.1 3. SOuRCE iO. CONCLUSION Civilic:.n \ .t. NUMBER OF OBJECTS 5. LENGTH OF OBSERVATION TYPE OF oasERVA-. ~,-6-N-----(1 Ground '/isu-.: 9. PHYSICAL EVIDENCE 11. aRIE F SUMMARY AND ANALYSIS sound nor .. i:-.lly h~krci 't'ii1en an n ir'cr~i"t is se:!n : ~ e~cr~?tion is consist~nt with th or o::>s .. ..,~t.~o:-1. "'he ;..ircrr,ft could have oeen ~n a 1.rcc._.r jus t outside ;:: TO SE P 6 3 0-329 (TOE) PNnlo\u edltl~ of thle form may b., uef'd . U.S. AIR FC,RCE iECi1 1CAL IN FORMATION This qu(~Stionnaire has b.::en prepared so t hot you can give tho U.S. Air Force as much information as possible concerning the unid.entified corial phenomenon that you have ob~erved. Please try to answer as many questions cs you po.asibiy can. The information th-:zt you give will be used for research purpos~s. Your noma will no~ b e used in connection with any statements~ conclusions, or publications wirhou~ your permission. We rec;uest this personal information so .. that if it is deemed necessary, we moy contact y~u for further details. . : . - 1. When did you see the object? 3. Time Zone: Month Year (Circle One)t.._ a. t:o b. Central c. Mountain d. Pacific ( Circla One): (Circle One): a. Daylight Saving 4. Whera were you whan you saw t hl! obiect? Nearest Postal AdJress 5. How long was object in sight?' {Total D uration) . City or Town State or County c. Not very sure 5.2 Was object in sight continucus!y? 6. What was the conditi on of th., sky? 'li , Clou_dy b. Clo;dy 7. IF you sow tho object during DAY ~IGHT, where was the SUN located a::; you looked at the object? : (Circ/9 One): a . In front of you d. To ycur left <:. Ove:head b. In beck of y ou c. To your righ t f. Don't rem~mber 8 . IF you sow the obj~ct at NIGHT, what did you notice c oncern in9 the STARS and MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON ( Circle One): a. Br i nht moon I ight . . .f. b. Duli moonlight . . /J . f {S- c. No moon I ight -pitch dark . d. Don't remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): a. Clear sky. c. Scattered clouds '---d. Thick or heavy'ciO"iJ':. :-> WEATHER (Circle One): b. Fog, m ist, or light rain c. Moderate or heavy rain d. Snow ' e. Don't remember 10. The object appeared: (Circle One): d. As a light e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): .: . _ : a. Brighter c. About the some d. Don't know Compare brightness to some common object: 12. The edges of the object were: (Circle One): a. Fuzzy or blurred ... .. -<ho-Shar p ty' eu f i r t t ~ d. Don't remember 13. Did the object: a. Appear to stand still at any time? b. Suddenly speed up and rush owoy atony time? c. Break up into ports or cxp lode? d. Give off smoke?' - e. Change brightnes$? . f. Chong~ shape? g. Flash or fl ider? Disappear and re o p p.,ar? (Circle One for eoch question) Don't know Don't know Don't know Don't know ' -Don't know Don't know Don't know Don't kn ow 14. Dtd the object di!:.op.;>(Jor whtle y oJ we re watching it? If so, how? 15. Did the object move behi"d something atony time, particularly a cloud? (Circle One): No Don't Know . ,. IF you answered YES, then tell what it moved behind: Did the object move in front of something at any time, particularly a cloud? (Circle One): Yes ( 0 Dont Know. IF you answered Y~S, then tell what 17. Tell in a few words the following things about the object: b. Color GR.f"'J 18. We wish to know the angular size. H~ld a match stick ot arm's length in line with a known obiect ancl note how much of the object is covered by the head of the match. lf you hod performed this experiment at the time of th~ sighting, how much of the objact would hove been covered by the match head? 19. Draw a p icture that will show the s:,ape of the object or objects. Lobel and include in your sketch any deta:!s of rhe objact thot you sow such as wings, protrusions, etc:., and especially exhaust trails or vapor trails Place on arrow beside the drawing to show the dire.ction the obiec:t was moving. 20. Do /O'J th ink yo.., c.:'l n~timatc T~c :.r>c.nd of t'ic oi1jcc t? (CircleOrlc) Yos :/No} IF 1 ou answered YES, rncn what sp.;.!o would you estimctu? --------- 21. Do you think you c o:--. ~stimote how fa r a way from. you the object was? (Circle One ) IF you answered YES, then how f c : OVICIY wculd you say it was?----------. Whe re were you located when you ~:1w thu object? (Circle One): Were you ( Cirde One) 24. IF you wore MOVING IN AN AUTOMOBILE or other v a hicle at the time, then complete the followi:g questions: 24.1 What direction were you moving? (Circle One) b. Northeast d. Scuthecst f. South west 24.2 How fast were you moving? Q;:z::;. .miltJs per hour. 24.3 Did you stop ct ony time while you were looking a t the obiect? (Circle One) 25. Did y o u observe the obiect t h rough any of the following? a. Ey~glasses b. Su:1 glasses Yes c. Windshield d. Window gloss Yes e. Binoculars f. Telescope g. Theodolite h. Other ;.~ ) l l iS:n I .I.J h. Northwest I tJ D ().J 26. In order that y ou ca;o, g ivl) a s c:l~ar a pic t ure as possible of wh e t you sow, describe in y our own words a common object or o~jects which, whe n j)!occd u~ in the s ky, would g ive th e same Oj)pearance as the obiect which you sow. 27. !r: rh: follow in; $!,etch, 1mCJjinc ;hat y o u oro c~ th;) point :i~O\Ii'l. P!oc.., an "A" on the curv~d lin t to show how h iah t ho o b jec. wos oSove thtt horizon (skylir.v ) wh.: n y ou firs t s c .v it. Placo 'l "B" on t h e $Ome curved l in" t o show how high tho o b ject was obo1o ~h~ h~rizon (~!.:ylin.::) wh . .m you last s~w it. Pface an "A" on the compass when you first saw it. Place 0 "B" on the c o mpass wn~rc y o u las t s a w t he object. 28. Draw a picture that will show th~ mot ion tha t ~hr} o bject or objects made. Place an .,A" at the bogin.:;.,g of the. path, a "6" at the and of th(} path, and s!,u.., .:.ny changes in direction during the course. 29. IF th~re was ~i.ORE THAN ONE object, then how many wertJ t here? ----------- Draw a pic ture of how they wer(!! arranged, and put an arrow to s how tho direction that they were troveling 31. Was anyone else wirh you ct t he t imo you sow t he object? (Circle One) 31.1 IF you :mswcrcd YES, did :'hey~\?~ t he chject t oo? (Circle One) 31.2 Please li~t t heir names and addr~sses: 32. Plei'Jsa givo the followi:1 lnformo~ion a bout yo:.srsclf: Los~ Name irst Name indicate any addit ional inFo:-;-;-;Gtio n about your s e lf, including any special experience, which might be pertinent. 33. When and t o .vhom d id you report thor you had s c(!n the cbject? Month Y<Jof