? R~:u E CT :CJ73 ~ E CORD 1. OA 1 F. T I ME GROUP 2. LOCATIO~ 11. NliHE'C R Of OBJECTS 10. CONCLUSION 5- 6 seco nd s LENGTH OF OBS~RVATION !" Tl'PE Of OBSERVATION i Ground Visual ! 7. COURSE , north-..rard ( SJ. PriOTOS i ?. P HYSICAL EVIDENCE 11. B R I g f' SUMM AR V 1\ I~ 0 A N A l,. Y ~IS to~.-:c.rd t:te no :! a nd disapp<3c.~ objects .-:ere r:~o . ..-in; quit e f a s:. a fe\i s e ccr..~ls. ':':1e ooj e ct s ... v-er~ size po~dzr puff fTD s.l P t.J 0-329 (TDE) Pr.,vioue edlti.ontl o i ;;-. {otT::J. n.a y bto Ull-'O t v{/;rli4 t(rt' ~flt, 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 aerial phenomenon that you have observed Please try to answer as many questions as you possibly con. 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 detoi Is. 1. When did you see the object? 3. Time Zone: Month Year (Circle One): a; c. Mountain d. Pacific (Circle One): (Circle One): q~, Daylight Saving (!y Standard 4. Where were you when you saw the object? City or Town Stat e or County 5. How long was object in sight? (Total Duration) H ours M inutes Seconds a. Certain c. Not very sure @ Fairly certain d. Ju~t o guess 5.2 Was object in sight continuously? 6. What was the condition of the sky? 7. IF you sow the object during DAYLIGHT, where was the SUN located a s y o u looked at the o b ject? (Circle One): a. In front of you d. To your left b. In back of you e. Overhead c. To your r ight f. Don't remember Thia f o,om !'IUp~r.-~rlots FTT> 16 4 . l u i 61. whlc!l ia obAol""'' 8. IF y o u sow the object at NIGHT, what did you notice co""cerning the STAR S and MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOO~ ( Circle One): a. Bright moonlight Dull moonlight b. No moon I ight -pitch dark Don't remember 9. What were the weather cor1ditions ot the time you sow the obiect? CLOUDS ( Circle One ): WEATHER (C ircle One): @ Clear sky b. Fog, ni :;t, or I ight rain c. Scattered c I oud ~ c. Moderat or heavy rain d. Thick or heavy clouds d. Snow e. Don'! re"'lember 10. The object appeared: (Circle One): b. Transparent @As o light e. Don't remember 11. If it appeared as a light, was it brighter than the brightes t stors? (Circle One): a. Brighter c. About the some- b. Dimmer d. Don't know Compare brightn.,ss to some common object: 12. The edges of the object were: (Circle One): a. Fuzzy or blurred b. Like c bright star c. Sharply outlined d. Don't remember 13. Did the object: (Circle One for ecxh question) Appear to stand sti II at any time? Yes Don't know b. Suddenly spe~d up and rush away at any time? YP.s Don't know Break up into parts or explode? Don't know d. Give o ff smoke? Don't know Change brightness? Don't know f. Change shape? Don't know Flash or flicker? Don't know h. Disappear and r~appeor? Don't know 14. Did the object d i soppear while you were watching it? If so, how? 15. Did the object move behind something at any time, particularly o cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what 16. Did the object move in front of something at any time, port icu lorly a cloud? (Circle One): Yes. @) Don't Know. IF you answered YES, then tell what 17. Tell in a few words the following things about the object: a. Sound n ~"Yl.i 18. We wish to know the angular size. Hold a match stick ot 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 hod 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 details of the object that you sow such as wings, protrusions, etc., and especially exhaust trails or vapor trai Is. Place an arrow beside the drawing to show the direction the object was moving 20. Do you think you con estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimote? ~ _ .. '-:r--~---- 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? (Circle One): 23. Were you (Circle One) a. In the business section of a city? Ins ide a building In the residential section of a city?[;-::_ l \. c. In open countryside? d. Near on airfield? d. In an airplane {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 What direction were you moving? (Circle One) c. East e. South 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? Eyeglasses Yes e. Binoculars b. Sun glasses Yes f. Telescope Windshield g. Theodolite Yes (No d. Window glass Yes (N~ 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, wou ld give the same appearance as the object which you saw 27. In thG following sketch, imagine that you ora at the point shown. Place on "A" on the curv~d line to :show how high the object was above the horizon (skyline) when you first saw it. Place a "B" on the some curved line to show how high the object was above the horizon (skyline) when you lost saw it. Place on "A" on the compass when you first sow it. Place a "B" on the compass where you lost sow the object. 28. Draw a picture that wi II show the motion that the object or objects made. Place an ,. A" at the beginning of th path, a "B" at the end of the path, and s~.uw. uny changes in direc~ion during the course. 29. IF there was MORE THAN ONE object, then how many were there? { -<'A~ 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 si milar object before. If so give date or dates and location. 31. Was anyone else with you at the time you saw the object? (Circle One) Yes 31.1 IF you answered YES, did they see the object too? (Circle One) Yes 31.2 Please list their names and addresses: 32. Please give the following information about yourself: Middle Name Zone Stat~ TELEPHONE NUM SEX )/;lit Indicate any additional information about yourself, including any spec ia I experience, which might be pertinent. Hhen and to whom did you report that you had seen the object? 34. Date you completed rhis questionnaire: 35. Information which you feel pertinent and whi ch is not adequately covered in the specific points of the qustionnaire or a narrative explanation of your sighting.