~ t<UJt:l. I IUU/ J t< t:LUl'(U I' [A.1F. "TIME GROUP 2. LOCATION . , I 15 Nov 66 l530Z Doyle sto,;mJ i'0i.t . 10. CONCLUSION INSUF'F'ICIEi'iT ft' 1.. ... 10 ;-:vALUATION f-i. NlH~E\ E R OF OBJECTS !i. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND A ALYSS 6. TYPE OF OBSERVATION Air Visual PHYSICAL EVIDENCE fTD S f P 6 3 0-329 (TOE) Preloua adlUOfta of thla fowm mal' be ue~d. U.S. AIR FORCE TECHNICAl. IMFORMATI01~ Thia que,tionnoire hot been prepared 10 that you can yive the U.S. Air Force aa much information as poasible concerning the unidentified oenol pheno1nenon that you hnvu oLr.erYeci. Please try to answer aa many questlont 01 you pC'Issibly c:on. The information that )'C;U give wiU be uted for reaeorch purposes. Your norM will not be usecl in connc.tion with any st~ten .. ni:.a, conclusions, or publications without your permission. We request this personal lnform~tion 1c that if It is deemed neceasary, we may contact you fur further detai Is. 1. When did you the object? Hl'lut Minutfla 3. Time Zone: (C lrcle One): Eastern c. Mountain (Circl" ~.,1ne): a._Doy. ht SG\'t"O (" Standar d. Pacific 4. Where were you when you saw the obiect? Nearest Postal Addreaa C ity or Town S. How long waa obJect in sight? (Total Duration) a. Certain_.. Fairly certain How was time In sight determined? Wot obiect In sight cantlnuoualy? 6. What woa the condition of the a ley? Hour a Minute a c. Not very sure d. Just a guess (G: Bright ~ 7. IF you saw the object during DAYLIGHT, whare was the SUN located as you lock~d a! the ob!e~t7 ( C lrcle One}: a. In front of you b. In bock of yey c. To your right d. To your left e. Overhead f. Don't remember F TO OCT 62 164 Thle few'" eupereed .. I' TO 164. jut 61 .,hleh I ob,lt . 8. IF you saw tho o b1ect ot NIGtn, what did yov not tee concerning the STARS and MOON? 8.2 MOON (Lircle One): 8re~t moonlight Dull moon I ight No moonlight -pitch dcrlc d. Don't remember Don't remember 9. What .,...,,. tne ..... ather tondttiona ot th tl, yau aaw the object? CLOUDS (Crde One): c. Scarter .. d c 1'>\Hh d. Th t < ~ of he a y cf ~u'h WEATHER (Circle One): b. r og, mt st, (X '~ roitt c. Moderate or heo~y rain . Don t remember 10. The obj.-ct oppe11red; (Circle One}. b. Trantp,,rent e. -Don't rememb.r 11. If it appeared os a light, waa it brighter than the brightest ators? (Circle One): c;;-Bri;h'~er c. About the same r : ' b. Oi; mer d. Don't know 11. 1 Compare brightneu to e6me common oltlect: / tt y/,;;t;:;y. 12. The edg. oi the object were: t ( ,,do ;~fJ) Q. fu1zy 01 blurred b. L iice a bright star c.. Sharply outlined d. Dont remember 13. Otd the obtect: o. Appear to stand atilt at any tim? b. Suddenly tpe~ up and rush away at any time? c. Break up mto parts or explode? d . Gv off smoke? e. Change brig,tneaa? r. Chong ahope? g. Flash or flicker? h. DtaopJMar and reopP-'ar? Don't lcnow Don't know Don't lcnow Don't ~now Don't lcnow Don't know Don't lmow. Don't know 14. Did the obiect di soppeor while you wr.r(, 1a tch ing 1 t? ll so, how? 15. Did the obiect move behind !iometheng at any time, particuhuly a cloud'? (Circle Ontt J: it moved behind: Don't Know. 16. Did the obieet move in front of ~l)mething at any tame, porticularly a cloud? (Circle One): Yes /""No'; Pon't Know. IF you answered YES. th~ ~u wi'Jt 17. Tell in o few word a the following things about the obiatct: We wish to know the angular size. Hold a match stick at arm' s length in limt with a known t-~bie~t and n.r: ~ -:,~t much of the object is covered by the head of the match. If you had pvrforrned this experiment c;t thrr tia:tJ: ' Le sighting, how much of the ob;ect would have been covered by the match head? 19. Draw o picture that will show the shnpe of the object or objects. Lobel and include in yuur ketch any detc.il:a of the obiect that you sow auch as wings, protrusions, etc., and eapec ially exhaust troi Is or vapor trails Place an arrow beside the drawing to show the direction the obiect was moving. Do you thsnk y o u ca., tntimote the spd..ld of the obj~r.t? (C ire le One) IF you answered YES, then what speed would you estin.ore~ ------. 21. Do you thin~ you can e'timate how far away from you thct object was? (Cirde One) IF you answered YES, then how for away would you soy it was?--------- 22. Where wer you locahtd when 'IOU saw the ob(ect? (Circle One): o. Ins ide a building b. In a car c. Outdoors d. In on airplane (type) 2:J. Were you (Cirdu Ontt) a. in the business section of a city? . lr. rh(f residential suct;c,,, vr Q city? c. In Of>Cin country~ide? d. N~ar on oirfield? Fl}'ing over a city? Fly ;nr; over opert country? Other ----- 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t~e followh.g queatiOfta: 24.1 What direction were you '"oving? (Circle One) a. North c. East b. Northeast d. Southeast f. Southwat h. Northweat 24.2 How fast were you moving? miles per hour. 24.3 Did you stop at any time while you were looking at the obiect? (Circle One) Yea No Old you observe the obiect through any of the following? Eyeglaesea Yea e. Binoculars Yes No b. Svn glasaet Yes No c. Windahild Theodolite Yea No d. Window glass Yes No 26. In order that you can give as clear a picture aa possible of what you saw, describe in your own words a COfiU"Of' object or obiecta which, when placed up In the sky, would give the same appearance as the obiect which } 'OU sow In the f~llowh't a Ieetch, tmotlne tnat you ore at the point aho-Nft, fJio~ <.m .. J...' ' or. \ho r.tJrv~.-: I aru, to snow ho~ high the oilect woe above the horizon (a~yllne) when yw llr1t saw lt. Ploc:~ '1 "B'' un the :~.nne cur,d lin. 7C' ahow how high the obiect wat above the horizon (tlcyllne) when yau lost ,uw it. Place un 'A' on the c.ompos whn you llrat tow It, Place Cl "B" on the comJtCIII wkr you /oJt tow the ohtect. . 28 . Draw a picture that will ahow the motion that the obiect or obiects modo. Place an "A'' ar the beglnni~19 ot 1he path, a .. 8" at the end of the poth, and show any changes in direction during the courae, 29, IF there woa MORE THAN ONE obJect, then how mny wre there? -- Drow a plctute of how they were arranged, and put an arrow to show the direction thot they were traveling 30. Ho~ you r sten thia, or a aimiiC?r obj,cr befOfe. If 10 glv dote or "'o' ond locotlon. 31. Woa anyone elae with you at Itt time you saw the object? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle On) 31.2 PitoN liat their names end addreeaes: 32. Pleat give the following lnf about yourlf: TELEPHONE NU Indicate any odcUtlonol lnfor,.tlon about youretlf, inc ludlng any special experience, which might be pertlnnr . 33. When oncl to vmom did you repert that you hod n the object? 14. Oat' yO\I completed this questionnaire: f 3.5. lnforrnatlon which you feel pertinent and which 11 not adequately covrd in the 1peclflc polntl of th. 1 questionnaire or a narrative explanation of your lighting. UFO Observation, November 1966. received is not sufficient ~or Request you complete the attached FTD Form 164 Re:fei'ence your unidentified observation of The 1nf'ormation which we have evaluation. We wish to Air Force. Sincerely, it in the envelope provided. thank you for reporting your observation to the U~,:-.,'lDR QUINTANDJA Pro Jeet Blue Book Fl'D Form .164.