.Civil Lu:1 NUt ~P.f. R OF PROJECT 10073 Rf:COrtD 2. LOCATION 10. CONCLUSION Possl blc (r,If<Crv\F'4') ; .., LENGTH OF OBSERVATION I 10 minu:.e~ 1 t 1 fPE OF OR5ERVATION 2ruund Vj s:ua_l_(_B_X_-_T_X_)_-t 7 . r.OURSE . rHOTOS I ? . F'HY51C,\L EVIO!:NCE 11. BRIEF SUMMARY AND ANALYSIS SEE CASE FILl!; p,..v rou dhlon t o r :hh r orm m a y b e u eed. U.S. AIR FORCE TECHNICAl. IHFORMA'fi01~ Thi~ questionnaire has been prpored 10 that you con give th$ U.S. Air Forcer as much informoTton o s possiblo concernlno t h unidentified oetriol pheno.nenon that you hnvu oLII&rv~tli. Pl~o=-~ :.: t:> on:ow;,r a:: mcny quetitlon; a you pe>ss ib ly con. Th11 informollon ihot y<.:u ~ivD will bt: :..~.;~d f"f rseorch purposu. Your norM will not be used in conne(.ti()(l with any 5t~t.tm~mi:), conc ivs ions , or publications without your pormisroior.. We request this pcHSOf1ol Jnformotion ~c thct ir t is deemed nocessary, w~ may C()(ltoct you for further details. When did ~-;u aero th o objetct? (Crcle Orre): 3. T ime Z one : (Circl" Onf!): a, c. Mounta in (Circl(\ r.)ne): d. Pacific 4 . Where w~r fo-.l when you sow t he object? Neo u ?oatol Addr City o r Town S. How long .,...o, object in light? (T:~:~i Dvrotlon) a. Oayli~ht 5o:ino b. Sto.,dard Srol~ -.... CoJ">ff o. Certoin c . Not very sure d. J usto guess c. F; trly certain a . ~rit:ht o. c :oudy a . Bright -b. - Cloudy 7. IF you th8 ':>O!oct during DAYLIGHT, wh~tre wa:a thf! SUN located as you loci<~J at tho& ol:li6-::t7 (Circltt One): o, !n front of you b. In bock of yoo c. To yovr right d. To your le ft e. Overheod f . Don't remttmber FTD OCT 62 164 Thl fo.m oupend PTT> 164, J u l 6 1, "'hlc:h I oho nleh. 8. IF ynv suw t!1o ob1act ot NIG~H, what did you notce concerning the STARS a nd MOON? 8.1 Sl Af<~, (( trcle One): c . Mc::ny d . i.:on't rmember CLOUDS Cud o One): a . Clenr s<':' c. Scctt.tr .. o clt> ... ls 8 .2 MOON (C,c/e One): Bright moonlight -r.Dull-moonli ght No moonlight-pitch dark Don't rommb.r WEATHER (Circle One); h. F'og, mist, Of ltuht rolt c . Moderoto or heavy rain e. Don't remember 10. The obj~tcr ~p~ored; ( Circlet One ). d . AI tl l igh t b. T roru.p.l t o lt o , Doo't rememb.r c . 'Vop,)r 11. If it a ppeor,d a& o light, waa it br ighter than th brlghtet stars? (Circle One}: c. About the $Orne d. Don't know 12. Th ed~'i oi T"le objec t w e ro: /(,,d,J' ""~e l :3. Fuz zy Ot biurra-3 to. Like a bri~t sl~ c.. Sharply o..~tlind = Don't romem~r 13. D1d the o;,te c r. Appecr b Jtord ;till a t any t ime? Suddttflly sp-OJ"d u p and r u sh away at any time? Bro ok u;: n::~ porta 01 oxplode? GIV:t oii :,...,oc8? Chong.~ C..i ;Tltness? Chong .)nope? r Jos h or flic !ur? D1~0pp4tar end reappear? ( C ircle Ono fOf each quutlon) No Don't lcnow Don't know Don't know Don't know Don't know No Don't know Don't lmow Don't know 14. Did the object d isappear while you wt:rc. totching 1t? II ~o, how? 15. Did t he o:,!-=C ':'love behind som.,thtng at any time, porticvhuly o c loud"! Don't Know, IF you .J11Swercd Y[.~., them t tlll ,..,.hot it m::>..,.d ~hind: 16 . D id t h o o!:. ttct move in front of Gpmerhtng a t any ttrne, p nlliculorly a cloud? (C ire It: C:Ht ): Yes P~n't Kno w. IF you onswereci YES, t~"!) .. '"~!I w;,'JI 17. Toll 1n o f:t.., words the follo...,ing thin;$ about tho objuc t : 18 . VIe wish t o how the angular size. H.:-ld o match st1.:k at orm"!> length in lin~ with o k~oovtil ~.~bjo;t oncl1:-:1 . ........ much of t h object i s covered by t h e h e a d of the match, If you had pttrforr.l!!l.:l this ox~erimont ::.t thtt ti.v; .i I-: s ight1ng, h!)w much of the ob;ect wol.ll1 h.:Jve been covered by the match hood? 19. Draw o ? 1::: ... , ., -.::r will show t h e :r.-aoe o~ the object or objects. Lobel and includo in yvut 1 ketch ony d3to:la o f tha o;,jo c ic' vou sow such c s wi'lgs , protruions, etc., ond eapaciolly exhaust troilt or vapor trails. Plac~ ::n ::-~-~s1:e the drowin;1 o sl,ow the direc.tio n the object was moving. 20. Do you think you con O!>timottt tho speed of the object? (Circle One) '(os I F you onsw&rod YES, then what speed would you ostin.ote~ _ _:: :_. :. ; 21. Do you th 1nA o~ con estimate how for away from youth~ o b je c t wos? (Ccls One ) IF you ::n~> .. ~red YES, then h o w for owoy would you soy it was? _!...:_'_t.._ : ' 22. Where were yov locotcJd when 'ICAJ sow the obfect? (C ire/a Or.,.}. o. Inside o b uilding b. In o co c . Outdoors d In on o plan" (type} 2:L Wero yov ( Ci r do On~) In the business section of o city? lr. rl:(l residential suctic.u ;,/ o city? In o(Hn country!\ide? on oirf ill ld? Flying over o city? Fly;n{; over open c04mtry? 24. IF you wor ~OYING IN AN AUTOMOBILE o r other vehicle at the trme, then complete the f ollowie.g qu-ution: 24. 1 \"ihot j irction were you R"'Oving? (Circle One) o. N:>rm c. East b. N ::ortheost d. Sout heast f. Southwest h. Northwst 24.2 How fo t W!Jre you moving? ---------Jmiles ptH hour 24.3 Did you stop at any time whi I yov Wetre looking ot the object? (Circle One) Yes No 25. D id you o~nerv$ the obje c t through ony of the following? Binocular~ f. Telescope g. Theodolite Yu No 26. In order tho f.JI.I :::m give a s cloor o picture oa possible o f what you a aw, describe in your own words a cOf'lrn~ object or obtt--::rt which, whn placed u p In the aky, would give the soms appearance oa the object which ) 'OU aoY" 27, In th following o~teh, lmoglno thot you or at t ho point ahown. Plot o, '' J...' on 1he r:urv~.-: I tnt. to ohow ho .... -high tho obltt wo' abovo the horizon (skylln) whn yw first sow It, t'loctt o "B" on th~ &.Jma curvltd line lc- ahow how high th objct wos abovo the horizon (akylln!t) when you lost ~uw it. Ploco .:~n ' 'A ' on the tompllu you FltJt aow lt. Ploc$ o "8" on th eompou whr you lo:Jt :~ow th oh1ct. Or:l.., o ;>ic . .~r' that will show th mot ion t hat ths object o r objects modo. P loco on "A ' or rh, beoinnl:19 !Jf 'rho p::~h, c: "B" at the end of the path, end show any changes i:1 direction during ths ' our~e. 29. If thmt woa MC~E THAN ONE :>b:c:, tnn how mony wr thor? --------~-- Drow o p letur ->f h ow thy wt~r orronged, and put on arrow to show th~ diroct ton thot they wor~ t rovuling. 30. H~v you ve~ sn thia, Of a simi lor objct before. If so giv dot or dotta ond locQtlon. 3i. Wos onyOI'!IIJ! -.l u with you at De time you sow th objact? (Circle One) 31.1 !F ~CI.o onJwrd YES, dld they see th objct too? (Circl~ On) 31.2 Piu._. list thir names ond od1:tra n.oo.;,.jC: Mlll~lo N41M IMieo,., .,~ >d~ltlonol lnformrttlon obout yourulf, Including any ap.clol oxprlenee, ~lc:n mioht be P*ttlnenr . 3A. Dot you compltd this quutlonnolr: 35. lnfotii"'tlon ':ll'n i eh y ou feel pertlnnt ond which Ia not a d quotely covr d in the specific poln~a of th. quest lonno tr., ~ a norrotlv explanation of your sighting.