CO, CLU.>ICN f". tYSIC~- U.S. AI R FORCE TECHNICAL IN FORMATION T h :; questionnoirl"' ho:; been prepared s o that you con give the U. S. Air Force os much informctton os possible concerning the unidentified aerial phenomenon that you hove observed. Please: t:y to answer as mony quostions os you possibly con. The informat ion that you give will be use e Tl)r research purposes. Your nome w i l l not be used in conne ction w i th any statements, ccn ::h.rs;:lns, or publications without your permission. We request this persona l in fo rmat ion s o thQ ,: is deemed necessary, we may contact you for further details . 2. T i r.,e o f day: 1. When did yc; e the object ? 3 . T ill"e Zone: (Ci rcle O n e): a . tostern lb. Central c. Mountoin d. Pacific (Circle One): (Circle One{. a . 4. '!'!here were~ ou when you sow t he obj~ct? r-.eor:.sl ?ostol Address 5. ho\V long w-::s ~b1ect in s ight? (Totcl Duration) ::. Cert::in ~. fcirly certain City o r Town c. Not very sure d. J u sto guess t-lt>ur Minutes Doyli~ht Saving 6 . What wos .::-~:: ljn of the sky? o. oic;ht ( a. Bright - b. Cloudy 7. IF yo11 sow th!: cbj~ct during DAYLIGHT, where was ~he SUN located as y ou looked o t the object? (Circ/.: One): o. In front-of '("Ou - _ --b. 1."1 bock of y ou d. T o your le ft -~-e. Qverhf)od .----c. T o your ri(;h t f. Don't reme mbe r Thl fcorm sup .. r eed"'" FTO 164, Jul t>l, "'hlch I a ob .. o ! .. te. ~. I r you ~ow the obje c t at NIGHT, what d id you notice concerning the S T AI<S ond MOON? STAR5 1Cudc d. C::~'t remember 8.2 MOON ((,rc/c One): Bright moonlight II moon I i gh I c. No moonli ght -p itch d ark d. Don't remember 9. Vvhat were h.: weather conditions a t the time you sow the object ? CLOUDS ( C, c/e o.-,e ): WEATIIER (C,c/c One): b. !-ia:ty b. Fog, m i s I, or ltgh I ro in Scotten::! clouds .i\od~rotc or heavy rain d. Thick c h e a vy c louds d. Snow c. Don' t remember iO. T he objec~ .::>pearecl: (Circle One): c . Don't rcmemb~r it brigruer than the brightest s tars? (Circle One): c. .A bout the samf' d. Don't know 11.1 C::!n:>c~ ~rightness t o some co:-mon object : :: . Fuuy or blure~ ~-Ltkeobri.Jh ::- :: Shor!"'IY c u t line-d Slo n ' t re~o:.~;,be 13. Dic-1 tht: obj~c: (Circle One for coch question) A po'!'Jr ,..., .- ~rj s t i If a t ony t im-:? Don't know Svd-1 .,.. t ; ::-ed up and rush owoy o t any time? Yec; Don' t k n o w c. Breck .!:J l"'o ports o r explode? Yes t Ng_ Don' t k:1ow d. Give off smo'<.,? Yes Don' t know Chang e b ri ;r.tness? Don't know f. Change sho?e? Yes Don't know ash or flid r? Don't know Oisopp .. or and reappear? Don' ! know 14. Did the object d i5oppeor while you wore watching it? If so, how? 15. D i d t--;e ~:: ''t mov~ 1>-ihincl ~om..,thinq ot any tim.:, pnrticulorly a cloud? (Cic ~ One): Don't Know, IF yo1. answttr.,d YES, then tell what it mc .. ~d b!!hind: 16. Did th e:;~ ect mova in front of som.,tl,ir:~ a tony tiiT'e, particularly o cloud? (Circle OrtP.): Yes ('lc Don' t Kno,u, IF you nn-.wl')r@ld YES, then te ll what Tell ;., o i w words thb followinq thir gs obout the object: i 8. Vie .-Jis h bow tho angular siz.,, Hold a match stick at a rm' s length in line wit1 a known obj&ct u nd note h ow of obj&ct is covered by tl-!: head ,r the match. If y ou had pl'!rformed this ex~rim~nt :~t t h e time o f th, s i j:,t i:'l;, -:::w much o f the obj~ct would hove been cover~d by the match head? 19. Cr::w.: ~ c-"' --=~will s ho.Y tf-!': ~',c:)e o f the object or objects. Lobel and include in your sbtch any d~toils I of tne :.:J e-: --: 'rou sow s u::!-! ~s ,. i"'l;s, protrusions , etc., and especially exhou~t t rails or vapor trails. I , ; to s, o w the diroct io n th., object was moving. 20. Do you t h ink you con e:;;timoto tho spt)~d of tho objGct? IF you on:;,..~,.,d YES, th"'' nhat spaed would you e<.ltimoto? 21. Do yov hi-:"< "OU con etimot..:~ how f o r away _from y ou the objact was ? (C d o On!!) Yor. ( No IF you ans....,.~rad YES, ihen how for owoy would you ::oy i t wets?----------- 22. Wh~re we voo located whe n y('AJ sow th>!t obi ~ct? (Circle Ort-,.. a. Inside 'l ~uildin~ c. Out~-:>crs d . In o n c:r;>lcn~ (typ~) 23. Wer-:: you ( Circle One ) o. n '~: bu~n~:>s sectton o. o ctt'f. b. !n the ro:-idential section of o city? v \' "'',, c . In opan co~rn try side? \ . t d. t'l!~or on rirfi ld? e. Flyin!J over u ci!y? f. f lying ov;;,~ o n co"ntr1? i ~ .... lf )CU w : l.\OV ING IN AN AUTOMOBILE or other vtfhicle at th~ tir.1-:, t h.,., complet<!l t:,., f o llowing questions: 24. 1 What oir(tction wer~ y ou mo,ing? (Circle One) a, N:lr'TI c . East e. South b. Nod,l!!ost Sou~hea>t f. Sou~wt:st mil~s p.!r hoJr. 24.3 uic! y:>u stop at any tim.o whi!~ you ..... .,re looking o t the object ? Did you ;.::-.~....,& rh~ objec~ th rough ony :)f thl'! follo"Ving? e. Binoculars f. Telescope CJ Theodol ito h . Northwest 26. In orcl"r th.J! '~u con giv-, as cl:!cr o pic turo o-; poss;hl~ of what y~u s aw, do:.:cric~ i n your own word.> o c ommon oSiect c r ob, .. , .. , "'"!-lich , wh~n plac~Jd up in t""' !>l-y, would giv.., tht: sam~ app30ronce os th.::t object which you sow . 27. In the f o l! o w i!' g osl<o:tc h , imogire th~t you c.: (t th~ poi11t shc-.wtl. ~'lace or "A' nt :in r ~ ,v n I ir:.: to how how ! high t he r>b i .v1s o!o>ove the horizon (s kyline) when you first !;<>W t. 1-'l(lco o "R" o 1 thl lcnf' rurv~d liM to s h ow how h ;:... ~,~ obj'!tc t was above t ho:: hori7on (s!,y !i n ) whor1 you lost sow it. Pl':'lc~ em "1," on tn. . .lrow o ;lk~-' that will s~ow th~ noti 'r thot th:: object or obj~o:cts mode. Plo::.: on " A " Clt th'! ~ ... 1inning :>f t h:: ,:-o::.., c "b" ~t the end o f th'! poth, ::.;. s,o . .., an1 changes in darection ciurtn~ tht. ::oJrse. 2 9 . IF t!-ere "'~: (':,p= THA N ONE ,:-l, ~=, n e n how nuny were there ? =-;':~ ~ -! :,~.., th"'y were -=r~:J~:,.d, onJ put an orrOH to show the dircctin thot 1!-!::y w~r:: trovelin9. 30. Hart y..,u ever ~u.:tn this, or a s irnilor vbj.~ct L<tfcr;. If ~o oh, r.l-..t_, or dob.l <"':'1d 1--otic.l . 31. Wa s onyCI"t' --~ with you at the tin~' you sow thb obj.,ct? (Circl~ ow~) 31.1 IF y~ :Hw.w.~d YES, did th.,y ~:'" th., o~ject too? (Circ/.., One) 3 1.2 p;,):,-. .. li ' t th,ir nam,.s ond oddres!>es: IV!' th., followi informa t ion cboot yo~rself: )~iJ:IIn t~o " " T ELE'=>h.:"= NUMB l~d.: Jt 0'1;' ~Jdditionol information a bo u t y our'iolf, including any o;pcciol 0U:'cori, nco, which mio:n b .. r.mt in()n. n Cl,,J TO :.. ~ id yo u report that you ha d :;t>en th } object? 34. Dot>! y o u compf,ted this questionna ire: 35. lnformoliOt'l W;'lkh you fael pertinent ond which is not od,quo toly coverod in t iut specific polnh of the qu .. :ltionnoi ~ ~narrative e,..pfonotion of your sighting. U.S. AI R FORCE T ECHNICAL I N FORMATI ON ;:....:; :;uestionnoire has ~en prepared so that you con give t he U.S. A ir Force as much in'=r-: :.., o s possible concerning the unident ifi:!d aerial phenom..,non that you hov!) obsorv.,d. t o answer as mony qu~stions as you possibly can. The info rmation that you giv~ w il l b! 1..'>)::: ' ro3corch purpo~es. Your nome will not be used in conne c tion with any statem~nts or publicat ion:; w ithout your permission. We request this personal infor mation so th::Jt ; ; ; i s deemed nece s sory we may contact y o u f or further de to i Is. 2. Tir.,e of d a y : 1. 'Nhcn dad yo. :.e e the object ? (Circle One): t.Ai nut , s. Circle One): o. tos~ern t b. Cen t ro I c . Moun'c in d. Pacific e . Other --- (Circle On~): o. Daylight Soviny b. Standa rd 4. 'nhe'! w~re Y-'V when you sow the o~p~::t? N-~r:.: 'jo~tal Address City o r Town Sta te o r County Minute-. Seconds c . N o t v i!ry sure d . J usto guess 6 . Wha t wos th a ::~r-cr'tOr'l of t he sky? 'o. Bright b . C loJdy 7 . IF you s o w ::ae o!:>Ject during DAYLIGHT where was the SUN locotc!d as you looked a t the obje ct? (Circle One): In front o f you d. T o your left b. In bock of y o u T o your ri~ht f. Don't remember tl. IF you s o w the obje c t ot NIGHT, wl10t did you not tee conccn11ng th~ ~T ;\I<::, and MOON? 8.1 ~TAR!> Circle One ): d. ::~'t remember 1.. o . Brigl tt moonlight b. Dull moonlight c . No moonlight -pitch d. Don' t remember 9. lr'th:~t ...,~,.,. h e weather condttil"ns a t the: t ime y ou sow thJ obj~:ct? CLOUO: :irde One): 'f/EATHff< (C,cfc Ont:): b. F ug, rn is I , or l 1 gh I r 1 in c . Scote c!d c louds c . .-.-.oJcrl.llc or lv.:ovy roin d. Thto:~ -:r heo 1y clouds I rcmPrnhr a . So i.:l , I c~s; ;::I'l l c. Don't rf'memb~r I c. Vopor I 11. If r o;:;:e-::~:! as o light, wo:; it t,,._ ~:!:r thun the bri!Jhlest stars? (CirciP. Q,,e): b. 9,rnmer c . About the sonP. d . Don't knoH ect w<>_re. e . Other _ _ o. Ap::o~-:~r 1, :. o."d still at ant t1me? b. Su1 ~e:" " ~ :---ed u p and rush ow.:~y at flny t ime? c. Ber~ V' '1o-ihJrts or e x p lode? e. (l,ong.: i:.r ;r-:ness? f . Chong" st,Jpe? g. Flos h or fl rclc.:r ? (Circl~ One for each qu~stion) Dcn' t know Do.,' t kn ow Don' t know Don't kPow D--n' t know Dor1't know Dv l't ~now Oon 't kno w ~ h. Disappear and r~oppr-or? 14. Did t he obiocl d i s.opo"'or whi 19 you wl)re watching it? If so, how? 15. Dic.l tf-~ ~s '"< I move~ !-hind som~tl,inq a t nny t im..,, oorticul.,r ly n clouo:!'? Don't Know. IF you onsw.,red YES, th.,n tell whot