? c. Not very sure Just a guess 'b. 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 back of you c. To your right d. To your left e. Overhead f. Don't remember 14. Did the object disappear while you were watching it? If so, how? 15. Did the object move behind something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what it moved behind: 16. Did the object move in front of something ot any time, particularly a cloud? (Circle One}: Yes No Don't Know. IF you answered YES, then te II what in front of: 17. Tell in a few words the following things about the object: 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how much of the object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of the object would have been covered by the match head? 19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any detai Is of the object that you saw such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving. 20. Do you think you can estimate the speed of the oLject? (C ire le One) IF you answered YES, then what speed would you estimate?_------- 21. Do you think you can estimate how far away from you the object was? (Circle One) IF you answered YES, then how far away would you say it was? --------- - 22. Where were you located when you saw the object? (C ire /e One): 23. Were you (Circle One) a. In the business section of a city? a. Inside a building b. In the residential section of a city? b. In a car r ...... Outdoors - In an airplane (type) c. In open countryside? d. Near an airfield? 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 What direction were you moving? (Circle One) a. North c. East e. Sou-th g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? .miles per hour. 24.3 Did you stop at any time while you were looking at the object? (Circle One) Did you observe the object through any of the following? a. Eyeglasses Yes No e. Binoculars Yes Sun glasses c. Windshield Yes Theodolite Window glass 26. 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 g ive the same 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 I ine to show how high the object was above the horizon (sky I ine) when you first saw it. Place a "B" on the same curved I ine to show how high the object was above the horizon (skyline) when you lost saw it. Place an "A" on the compass when you first saw it. Place a "B" on the compass where you lost saw the object. 28. Draw a picture that wi II show the mot ion that the object or objects made. Place on "A" at the beginning of the path, a "B" at the end of the path, and s!auft ~ny changes in direction during the course. 29. IF there was MORE THAN ONE object, then how many were there?----------- Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. 30. Have you ever seen this, or a simi lor object before. If so give dote or dates and location 31. Was anyone else 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) 31.2 Please list their names and addresses: 32. Please give the following information about yourself: First Name Middle Name TELEPHONE NUMBER Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When and to whom d id you report that you hod seen the object? 3~. Date you completed this 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 8. IF you sow the object at NIGHT, what did you notice co ... cf'rning the STARS and MOO~? 8.1 STARS (Circle Or.e ): 8.2 MOO"' (Circle Ont>): (a.'\ Bright moonlight b. Dull monnl ight c. No monnlight -pitch dark d. Don't remember d. Don't remember 9. What were the wenther ~onditions at the time you saw h.-object? CLOUDS (Circle One): WEATHF:~ (Ctrcle One): a. Clear sky :--1i:;t, or I ight roin ( )Scattered cloudc; Moder(]t"' nr heavy rain Thick or heavy c buds d. 10. The object appeared: (Circle One): @ As o light b. Transparent e. Don't remember