PROJECt i007S .~.: :c.lC .tr~ tJEGROUP 2. LOCA TIOH llf:C' a; 10. CONCLUSION t . NdHE:\!A 0~ OBJECTS LENGTH Oft OBSIAYATION 11. IRIIP' SUMMARY AND ANALYSIS t.. lV'PE Oft OBSIRVATION J'HYstCAL I!VIDINCI Obs~tvtr stt'l.t. en ~.t -...\'!\ s nc>th3. 1t"': i .ore t, .,_::\n . five bright white i it;hts. The four light:~ -rou:id th~ out'eide rotated around t } center otie..J clock w .:.se;IM bt'lf!C..TIO~ U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con give the U.S. Air Foree as much information os possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly con. The information that you give will be used for research purposes. Your name wi II not be used in connection with any statements, conclusions, or publications without your permission. We request this personal infornwation so that if it is c:IHmed necessary, we ntay contact you for further details. 3. Time Zone: (Circle One): _aJ., foJt4tm C };. CenttQI J (Circle One): D~!ight Saving StCiiictarcr d. Pacific Where were you when you sow the obiect? Nearest Pn!ltal Address City or Town 5. How long was obiect in sight? (TPtal Duration) a. Certain b. Fairly certain d. Just a guess State M County . 5.2 Was obiect in sidtt continuously? 6. What was the condition of the sky? 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you b. In bade of yov c. To yout right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thle form eupereed .. FTD 164. Jul 61, which is obsolete. 8. IF you sow the obiect at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): c D-on--< remem'-r 9. What were the weather conditions at the time you saw the obiect? CLOUDS (Circle One): ~ b. Hazy . c. Scattered clouds d. Thiele or heavy clouds WEATHER (Circle One): b. Fog, mist, or light rain . c. Moderate or heavy rain e. Don't remember 10. The object appeared: (Circle One): <fi. Solid') d. As a light b. Transparent e. Don't ren;ember 11. If it appeared as a light, was it br ighter than the brightest stars? (Circle One): a. Brighter c. About the same d. Don't know 11.1 Compare brightness to some common object: 12. The edges of the ob;ect were: (Circle One): a. Fuzzy or blurred b. Like a bright star G s~:arplx outlined' -d. Don't remember Did the object: (Circle One for each question) a. Appear to stand still at any time? Yes..,~ No Don't know b. Suddenly speed up and rush away at any time? Don't know Break up into parts or explode? ('_No) Don't know d. Give off smoke? Don't know Change brightness?. Don't know e. f. Change shape? Don't know Flash or fl icker? Don't know Disap~m end reappear? Don't know 14. Did the obiect disappear while you were watching it? If so, how? Did the obiect move behind something at any time, parti~ularfy a cloucl? (Circle One): Don't Know. IF you answered YES, theft tell what 16. Oicl the obiect move in front of something at any time, particularly a cloud? (C ire le One): in front of: Don't Know. IF you answered YES, then tell what Tell in a few words the following things about the obiect: We wish to know the angular size. Hold o match stick at arm's length in line with a known obiect and note how the obiect is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of the_obiect would hftVe been covered by th~ match head? t. Draw a picture that will show the. shape of the obiect or obiects. Label and include in your sketch any details of the obieet that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow ~side the drawing to show the direction the obiect was moving 20. Do you think you con estimate the speed of the obiect? (C ire le One) Yes ""-No../ IF you answered YES, then what speed would you estimate? -------- 21. Do you think you can estimate how far away from you the object was? (Circle One) IF you answered YES, then how far away would you say it was? .:.......0-------- 22. Where were you located when you saw the obiect? 23. Were you (Circle One) (Circle One): a. In the business section_gj t1 ~itv ~ a. Inside a building c.' b. 1'1 t"'e re.!,Ldentia :tion of a city? ~ b. In a car c. In open countryside? d. Near an airfield? d. In an airplane (type) e. Flying over a city? f. Flying over open country? g. Other 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction were you m<Wing? (Circle One) e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast W!'re you moving? --~----....Jmiles per hour. 24.3 Did you stop at any time ~tie you were looking at the obiect? (C ire/, Onf'!) 25. Did you observe the object through any of the following? Eyeglasses Yes No e. Binoculars b. Sun glosses f. Telescope c. Windshield Yes Theodolite Window glass 26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common obiect or objects which, when placed up in the sky, would give the same appearance as the object which you sow. In the following slcetch, imagine that you ore at the point shown. Place an "A" on the curved I ine to show how obiect was above the horizon (skyline) when you lirst saw it. 'Place a "B" on the same curved line to show how high the obiect was above the horizon (slcyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "8" on the compass where you lost saw the obiect. 28. Draw.a picture that will show the motion that the obiect or obiects made. Place an "A" at the beginning of the path, a "B" at the end of the path, and ~!.u.-.:.ny changes in direction duri-ng the course 29. IF there was MORE THAN ONE object, then how many were there? --.--lol...c.5_-: _ Draw a picture of how they wer8 arranged, and put an arrow to show the direction that they were traveling. 30. Have you ever seen this, or a simi lor object before. If so give date or dates and location. 31. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you answered YES, did they SH the obiect too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the following information about yourself: First Nome Indicate any additional information obout yourself, including any special experience, which might be pertinent When and to whorr. did you report t hat you had seen the object? 35. I tion which you feel pertinent. ancl which is not aclequotely covered in the specific points of the questionnaire or a ~:~ explanation of your sighting.