erA 1 F. liME GROUP 2. LOCATION Cinclnn3ti, CONCLUSION NU~H\E R OF OBJECTS LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS : rj n ul'.e r; T'I'PE OF OBSERVATION GrOth'ld Visua l rHYSICAL EVIDENCE fTD Sf P 6 3 0329 (TOE) Prnloua edition or thle fo1w .. Y be u .. d. U.S. AIR FORCE TECHNICAl. IHFORMATIO~ This questionnaire hat been prepared ao that you can yive the U.S. Air Fore as much information as possible concerning the unidentified aerial phenonenon that you hnvu oLserv~tti, Please try to answer as many questions aa you possibly can. The information that y~u ; iva witf be uaed for research purposes. Your name wi II not be used in c onnec;tion with any St'=Jtenten1;;, conclusions, or publications without your permissior:. We request this personal lf'formotion tc that if it is deemed necessary, we may contact you for further detai Is. 3. T ime Zone: (C lrcle One): c. Mountain d. Pacific 4. Where were you when you sow th obJect? ( C 1rcle One): A.M. or (Circ/(1 L1ne); a. Daylight So..-inr; b. Sto.,dard Neareat Paatal Addr City or Toown 5 . How long waa oblect in sight? (Total Durotton) o. Certain Fairly certain 5. 1 How was time In sight determined? 5.2 Was obiect in sight continuously? 6. What was the condition of the aky? c. Not very sure d. Just o gues1 _ (if~::)c I oudy 7. IF you sow the object during DAYLIGHT, where was the SUN located os yoo look~d a~ the obie~t? (Circle One): o, In front of you In bock of you c.. To your rlg,t d. To your left \..) ~ e. Overhecd '1"\ f. Don't remember F TO OCT 62 164 Thle fornt auper .. d .. PTn 164, Jul 61, twhleh b o bat)lete. 8. IF you ~uw tho ob1ect at NIGtiT, wh()t did yo.J n otac.e concerning th STARS and MO~? 8.1 S 1 A . fC rrcle One}; 8.2 MOON (C.ircle Oml): a. Bri~t moonlaght d. Don't remember b. Dull moonlight CC::'No moonlight -pitch dark d. Don't remember 9. What .,..,,. the ~ather condetionl at the tl"' you saw the objec-t? CLOUDS (C~rde One): WEATHER (Circle One): a. Cl.ar aky b. t-ta.1y b. r og, mi sf, 01 leght rai,. (fJ s~atte:ttd cluud ~ c. Moderate or heawy rain d. Thac ~ he\Jy cbud Don't remember 10. The obittct appeared; b, Tronspment (Circle One)~ (t) As c light e . Don't ranaamber 11. If it appeared oe a light, was it brighter than the brightaet stars? a .. Brighter @About the same b~ D i mn:er d. Don't know 11.-1 Compare lwightn to-IOtna common obiect: (Circle One}: 12. The edge of fhe obiect were: o. fuzzy 01 blurred ~ Like a bright star '. Sharply outlined d. Don t remember 13. Did the ob1ect: o. Appear to stand still at any time? b. Suddenly speed up anc:l ruth away at any time? c. Break up into porta Of explode? . d. Give off smoica? e, Change brid1tness? f. Change .shape? g. f laah or fliclcer? h. Oiaap~cr and reappear? (Circle One for each question) Don't lcnow Don't lcnow Don't lcnow Don't lcnow Dcn't know Don't know Don't lmow Don't know 14. Did the ob,(tct disappeur whil6 you wr.rc. 1atch ing t ? If ~o, how? 15. Did the object move behind somethtng at any time porticul1.1rly a cloud! (Circle On" 1: it moved behind: 16. Did tho obiu~t move in front of fjlo)methmg at any ttme, particularly a clolJd? (Circle One): Yes @ Don't Know. IF you answ~red YES. th~ . ~n wj, .... , 17. Toil in a few words the following things about the obiect: We wish to know the angular size. Hold a match stick at arm's length in lin~ with a known Lobjo:t and w :J ' j lr much of the obiect is covered by the head of the match. If you had pvrforrned this oxJJeriment at thb ti,-,;; ' l.~ sighting, how much of the ob;ect would have been covered by the match head? 19. Draw a picture that will show the <Jhop~ of the obiect or objects. Label and include in your aketch any det()il~ of the obieet that you saw such aa wings, protrusions, etc., and eapecially exhaust trails or vapor traila. Ploc& on arrow beside the drawing to show the direction the object was moving 20. Do you think you con e~timate tha speed of the objcr? (Circle One) Yes ,~o, IF you answered YES, then what speed would you eltirr.ot ~ ------.. 21. Do you think you can estimate how far away from you the object was? (Circ:le One) Yes ~ IF you answered YES, then how for away would you say it was?------------ 22. Where were you located when vou saw the oblect? (Circle One): o. Inside a building b. In a car ( butdoors d. In on airplane (type) 23. Were you (Citclu Omt) a. in the businass section of a city? (f;; 1r. rh(t residential suet i~,, .;, r n city? c. In op(ln country ~ide? d. N!!ar on airfield? e. Fl)-ing over a city? f. Fly;ns; G"ter opeo country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete tha folfowil,g queatiotta: 24.1 What direction were you ~noving? (Circle One) a. North c. East b. Northeast d. Southeast f. Southwest h. Nortnweat 24.2 How fast were you moving? miles per hour 24.3 Did you atop at any time while you were looking at the obiec:t? (Circle One) Yes 25. Did you obaerve the obJect through any of the following? a. Eyeglaaaea e. Binoculars b. Sun glasses c. Windshield Theodolite d. Window glaas 26. In order that you can give aa clear a picture as possible of what you saw, describe in your own words o com"'Of' object or obiecta which, when placed up In the sky, would give the same oppeorance as the object whleh ) ' OU ao hlgh the ot,lect woa above the horl1on (tkylln) whe n yc,~ llrJt sow It, Ploctt I'J "8 .. on th.., a.1rne c;ur.,ed line h show how high the obiect wos above the horizon (sky lin) when ynu last ~CJw it. Place un '~.' on the c.ompns whe" you ,,,.,lOW lt. Place o "B" on the comp011 where you last saw tt. ohjeet. 28 . Draw a picture that will show the motion that the object or obiects mado. Place an .. A ' ' at thfl beglnni~1A ut ~he path, a "8" at the end of the path, and 1how any changes in direction during the ~ou,.e, 29. IF there waa MORE THAN ONE obJect, theft how tnany wer there? \ - Draw a picture of how they were arro"ged, and put an arrow to show the direction that they wert~ travtt!ing. elee with you at ftte time you saw the obiect? (Circle One) IF you onawered YES, dJd they tee the obict too? (Circle One) PIHM Uat their names encl addreseea: 32. Pleoae give the fellowint lnfrnatlon about yourself: M1441e HeMe htdlcote ~ -'dltiOftal lnfor,.tlon about younelf, Including any special experlenc~, whJ:h might be ptrtlnnr . 33. When and te whom dlc:f you reJ*t that you hod n the obiect?