.4. NU f\( R OF OBJECTS S. LENGTH OF OBSERVATION Uncertain# .. TYPE OF OBSERVATION t G~ound Visual ?, PHYSICAL EVIDEI',CE 2. LOCATION 10. CONCLUSION 11. BRIEF SUMMARY ANO ANAL. YSIS O~server stateo..c[.t:.J~ -cL~ object appeared to be solid. Ooserv.::c s t~d that ~[.e o::, !:. :-~uc! ~he sa.~e brig!rtnc~G as t.ha~ o:f ch.'= st:r . O~zt::tfer .:;~aced. -cnat -che object appeareC.. f~om .. ne ri~c.t. auc.. kept, ~rav~lir.g "uo left. .Ooserver st.ated t.ha oojec t ~ was t.ra velir.6 ir .. a $ 'tl~a~.:;{l t line when it ciisapped.re<i. o ojt:c:,., w~s nile QI-cen in colol. f;TD Sl P 63 0-329 (TOE) PNvlou lltlOf\8 o( thl t o rra tD.aV be uaed. U.S. AIR FORCE TECHNICAL IHPORMATIOM This questionnaire has been prepared so that you can give the U.S. Air Force as much information as posslb .. concarning the unidentified ial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The inforntation that you give will for resHrch purposes. Your name will DOt be used in connection with any statements, conclusions, or publications without your. permission. We requst this personal inforntation so that if it Is deetweel necessary, w. contact you for furth details. 1. When did you s" the obiect? (Circle One): 3. Time Zone: (Circle One): a Eastern c. MO\mtain d. Pacific: 4. Where were you when you saw the obiect? City M Town 5.- How long was object in sigitt? !Totai Ourataan) b. t=airly certain d. Just a g~s ' Hour Minutea Daylight Saving State or County 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? 7. IF you saw the ob;ect during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One):~ In front of you (J!J In back of you c. To your ri~t d. To your left e. Ovrheocl f. Don't remember FTO OCT 62 164 Thle fwm aupe.....t .. PTD 164. Ju161, whlch le obaolete U.S. AIR FORCE TECHNICAL IHFORMATIOH This questionnaire has been prepared 10 that you can give the U.S. Air Force as much inforenation as posalb .. concerning the unidentified I phenomnon that you hove obaerYec:l. Please try to answer as many questions as you possibly can. The inforntation that you give will be used for research purposes. Your name wi II oot be used in connection with any statements, conclusions, or publications without your. permission. We request this personal information so that If It Ia clee....d necessary, we contact you for further details. (Circle One): 3. Time Zone: (Circle One): a ' Eastern c. Mcxmtain d. Pacific 4. Where were you when you saw the obiect? City ot Town 5. How (ong was obiect in signt? CTotai Dutaton) b. f:Qirly C:ertajn d. Just a g\JABS t Hour Minute Daylight Saving Was obiect in sight continuously? 6. What was the condition of the sky? 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you loolced at the obiect? (Circle One): .?.!t In front of you c.E.J In back of you c. To your risl-t d. To your left e. Ovrheod f. Don't rentember FTD OCT 62 164 8. IF you sa obiect at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circ 8.2 MOON (Circle One): a. Bright moon I ight b. A few b. Dull moonlight -c Many cl. Don't ramember c. No moonlight-pitch dark cl. Don't remember 9. What were the weather conditions at the time you saw the obiect? CLOUDS (Circle OM): c. Scattered clouds d. Thick or heavy clouds 10. The obiect appeared: (Circle Orte): Solid d. As a light WEATHER (Circle One): Fog, mist, ~ I ight rain c. Moderate or heavy rain e. Don't ren:ember Transparent e. Don't remember 11. If it appeared as a light, was it brightet' than the brightest stars? (Circle One): a. Brighter c. About the san1e d. Don't know 11.1 Compare brightness to om c:omtnon ob;ect: i 12. The edges of the oOtect were~ (Circle One): a. Fuzzy or blurred b. Like a bright star (c) Sharply out I ined Cf. Don't remember Did the object: ~0 a. Appear to stand still at any t~ Suddenly speed up and rush away at any time? c. Break up into parts or explode? Give off smoke? Change brightness? f. Change shape? g.. Flash or flicker? h. O i:jappeor and reoppear? Don't know Don't know Don't know Don't know Don't know Don't know Doo't know 14. Did the obi.Ct cllaappear while you were watching it? If ao, how? 15. Did the obiect mo~e behind something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what Dicl the obfect nao~ in front of something at any time, particularly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what 17 . Tell in a fw words the following things about the obiect: 18. We wish to lcnow the angular size. Hold a match sticlc at arm's length in line with a known obiect and note how much of the obiect is ccwered by the head of the match. If you had performed th is experiment at e )htte of the, sighting, how much of thtt o~ject would have been covered by the match head? ? v 19. Draw a i)ictu,. tltot will show the shape-of the object or obicts. Lab.l and include in your sketch any dtails of the obiect that you saw such as wiftgs, protruaioas, etc., and espciatly exha11t t.aUs orl Place an anow besicie th drawing to show the di,..ction the obiect was moving. 20. Do you thinlc you can estimate the speed of the obiect? (Circle One} IF you answered YES, then what sped would you estimate? ------- 21. Do you thlnlc you can (Circle One} te how far away from you the obiect was? IF you answerM YES, "'" how far away would you say it was? ---+-....;;.._-;. 22. Where were you I (C ire le One}: a. Inside a building (f.;/ In a car c. Outdoors d. In an airpiCifte (type) 23. Were you (Circle One) a. In the business section of a city? b. In the residential section of a city? c., In open countryside? Near an airfield? e. Flying over a city? f. Flying over o~ countrY? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 Whot dir.ctlon were you moving? (Circle One) a. North @.East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? - ~/..;;..o .. miles per hour. 24.3 Did you $fOP at any tim while you were looking at the obfect? (Circie One) i 25 .. OjcJ you observe th ,>bject tJ,rougtt any of the following? Eyeglasses Binoculars . Yes b. Sun glasses f. Telescope Yes @ Wincf.shield Theodolite d. Window glass 26. In order thot y!)u c~n give as clear a picture as possible of what you saw, describe in your own words a common obiect ot obiecta which, when placed up in the slcy, would give the same apparance as the obiect which you ~aw 27. In the following slceteh, I ne that you are at the point shown. Place an .. A" on the eurvM line to show how high the obleet was the horlaon (slcyllne) when you 'lr1t saw lt. Place a "8" on the same curved line to show how high the oliect was above the horiaon (slcyline) when you la1t saw lt. Place an "A" on the compass when you 'lrst saw lt. Place a "8" on the compass where you last saw the obiect. Draw a picture that will show the motion that obiect or ob made. Place an "A" at the beginning of the path, a "8" at the end of the path, and show any changes in direction during the course. 30. Have you ever s"n this, or a similar obiect before. If so give date or dates and location. 31. Was anyone else with you at the time you saw the obiect? (Circle One} 31.1 IF you answered YES, did they SH the obiect too? (Circle One) 31.2 PleaM list their 1 and addresses: 32. Please give the following information about yourself AGE . '/./~. _ '-TELEPHONE UMBE Mlclclle N4tme Zone State Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When and to whom did you report that y had s"n the obiec:t? 34. Date you co,..leted thla queatlonnalre: 35. which you '-I peatfnent CMCI which Ia not acle queatlonMire or a narrative explanc~tlon of your alghtlng. ly ccwered in the apecific potnta of the