r'Ru.iE~T ~7'.J .~C:CO~CJ i..OCA TOI't . ..iSERVA noN '11 .;R, c F SUMMARY AND ANALYSIS . .~o RVA TION ~A .. _ i !:lENCE Obser-er stated .~ the obj ect u:'1.6{ltness wa s cor:l.pared to t,ilht di n~ler than the .Jrightest star. or its own. eo:..:>r: whitish. a.;:>peared as 7c9~w 'ls~AJ) U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes. Your name will not be used in connection with any statements, ccnclusions, or publications without your permission. We request this p8rsonol ir"formation so that if it is deemed necessary, we may contact you for further details. 1. When did you see the obiect? (Circle One): or 3. Time Zone: Month Yeor (Circle One):~ c. Mountain d. Poe ific (Circle One):.~Daylight Saving b. Standard City or Town State or Coun~y 5. how long was object in sight? {Total Durction) Hours Minutas Seconds @ Certain c. Not very sure b. Fairly certain d. Just a guess 5.2 Was object in sight continuously? 6. What was the condition of the sky? 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the obiect? .(Circle One): a. In front of you b. In back of you c:. To your right d. To your left e. Overhead f. Don't remember d. IF you saw the objec t at NIGHT, wha t d ci you notice concerning the ~ T fd<~ und MOON? 8.1 5TAR5(Circle One): d. Don't rememb'l!r 8.2 MOON (Crrclc One): a.) Bright moon I ight b. Dull moonlight c. No moonlight -pitch dark d. Don't remember 9. ~hot were the weather conditions at the time you sow the object? CLOUOS (Circle Q.-,e): HEATHER (Circle One): Hazy b. Fog, mist, or I ight rain c. Scattered c I oud s Moderate or heavy rain Thic k or heavy clouds e Don't remember 10. The object appeared: (Circle One): a. Solid CD As a light b. Transparent e. Don't remember 11. If it opp~ared os a light, was it brighter than the brightest stars? (Circle One): a. Brighter r:1J Dimmer c. About the some d. Don't know 11.1 Compare brightness to some common object: 12. The edges of the object were: (Circle One): a. Fuzzy or blurred b. Like a briyht star c. Shor~1y outlined d. Don't remember 13. D id t h e object: (Circle One for each question) Appear to stand still at any time? Don't know b. Suddenly speed up and rush away at any time? Don't know Break up into ports or explode? Don't k:1ow d. Give off smoke? Don't know Change brightness? Don't know Change shape? Don't know g. Flash or flicker? Don't know h. Disappear and reappear? Don't know 14. Old the obiect disGDpear while you wer~ watching it? If so, how? 15. Did the obiect move b-thind aomttthing at any time, particularly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what 16. Did the object move in front of something at any time, particularly a cloud? (Circle Or~e): Yes. @ Don't Know. IF you answered YES, then telt who~ 17. Tell in a few words the following tn ings about the obiect: 18. We wish to know the angular size. Hold a match stick at arm's length in I ine with a known object ond note how much of the obiect is covered by the head of the match. If you had performed this experiment a t the ti me of the sighting, how much of the object would have been covered by the match head? 19. Drew a picture that will show the shape of the object or objects. Label and include in your s ketch any detoi Js of the object that you saw such as wings, protrusions, etc., and especially e xhaust trails or vapor trai Is. Place on arrow beside the drawing to show the direction the object was moving l a), Do you think you can ~I i male th e P<t'>d al '~" obj oc r? (Circle One) Yes No) IF yoo answered YES, then what Spe'!d would you e5timottt? ------~---- 21. Do you think you can e'timate how for awoy from you the object was? (Circle One) Yes ) IF you answered YES, then how far away would you say it was? _ --------~----- 22. Wh.ero were you located when you :aow th~ obje!ct? (C ircfe One): o. Inside a building b. In a car ri;) Outdoors d. In an airplane (type) 23. Were you (Circle One) o. In tha business section of a cit-1? @ !n the residential section of a city? c. In open countryside? d. N~or an airTi~ld? e. Flying ov~r a ci~1? f. Flying ov~: l')petn country? 24. IF you wer~t MOVJNG IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What dirction were you moving? (Cird~ One) a. North c. East e. South g. West b. Northeast d. Southeo3t f. Southwest h. North,v~!st 24.2 How fast were yoo moving? ------------'miles p~r hour 24.3 Did you stop ot any time while you were looking at the object? (Circle One) Did you observe the object through any of the following? Eyeglass~s e. Binoculars Yes Sun glasses Telescope Yes Windsh i~tld Theodolite d. Window glass 26. In order thot you con give os clear a picturd as possible of what y~u saw, describe in yc.ur own words a common object or objects which, when placed up in the sky , would giv~ th~ soml!!t opoeoronce os the obiect which you sow. Hove you avr 31. Was anyone else wirh you ~t thJ ~!m~ :cu :;rJ'"' th, \1 !t(.t? ( Cit..:: l On!) ((~) 31.2 Please list th::.tir nom~ ooJ odhnss~)~: TELEPHONE t'-IUMBER Moflth 'tecH 27. In the following s~etch, imagine that you ore at the point shown. Place on "A" on tho~ curved I in~ to show ho-N high the obiect was above the horizon (skyline) when you first sow it. Place o ''B" on the same curved l1ne tCJ show how high the obiect was above tha horizon (slcyl ine) when you last sow it. Place an "A" on the e;omposs when you first sow it. Place a a" on the compass where you lost ~ow the object. 28. L.1row o picture that will show the motion that the object or objects made. Place on ''A., ot the beginning of the path, a .,B., at the end of the path, and show any changes in direction during tht: course. 29. IF there was MORE THAN ONE object, then how many were there? ---------- Draw a picture of how they were arranged, anJ put an arrow to show the direction that they were traveling.