: 2. L.OCA TiON 1 10. CQJt.JCLUSION ..i. NUM8E R OF ObJECTS LENGTH OF OBSERVATION TYPE OF OaSERVATION I?. PHYSICAL EVIDENCE Aircraft(possible) 11. BRIEF SUMMARY AND ANALYSIS Cbserv~r Wc:tched u round silvt;~ ... colorec.. o'oje~"v t.:. .. ;.v-:1 to,..,z..rd the NE. Tne object -_.;.:As :o;-1 on ~.1~ hoi. ... i~on. t~r .. ~n .fi4st observed -.nd disappea.rea from v~c: ... by ~o~:4~ lo...-e~. It finally v1ent behind some tre~s. A r.iss in~ .:;ou..Yld v;._s heard while the UFO was in sight. observ;ttion. Th~r~ is no w r to est~blish i:, \.:~ hissing sound was related to the observ&nce oi' ~: ..... alleged UFO f T D S [ P 6 3 0-3 29 (TDE) Pf'nlou edlUon of thle form a.ey t.. u .. d. U.S. AIR FORCE TECHNICAl. IH FORMA li01~ Thia questionnaire haa been prepared 10 that you can ~ive the U.S. Air force aa much information as possible concerning the unidentified aerial pheno.renon that you hnvo olse"'ttri, Plea try to answer as many questlont 01 you possibly can. The information that ~e;u Slave w:H be uted for reteorch purposet. Your nome will not be used in connec.tton with any st~tefTten;:;, conclutiont, or publications without your permission. We request this personal inform~t ion sc that if it is deemed necessary, we may contact you fur further detai Is. 1. When did you aee the object? Day Month Y eur 3. Time Zone: (Circle One):@ Eastern b. Central c. Mountain d. Pacific 4. Where were you when you saw the object? (Circla L1ne): o. Oayli\]ht So.'tnf) b. Sto,dord Nearest Pottol Addreat City or Town S. How long woa obiect in sight? (Total Duration) Minute a Second a ~Certain c. Not very sure b. Fairly certain d. Just a guess 5.2 Wat obiect In sight continuously? 6. What woa the condition of the sky? 7. IF you aaw the object during DAYLIGHT, where woa the SUN located aJ yo\J loc.k~d the obio::t? d. To your left e. Overhead f. Don't remember (Circle One): o, In front of you b. In bock of you c. To y~r ri~t F TO OCT 62 16. Thlt fo.rn auper .. dn PTD 16. Jul 6&, hleh Ia obanlet . 8. IF ym, ~ow the obtect or Nlttttl', what did YOAJ nott'e concerning the STARS and MOON? 8.1 S 1 Af<:.. fC ~rcle One): 8.2 MOON fC.ircle One): ~ !!.:-Bra~t moonltght b. Du!l moonlight c. No moonlight -pitch darlc d. Don't rememb.r d. Don't remember 9. What ..... ,. tn ~other condetion at the time you aow the obiect? ~ouos" <C,de One): WEATHER (Circle One): C::~C lenr sky b. f' OSJ, m1 st, 0t le~t rojn c. Sc:arte:*d clovd t c. Moderate or heavy roin d. Tt ... c: o he\l,y cl~d d. Snow Don't remember 10. The object appe.,red; (Circle One). b., T runpm ent d . As :l light e. Don't rememb.r 11. If it appeared os a light, was it brighter than the brightest stars? (Circle One): C -Brighter t. About the same b. Dimmer d. Dont lcnow 11.1 Compare brightn to sonoe common obfect= 12. The edoe of rhe obiect were: f(i,d() (; ae) o. Fuzzy or blurted b. Lilce a bright star ~ Sharply outlined Don't remember Did "' ob1ect: (Circle One for each queatlon) Appear to atand atilt at any tlnse? Don't lcnow b. Suddenly speed up ond ruah away atony time? No Don't ltnow Break up into part~ or explode? Don't know d. Give off smoke? Don't lcnow Change bri~tness? Dcn't lcnt)W f. Change Jhape? Yes ,No Don't know flash ot flicker? r;~o-:. Don't !mow Oiaappear and reappear? oont lcnow : 14. D id th .l ob1ec t d 110ppeor whi lo you ...,.,l:''--.'a tch ing 1 t ? II so, !tow? Oi d the object move behind sometheng at any time, particu lllrly a cloud'! ( C ire /e Ontt ): Don't Know. IF you .Jn s wered '( [:. ~,, t hf'n tct U '-'lh at it moved behind: 16. Did tho obieet move in front of ~$)mething at any teme, porticularl~ a cloud? (Circle One): Yes Don't Know. IF you answered YES. t ~n w;,..11 17 . Tell in a few words the following things about the obiect: 18. We wish to know the angular size. Hold a match stick at arm~$ length in lintt with a ktaown t-~bio~t and ,;r.'t ' j ,.-i much of the object is covered by the head of the match. If you had performe.:l this experiment ot ther ti .... ; ..t f ~ I sighting, how much of the ob/ject would hove been cov...,ered by ~he match h~':'dJ , , j 19. Draw a picture that will show the shape of the obiect or obiects. Label and include in your sketch any deto;li of the obiect that you sow such aa wings, prot"uions, etc., and especially exhaust trailt or vapor trails Place an arrow beside the drawing to show the direction the object was moving. 20. Do you think you con estimate the spee d of the object? (C ire Ia One) ( ' No -, IF you an1werod YES, then what speed would you estin-.ate'f ~/-:;;....,,._,..;;..._ ~/.....:. /~-!_. 21. Do you think you can estimate how far away from you th., object was? (Cirde One) IF you answered YES, then how far away would you say it was?_..;;..;; -~!~(~-=- :.J-t..-/(f ~::c/-L:-:z .. Where were you located when you saw the object? (C ire le One): o. Inside a building b. tn a cor c. Outdoors d. In on airplane (type) e. At sea _#.. 23. Were you ( Citclo Ontt} a. In the busine-ss section of a city? h. lr. rho residential sud;c,u vr Q city? t._t) In opt'" country~ide? d. N"ar an airfield? e. Flying over o 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 followie.g queati\lfta: 2.4.1 What direction were you lftoving? (Circle One) c. East e. South b. Northeast d. Southeast f. Southwest h. 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) Yes No 25. Old you obaerve the object through any of the following? .. Eyegloa1ea Binoculars Sun glosses f. Telescope Wind1hield Theodolite d. Window gla11 Yes No In order that you con give a1 clear a picture 01 pos1ible of what you sow, describe in your own words a commOf' object ot objects which, when placed up in the 1lcy, would give the same appearance as the object which ) 'OU ao~. In the f~!llowln~ a ketch, lmc:rglne t~ol yov or at t~e p-olnf thow;,. Plac un 'J..." o" \f--t r.urvc~,.: l me. t~ show ho~ h lgh the oblect wen obcwe the horizon (t~y line) when yw llrst sow It. PIa eft "2 .. B .. ort the s:~me c;ur"ed lin. Jc ehow how high the object wot abov the horizon (alcyllne) when ynu last !\uw 1t, Place ~n ' 'A' on the c.ompos when yov ''"' sow It, Ploc a "B" on the compCIII whr ~ou IGJt sow the ohjct. 28 . Draw a picture that will ahow the motion that the object or obiects macfo. Place on .. A ' or tho begtnrai:19 ot 1he path, a "8" at the end of tho path, and ahow any changes in direction during the .:oune. 29, IF there wa1 MORE THAN ONE obJect, then how n;any were there? c''?-'--'. --- Draw o picture of how thy w.,e arranged, ond put on arrow to thow the direction that they wre trovuling 31. Waa anyoM else with ~ou at the time you saw the obiect? (Circle One) 31.1 IF ycu answered YES, did they see the obiect too? (Circle One) 31.2 PI liat their name end addressee: 32. Plase give the following lnfmatlon about youralf: flrat Name lnctl~ate any additional lnfornwtlon about younelf, Including ony apeclal experience, which might b. pertlnnT. Whe n ancl to whom did you report tnat you ho<* n tne object? In the followlnt aketch, lmotlne thet you ere ot the point hown. Ple2c un "J...'' on , ... e r.urv.,,.: '"'"to ahow ho .. high th oblect wa1 abov the horizon (t~yllnt) when yw 'lr1t aaw lt. Ploctt 'J "B" un the ~me c.;ur,ed line 'f a how how high the obiect was above the horizon (slcyllne) when ynu lost ~uw ;, P Ieee -:~n 'A.'' on the ~ompr.as when you ''"' aow lt. Ploee o "B" on th comp011 whr you ,,,., aow the ohiect. 28 . Draw a picture that will show the motion that the obiect or obiects mado. Place an "A' at the beginrai~19 ot ~he path, a "8" at the end of the path, and ahow any changes in direction during the -:-Ur!.o, 29. IF there waa MORE THAN ONE oblect, then how nMany were there? _.,..!;e~''"?-.t::.'~- Draw a picture of how they were arranged, and put an arrow to show the direction that they wertt trovuling 35. Information which you feel pertinent and which le not adequately covered in the epeclflc polntl of th. questionnaire Of a narrative explanation of your sighting