I 1. OA,l F. TI~E GROUP 2. LOCATION Cincinnati, 10. CONCLUSION 3. ~;ouncE INSUF'F'ICIENr 1Arr .. , I ) J EV, .. LUt..Trou .1. NlH~E\E R OF OBJECTS S. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND At!Al.YSIS 5 seconds SEE CASE 6. TYPE OF OBSERVATION Ground Visn~l None Noted rl Yes ' I?. PHYSICAL EVIDENClt p,..loua edlUOfla of u.! foua mJ be ued. 19 December 1966 UFO Observation, 16 :cecember 1966 1. Reference yourunidentified observation of 16 December 1966 \Thich you reported to the IA.lty Of'ficer at Wright-Patterson AFB Ohio. The information in his report vas not sufficient for evav,ation. Request you complete the attached lTD Po ~ 16~ and return it in the envelope provided. 2. . \rle vish to tbank you for reporting your observation to the Air, - .-- ....,. DeOOES~ ~lonel, USAF. . : ~1rector of Technologyand_Subsystems U.S. AIR FORCE TECHNICAl. IHFORMAliO~ Thla questionnaire haa been prepared ao that you can yiv the u.s. rnuct; information as possible concerning the unidentified aerial pheno.nenon tt.at you hnvu oLftel"'eti. Please try to answer as many queatlona as you P'-'lsibly can. The Information that ).c.:{j' g ive w:U be uaed for reaearch purposes. Your naaYLI wilt not be used in connettion with any st'!lte"en;;;, conclusions, or publications without your permission. We request this personal fnformotion 1c that if it is deemed necesaary, we may contact you for further detai Is. 1. When did you aee the object? '1. rim~ of tior -t 2- ( C ,rc/e One}: or 3. Time Zone: (C lrcle One): a(. osteriJ_..., b. Central (Circle "-1ne): a. OoylitJht So-:i"O b. Sta.,dard c. Mountain d. Pacific 4. Where were you when you sow the obiect? City or Town 5. How long was object in sight? (Totol Durotlon) / a. Certain c. Not very sure '--b .. --Foirly certain d. Justo guess / 5.2 Was obiect in sight continuously? 6. \"'hat waa the condition of the alcy? 7. IF you aaw the object during DAYLIGHT, where was the SUN located. as yoo lock~d at the obi~t? ( C lrcle One): o. In front of you b. In boclc of you c. To your ri~t d. To your left e. Overhead f. Don't remember Thle fa.m euper .. d P TD 164, Jul 61, whlch le ebnlete . 8. IF ynu 'ow tho oL1ect of NIGttl, what did you notec.e concerning the STARS ond MOON? 8.1 ~ 1 Akf., t'C trcle One): 8.2 MOON (C.,cle One): a. Bra~t moonlaght b. Dull moonlight . c. No moonlight - pitch datil d. Oan't remember d~--Don't remember 9. What ~re the other c:ondetiona ot the time you aow the obiect? CLOUDS (C,de One): WEATHER (Circle One): a. Clenr aky Ha.at r og, m.st, 0t I eyht roiu c. Scatter .. d ci(J\H.ts c. Moderate or heavy rain d. Th t( k ot he\l"Y cl~ch Don't remember 10. The obi.-ct appe.-lred: (Circle One). e. Don t rememb.r 11. If it appeared oa a light, waa it brighter than the brighteat stars? (Circlb One}: a. Brighter c. About the same d. Don't len ow Compare brightness to some commor, obtect: ~ 12. The edgtta oi me object were: fC1u-lo <J:fl) a. Fuzzy or blurred b. Like a. br Lt!ar <f.-Sharprf:"~T~n~-~-~ d. Don't remember 13. Did ..._e ob1ect: a. Appeor to atand atill at any time? b. Suddenly speed up and ruah away at any time? c. Brea~ up into parta or explode? d. Give off amolce? e. Change brig,tneaa? f. Change shape? g. f laah or fl iclcer? O i aappear and reappear? /'' /" (Circle One fOf each question) Don't lcnow Don't l&now oont lcnow Dan ;t lcno~ Don't l&now Don't !mow oont know 14. Did the ob1ect disappear whi lo you were. 1otch ing 1t? II so, how? 15. Did the object move behind 5omethtng at any time, particul~rly a cloud'! (Circle One): Don't Know. IF you .:msweretf YE:;, them tcttl '-l'hot it moved behind: Did the object move in front of ~gmething at any t1me, pruticulorly a cloud? (Circle One): Yes '-~ Oon't Know. IF you answered YES, th~ . t.:.H w ; ,.'Jt 17 . Tell in a few w01d1 the following things about the obi~ct: 18. We wish to know the angular size. Hold a match stick at arm' $ length in iin., with a lcnown (Jbie:t a"" r.-: : j lr i much of the obiect is covered by the head of the match. If you had P'*r_formed this ex~oriment at thtr tir.).l; .. t . : .~ 1 sighting, how much of the ob;ect would hove been covered by the match head? I 19. Draw a picture that will show the shape of the obiect or objects. Label and include in y our sketch any det{):li of the obieet that you saw such oa wings, protrusions, etc., and eapeciolly exhaust trails or vapor trails Place an arrow beside the drawing to show the direction the object was moving. ~. D.;, .,.ou thi nk y ou CJn ~:atimot" th8 s~ottri of fha objlct? (Circle One) Yes r--~o IF you answered YES, then what speed would you eltirr.oteo~ 21. Do you think you can estimate how for away from you the object wr.~s? (Circle One) 22. Where wer you locatttd when you saw the obiect? (C ,c/e One): o. Inside o building e lnoa-c~ c. Outdoors d. In on airplane (type) 23. Wero you (Citclu One) a. in the business section of o city? b. lr, h~ residential s~ct;c,,, -vi Q city? ~ In ot>cm country~ide? -~\ . d. Near an airfield? e. Flying ovttr o city? f. Fly;ns; over opere country'? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t~e followit'Q questions: 24.1 What direction ware you tnoving? (Circle One) b. Northeast d. Southeast f. Southwest 24.2 How fast were you moving? --=-~--!.') _..miles per hour. 24.3 Did you atop at any time while you were looking at the object? (Circle One) 25. Old you obaetve the object through ony of the following? a. Eyeglaaaes Yea Binoculars Sun gloase Yea No f. Telescope c. Windahiald Theodolite h. Northwest d. Window glaas 26. In order that you can give as clear a picture as possible of what you sow, describe in your own warda a commOf' objact or obiacta which, when placed up In the alcy, would give the same appearance 01 the abiect which } ' OU ao\)1. In th~ ~oll,wlng te:,, lmotlnt that '/JY rJr' ct 1 'oint 2h own. Pl::t:t un ''L '' o" \~ ... r.'uv,,! I tt\~ t:J -. ', ""' ho"' high the ohlect waa above the horl%on (skyline) whe" yw llrst sew U. P lo ctt '1 ''B., on the 1.1me t:ur~d line :r ahow how high the obiect was above the horizon (alcyllne) whn ynu last 'uw H. Plcca u n ~. on the compllsJ when you II"' aaw lt. Ploce o "B" on the compa11 whre you lost tow th ohtect. 28 . Draw a picture that will ahow the motion that the obiect or obiects mado. Place an "A' at rhe. beginni:"tg ot ihe path, a "8" ot the end of the path, and ahow any changes in direction during the ~ourae 29. IF thr waa MORE THAN ONE oblect, then how many were there? -- Draw a picture of how thy were arrangad, ond put an arrow to show the diracteon that they were travuling. 30. Hav:t )'CY ever sten tnia, oro aimilar object b.fera. If 10 9 iv' date oJr dat and locotlon. 31. Was anyone ehe with you at ftte time you saw the object? (Circle One) 31.1 IF you answered YES, dicl they the obiect too? (Circle One) 31.2 Please liat their namea encl oddreasea: 32. Pleoae give the following I on about yourself: TELEPHONE NUMBER- Indicate any adclltionol lnfor~Mtion about yourself, Including any apeclal experience, which might b. p.rtlnenT 33. When a~ to whom did you report that you hacf seen the object?