PROJECT 100/3 ReCORD 1. f-A 1 F. i" IME G~OUP 2. LOCATION Philadeliphh, J. ouncE .1. NUHBCR OF OBJECTS !.i. LENGTH 0 F oas: RV ._ TION Varied . TYPE OF 09SERVATION Grou .. :1d ~. PtiOTOS 9. PHYSICAL EVIDE ~C! 10. CONCLUSION (other) INSUFFlCIEi. : f.~'irl'A FOH EVALUATION 11. BRIEF 5Uw-4ARY AND ANALYSi S 30. Hovo you over seen this, or a simi lor obj1:ct b~tore. If so give dc:ll or d otes and lucation 31. War. ony:).-c olse with you at the time you sew the object? (Circle One) IF y ~u answered YES, did they !>C~ the object too? (Circle One) 32. Pieose : v tho following informctio-: ~Sout yourself: TE LE ?;-' .:>~E NUMB Mldd le Nome indi-:ot;o .:::.- 1 c d ditio:1al inforrr:oti~. c~out yourself, including ony special experionco, whic:h might I pertinent. CU iC;Jort th,,t y o'..J Dcht you tom?l"tod thi$ quostionnoir": 34. lnformoti:>n whic:h you f~ol portinont and whkh is not odcquctoly c:ovorod in tho SPQc:ific points of the quostlonnairet or a narrative oxplcnation 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 infor,ation 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 na_me 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 d id yov see the object? 2. Time of day: - -L-- 3. Time Zo~e: (Circle One):~ftastern b. Central c. Moun to in d. Pocit rc (Circle One): (Circle One): ~Daylight Saving b. Standard 4. Where ~er~ 1ou when you saw t he ol::j~ct?, .; Necusf Postal Address City or Town State or County S. How long wos object in sight? ( Toto! Duration) Hours Minutes a. Certain c. Not ve~ sure b. Foirly certain d. J,Yst a guess 5.2 Was o b i': = i., sight continuou sly? 6. What was t:,e condi t ion of t~e s ky ? "a_:) Bright "-b-. Cloud'/ 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 FTO OCT 62 164 b. In back of you c. To your r ight d. To your left e. Overhead f. Don't retlember 8. IF you saw the object at NIGHT, what did you notice cc-.cNning the STARS and MOON? 8.1 STARS (Circle Or.e ): 8.2 MOO~ (Circle One ): Bright moon I ight Dull moon I ight c. No moon I ight -pitch dark D:n' t remember Don't remember 9. What w~re t he weath~r ~onditions at the time you saw h~ objer:t? CLOUDS ( Cttcle OneJ: ! a:,:-.clear sky c. Scotter~3 ~loud r; d. Thick or ;,eavy cbuds WEATHE~ (Circle One): b. Fo9, r1i :;t, or light r~in c. Mod'!rllt-nr heavy rain 10. The object O,:)peored: (Circle One): d. A s a l ight e. Don ' t remember 11. If ir op~e~rec ~s o ligh~, was it bri ghter than the brightest ~tors? (Circle One): ,a. Br i :hter c. About the sa"T'It" b. D i :':'i ~er d. Don't know 11.1 Compore_ brightn..,ss to some co~1.1on object: .- 12. The edges ~f r.,~ obiect were: (C irc:le Or~): :::. Fuzzy or bl urre: b. L il<!!" r briyh r s tar c. S~orply outlhe d d. c~,..'t remember 13. Did the obiect: a. Appear t o stand sti II nt any time? b. Suddenly soeed up and ru~h away at any time? c. Break up into parts ~,. exolode? d. Give off s~ok"!'? e. Change bright,'!'ss? f. Change shape? g. Flash or flicker? h. Disappear and r~oppecr? (Circle One for each question) 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? 15. Did the obj~ct move behind something at any time, particularly a cloud? (C;rcle One): Ye~ (N:;' ' Don't Know. IF you answered YES, then tell what it mov~d behind: 16. Did the ob;~ct move in front of something at any time, particularly o cloud? (Circle One): Don't Know. IF you answered YES, then tell what Tell in o f~..v words the following t+: ings about the object: .;- 18. We wish to k~ow the angular size. Hold a match stick at arm's length in line with a known object and note how much of t h e oSiect is covered by th e 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 a p icbre lie:~ will show t he s~ope of the object or objects. Lobel and include in your sketch any details of the object ~ot you sow such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow ::.eside the drawing to show the direction th' obiect was moving. 20. Do you think you can estimate the speed of th~ obiect? (Circle One) IF you answered YES, then what speed would you estimate? -------- - Do you think you con estimate how for away from you the object was? (Circle One) Yes No ..-r ...... ..th / (rd IF you answered YES, then how for away woul;you say itQas? _ _ 22. Where were you located when you sow the object? .(Circle One ,l: 23. Were you (Circle One) a._. In the business section of a city? (b~--)n the residential section of o city? a. Inside a building c. In open countryside? d. Near an airfield? "b."\ln a cor c. Outdoors d. In on o iplane (type) e. Flying over a city? f. Flying over open country? 24. IF you we-~ MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What ~irection were you moving? (Cirde One) D b. Ncrtheast d. Southeast f. Southwest h. Northwest 24.2 ' How fast were you moving? ---r-, _ u.;;;;._ miles per hour. 24.3 Did ~ou stop at any time while you were looking at the obiect? (Circle One) (Ye~J No 25. Did you observe the object through :2ny of the following? a~ Eye;lcss~s b. Sun g lo s ieS c. Windshi~= (d..)indow ~ :ss Binoculars Theodol it~/. 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 obiects which, when placed up in the sky, would give the same appearance as the object which you saw In the following slcetch, imagine that you are at the point shown. Place an "A .. on the curved line to show how high the object was above the horizon {slcyline) when you first saw it. Place a "B'' on the same curved line to show how high the obiect was above the horizon (slcyline) when you last sow it. Place an "A .. on the compass when you first saw it. Place a "B'' on the compass where you last saw the object. 28. Draw a picrure that will show the tT:ction that the obiect or objects made. Place an "A" at the beginning of the path, a "6 ,, at the end of the path and s!,un -:.ny changes in direction during the course. 29. IF there was MORE THAN ONE obj~ct, then how many were there? ----4--------- Draw a pictve of how they were orr~nged, and put an arrow to show the direction that they were traveling. 30. Hove you ever seen this, or a simi lor obiect before. If so give dote or dote s and location. 31. Was anyone else with you at the time you saw the obiect? (Circle One) 31.1 IF you answered YES, did they see the obiect too? (Circle One) 31.2 P le ose list t 32. Please s;ive the following information about yourself: Middle Nome Indicate cr.y additional information ::~ut yourself, including any special experience, which might be pertinent. When and to whorr. d id you report that you had seen the obiect? Date you completed this questionnaire: 35. Information which you feel pertinent and which is not adequotoly covered in the specific points of the questionnaire or a narrative explanation of your sighting.