: 1. OA 1 F. TIME GROUP 2. LOCATION IJ ~ii11Jr.CE ( 2 wii;n c...:sses) } Civilian 10. CONCLUSION Astro (ARCTURUS) ~ NliHB[ R OF OBJECTS { ; One Arcturus was at 20 tiegrees eleva~ion, 80 degrees azi~u~h. i :... LENGTH OF OBSERVATION 20 minutes T'r'PE OF OBSERVATION Gronnci-Visua.l j Nortb-F.ast fe. PtiOTOS f ?. PHYSICAL EVIDENCE 11. BRIEF SUMMARY AND ANALYSIS Observer stated object had no shape just a light. Lie;h;; l c~ged form red, green, tdhite with periodic changes. Objec~ appeared as a star, but was brighter. ! r-T 0 S t: P 6 3 0329 (TO E) Prnloua edlUona of thh fo a , be u .. cl U.S. AIR FORCE TECHNICAl. INFORMATIO"' Thia questionnaire hal been prepared 10 that you can give the U.S. Air Force aa muc:h information as possible concerning the unidentified oenal phenomenon that you h11vo oLfte"'e'i Pleaae try to answer as many question aa you possibly can. The information that yt:u give wiU be uaed fot research purpoaes. Your name will not be used in conner.teon with any st~temeni~, conclusions, or publications without your permission. We request this personal Information 1e that if it is deemed necessary, we may contact you for further details. 1. When did you e the object? 3. Time Zone: Minut .. a ( ( ,rcle One): (Circle One):~Eostern -ftiP.Central c. Mountain (Cirdo t)ne): a. Ooyliyht So:nr) $' Sto.,dard d. Pac ifle 4. Where were you when you saw the obfect? C lty' or Town S. How long waa object in alght? (Total Duration) a. Certain c. Not very sure b. Fairly certain d. Just a guess How woa time In sight determined?------------------- Was obieet in sight continuously? 6. What waa the condition of the slcy? 7. IF you saw the objct during DAYLIGHT, where w~?:t~UN loccted as you lock~d at the ot.:;.:t? (Circle One): a. In front of you b. In back of you c. To your ris;ht d. To your left e. Overhead f. Don't remember FTO OCT 62 164 Thl forrn uper .. du PTD 16-4, JUI 61, which 1 ob()lete. 8. IF ym1 sow the obJect at Nll;t1T, what did you nottte concerning the STARS and MO~? d. Don't remember 8.2 MOON (C.u;c/e OrM): liri~t moonleght Dull moonlight c. No moonlight - pitch darlc d. Don't remember 9. What .,.ere tne other c:ondetiont at the time you taw the obiect? CLOUDS (Ctrde One): WEATHER (Circle One): @ Clear ally Scatterttd c:h~,h Tht<~ c>t he\J,y c:l~d 10. The obi,_ct appeored: b. T rantpment (Circle One). {[) As a light e . Don't relilember f"og, mtst, Of leyht roiu Moderate or heovy rain 11. If it appeared ot a light, was it brighter than the brightest stars? (Circle One): @ Brighter b. Oimn:er c. About the aame d. Don't lcnow 11.1 Compare brightness to .... aorne common C!b ect: 12. The edge of the ob;ect were: ((,.de. ( ; :ff)@ fu11y or blurred a bri~t stew c.. Sharply outlined d. Don't remember Qjd the obtect: (Circle One for each queation) Appear to stond still at any time? No Dcn't lcnow b. Suddenly ~ecf up and rush away at any time? Yes Dcn't lcnow Brealc up into porta 01 explode? Don't knaw d. Give off smoke? Yet Don't "now Change brid'ttnass? ocnt lcnow f. Change shape? Yes (O~t know.) g. flash or flicker? 011appeor and reappear? Dont know 14. Did th~:~ obJttCt dis<'lppeor whi le you wcr(. totchin!) er? II !i0 15. Did the obiect move behind 1ometheng ot any time, particui\Jrly a cloud? (Circle One): Don't Know, it moved behind: 16. Did the obieet move in front af ,amething at any time, particularl~, a cloud? (Circle One): Don't Know. 17 . Tell in a few words the following things about the object: 18. We wish to know the angular aize. Hold a match stick at arm!l length in line with~ lmown "bie-ct one:' &':r :,,. I much of the obiect is covered by the head of the match. If you hod prformeJ this experintent at th tir;lJ: ' ;l.~ ~ sighting, how much of the ob;ect would have been coverj by the match head? t tJ.rkJ O.JJ>tVX-bA~N-. .d&-p~:/'-_ , 19. Draw o picture that will ahow the shape of the obiect or objects. Label and include in you sketc:h any detoi I& of th obiect that you saw .. uch os wings, protrusions, etc., and eapciolly exhauat trail or vapor trails. Place an arrow beside the drawing to show the direction the object was moving. 20. Do y ov th inlc you can estimate the speed of the object? (Circle One} IF you answered YES, then what speed would you estin.ote'f ----- - - -... - Do you thinlc you can estimate how for away from you the o~ject !"as? . .' . (C~rde One) Yes No I . . 22. Where were you located when vou saw the obfect? (Circle One): o, Inside a building b. In a car c. Outdoors . d. In on airplane (type) z1 -7. 23. Were yo\6 (Citclo Onft) a. lr; the business section of u city? (!;> lr. t residential s~ctic,u ~; n city? c. In optm country"ide? d. Near an airfield? e. Fl~ing over a city? f. Fly;n~ O'fer opert country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t followir.g queationl: I 24.1 What direction were you ~noving? (Cirele One) c. East e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? -------Jmiles per hour. 24.3 Did you a tap at any time while you were loolcing at the object? (Circle One) Yes Old you obaerve the object through any of the following? Eyeglaaaea @) No e. Binoculars b. Sun gloasea Yes No f. Telescope Windsh ielrJ Yea No g Theodolite Window glass 26. In order that you can give aa clear a picture aa possible of what you saw, describe in your own words a commOtt object or objecta which, when placed up in the slcy, would give the same appearance aa the obict wftlch ) ' OU sa~ J 27. In tht followln1 a~etch, lmo,lne that you ort at th potnt ),own, PJ"ct un '' J..'' on \}-.e r:urv.,,.~ I;,,., ,,, Jhow ho~ high tht ot,lect WCII obcwt the horizon (a~yllnt) whtn yc-u llrt sow lt. Place~ "8 .. on the 1.1me t;Ur>~td line;,.. ahow how high tht obltct waa at,ove the horizon (skyline) whn ynu last ~uw it. Piece .Jn 1-.'' on tht c.omptJsr: when you ''"' lt. Ploct 1 "B" on the com'''' where you /o1t aavr tht oh1ect 28 . Draw a picture that willahow the motion that the obiect or obiects mado. Place an ''A' at rhe beolnni:1g ot ~ne path, a "8" ot the end of the path, and a how any changes in direction during the .:~rse. 29. IF there was MORE THAN ON! obltct, then how lllCifty were there? ---.4.L _ Draw a picture of how they w.,e orran;td, and put on 01row to ahow the d;rectton that they wert~ tr4vuling. 31. Was anyoM else with you at ttle time you saw the oliect? (Circle One) 31.1 IF you answered YES, dicl they the object too? (Circle One) 31.2 Please list the name a encl oddre a : 32. Plaaae give the following In fon about yourae Zone Sttlto lruUcote ony ocJcUtlortc~l lnformetioft about youraelf, Including any special experience, which might be pertlnn,. ~"' t1/'ttlz-~hi 33. Whn ancf to whom did you repert that you had seen th object? 34.. Date you completed thia queatlonnalre: 35. lnfornatlan which you feel pertinent and which Ia not adquately covercl In the apeclflc point .. of the , .,-atlonnalre a narrative explonotlon of your alghting