I 2. LOCATION . . , I t ~-NliHE\C R O F OBJECTS ~ 6. TYPE OF OBSERVATION 1 Grou nd Visual ! 7. COURSE j i ~. PrlOTOS ~ ?. PHYSICAL EVIDENCE fTO Sf P c\J 0-329 (TOE) 10. CONCLUSION BRIEF SUMMA~Y Ai-.:C AN"._'/:,;,s v ... 'ltiJ evaluu~ion. U.S. AIR FORCE TECHNICAl IH FORMA TIOrf This questionnaire hat ~Men prepared 10 that you can yive the U.S. Air Force as much information as possible concerning the unidentified aerial pheno.nenon that you hllvu oLseNeti, Pleaae try to answer as many question at you possibly can. The information that y~u ~ive wiU be u1ed few reeearch purposes. Your name will not be used in connec:tion with any st~terYteni~, cone Ius ions, or publications without your permission. We request this personal informotion 1c that if it is deemed neceesary, we moy contact you for further detoi Is 1. When did you aee the obiect? Month Yeur 3. Time Zone: (Circla Jne): a. Oayliyht So-:ioo (C lrde One): a. Eastern c. Mountain d. Pacific 4. Where were you when you saw the obiect? Neoreat Poatal A cfr City or Ton Stot '!If' CoJ"'~f1 5. How long wae obJect in eight? (Total Durotlon) Houn Mlnvte1 Second a a. Certain (~ Not_ very sure) b. Fairly certain d. Just a guess 5.1 How was time In sight determined? , 5.2 Was obiect in sight continuously? 6. What waa the condition of the slcy? 7. IF you aaw the object during DAYLIGHT, where was the SUN located as you look~d at the ob;e~t? (Circle One): o, In front of you In bock of you c. To your ri~t d. To your left e. Overhead f. Don't remember FTO OCT 62 164 Thla fo.m aupd .. PTD 16 .. , Jul 61, whleh 1s obeDlete. 8. IF Y)ll ~ow rho oba''' or NlGtil, whu, did you notece cooceming the SfARS ond MOON? 8.1 SlAt(~ .. ('Crcle One); Don't ref'!"ember 8.2 MOON (C.,r:te One): o. Bri~t moonlight b. Dull moonlight - . - "c, No moonlight--:_ pitch dark : . ~ _ : ~ r o- ~:cr. i:>an't ternembet , L, t I 9. What -...ere tne weather c:ondatione ot the time you aaw the object? CLOUDS (C,cle One): WEATHER (Circle One): a. Clear a ley. ~. Fog, mist, Ot leght roh c. Moderate or heayy rain ~ Don't ren emb~r) 10. The obiect appeored: (C~rcle One); T ronapment 11. If it app~tored as o light, woa it brighter than the brightest atars? {Circle One}: ,.0: Brighter ' c. About the aame d. Don t know 11.1 Compare brightness to ac.rne comnton obtect: 12. The edge of '" ob;ect were: !C i . c:lo c;,,) a. f UZl)' 01 blurred b. Lilce a bright stor c. Sharply outlined 13. Did the ob1ec:t: Appear to stand still at any tin:e? b. Suddenly apeecl up and rush away at on~ time? Break up into parts cr explode? d. Give off smolce? Change bri~tness? f. c ... ange shape? Flash or fliclcer? g. h. Oaaap~ar and reappear? (Circle One for each question) Yes (N;'. Don't lcnow ,No Don't lcnow \ No. Don't len ow : No Don't know >No Don't lcnow No Don't know (No Don't lmow No Don't know 14. Did the object disappear while you wr.rc 1atching t'? If 15. Did the obiect move behind 5ometh1ng at any time, porticulllrly a cloud'! (Circle One J: Ye$ Don't Know. IF you llswered Y [~,, them '"" ~hot it moved behind: 16. Did tho obieet move in front of Rmething at any time, pruticularly a cloud? (Circle One): ( Yes/ No o~nt Know. IF you answered YES~ th~.-. ~" wi,Jt 17 . Tell in a few words the following things about the ob;ttct: We wish to know the angular size. Hold a match sti..:k at arms length in lintt with a known "bio:t one' ,:,.;r ' j k much of the obiect is covered by the head of the match. If you had pvrforrned this experiment at thtt tir.-,.,; . i L!! sightins., how much of the object would have been covered by the match head? c-.,. J i t? .:JV -tJ:Y'w 19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any detc.;ls of the object that you saw such a wings, protrusions, etc., and especially exhaust traih or vopor traila Place on arrow beside the drawing to show the direction the obiect was moving ~. Do you think you can estimate the sp~Hd of the object? (C ire /e One) IF you answered YES, then what speed would you eatin.ote'f ~/_%_,~-' _. -=-- _: '. ( ' 21. Do you think you con estimate how far away from you thet object wos? (C irde One) IF you answered YES, then how for away would you say it was? ----------- 22. Where were you located when you saw the object? (Circle One): o. Inside o building b. In o _c.or l c. Outdoors .~ d: -rnon airplane (type) 2~4. Were yo"' (Citclo One) a. ir; the busine-ss section of a city? (b. lr. th.~ residential s\tctic. ~To-e~ c. In Of>'-" country~ide? d. N"ar an oirfie ld? e. Flying over a city? f. Fly ;n~ over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t~e followir.g queationa: 24.1 What direction were you Moving? (Circle One) a. North C:. East e. South 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 loolc ing at the obiect? (Circle One) 25. Old you observe the obiect through any of the following? a. Eyeglaaaes Yea No Binoculars b. Sun glasaet Telescope Yea No c. Windehield Theodolite d. Window glass In order that you can give 01 clear a picture as possible of what you saw, describe in your own wcrcfs o cochmCNt obiect or obiecta which, when placed up In the alcy, would give the same appearance as the obiect which ) 'OU 10~ In th followlnt alcetch, lmoglrte tht yo" ore ot the point tho" fllac:e a" 'J..'' on '~' r.urv.,.~ I tru~ to a now ho high the oilect woa a~w the horl1on (akyllne) when yc,u llrt sow lt. Ploc,.. .. 8 .. on the 1.1me r.;ur.,ed lin. SC' ahow how high the obiect was abcwe the hcwlzon (akyllne) when ~nu last IU1w it. Place wn f..'' on the ~ompos whe" you llr1t aow lt. Ploce o "B" on the co,. where you lo1t aow rt ohiect. 28 . Draw a picture that will ahow the motion that the obJect or objects modo. Place an .. A at rhe beglnni;19 ut 1he path, a "8" at the end of the path, and show any changes in direction during the C:)Urae 29. IF there waa MORE THAN ON! oltJ.ct, then how Nrty were there? - Draw a pletur of how they were orrangecl, anc:l put a" arrow to ahow the direction that they were traveling 30. Hove y_, '"" thia, a aimi lor obieet bef If ao givt date or dot ond locotlon. 31. Was anyo,. elae with you at "- time you sow the o~ict? (Circle One) 31.1 IF you anawertd YES, did they the obiect too? (Circle One) 31.2 PI lilt their nome end addreaaea: 32. Please give the fell lftl lnfernatlon about youraelf: TELEPHONE NUMBE '"llcote ~ ..WitleMI lnfor..-lon about youraelf, Including any apeclol experience, whlc., might b. pertlntnf 33. When arMI to whcwH did you ,.,_t that you had aeen the object? lot. Date you co"'pleted thia queatlannalre: 35. Information which you feel IMnt and which Ia not adequately covered in the apeclflc polnta of the queatlonnoire a ve explanation of your alghtlng.