NLJ~A.2 [ R 0 f OBJECTS 10. CONCLUSION rir.;iblc:: ' 11. SRI E F SUMMARY AND "NAL YSIS I L c~GTn OF OBSERVATION DEPARTMENT OF THE AIR FORCE PfASE AIR FORCE BASE, NEW HAMPSt11HE 0380 1 sLJ sJ Ec T : Unidentified Flying Object Report TO: 'DET/UFO wright Patterson AFB, Ohio 45433 1. The attached FTD Fol'lil 164 is forwarded for necessary action. Local invest~ation discloses no known explanation toward identifica~ FRANCIS G. ~ tS~.AN SR., DAF GS-ll 1 Atch AFTD Fox1r1 ~a_, Assistant Base Operations Officer P eace .. is our Profession U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con g ive the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you hove observed. Please try to answer as many questions as you possibly con. The information that you give w i II be used for research purposes. Yourname will not be used in connection with any statsments, ccnclusions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details 1. '.Vhen did you see the obiect? 2. Tir.,eofday: \~----- 3. T irr e Zone: (Circle One):~ c. Mountain d. Poe ific 4. Where were you when you saw the ob iect? 5. how long was object in sight? (Total Duration) 5.2 Was object in sight continuously? Hour Mi nut& s (Circle One): (Circle One):(d:) Daylight Saving b. Standard City or Town State or County Minut~ts Seconds 6. Wha t was thte condition of the sky? {a) Bright 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. In bock of you c. To your right d. To your left e. Overhead f. Don't remember Thh ID!'m :supereede FTO 16 .Ju l 61, which i obsolete ti . IF you sow the objec t o t NIGHT, what d <i you notice ( 'H'~crn i11g the ~ T / , k S o nd MOON? 8.1 S T AR5 (Circle One): Don't remember 8. 2 MOON (C. ~rc le One j o. Bright moonlig~1t b. Dull moonlight c. No moonlight - pi t c ~ Don't remember 9. whet were the weather conditions at the time you saw the obiect? CLOUDS (Circle One): ~EA THE R (Circle One): ( Clear sky. b. Hazy b, Fog, mist, or light ro in c. Scattered clouds c. ,-Aoderote or heavy r o in d. Thick or heavy clouds d. Snow e. Don't remember 10. The object appeared: ( C ;rcfe One) : b. T ron soarent ~As a light e. Don't remember 11. If it a ppeared as a light, was it brighter than the brightes t stars? (Circle One): a. Brighter Q About the same d. Don't know 11.1 Compare brightness to some common objoct: 12. The edges of the object were= (Circle One): a. Fuzzy or blurred CEJ Like a bri~ht star c. Sharoly outlined d, Don't remember 13. Did the object=' S Disappear ond r eappear? Don't know Don' t know Don't know Don't know Don't know Don't know Don't know Don't know 14. Oi<i '~" obiect di~ODD8C'If while you wftr~ otchinq i t ? H so. how? (CircleOne): Yes @ IF you answered YES, then teiJ what 16. Oit:f th~ ohifltct mnve in frrmt nf som.,thinq at r.'"v ti,~. onrtieul.,rlv ., ::: l"'1.1d? ( C ircla One): Yes ~ Don't Know IF you on~w.,red YES, then tell what 17. T i!tl i11 a fr.w word!' the followinq thi,~s about the object: 18. 'N : wish to know th~ onC'!ular siz.,. Hold a match stick at arm's lenqth '" lin~ with a kn()wn obi~tet ond r.ot" how much of the obiect is covered bv the hf'nd of the mt"tch. If you had Dfl!rform~d this ex~riment t.'lt th~ ~im~ of the sighting, how much of th~ ob;ect woul~ have been covered by the match head? 19. Draw a picture that will show the shape of th-. object or objects. Label and includa in your sketch any details of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving. 20. D:> y ou thlnlc you con estimate the spoed of the obj81!:t? (Circ:le One) ~Yes, IF you ans-red YES, then what speed would yau utimate? -"\;: ~ -'ll ~<; f~,.. " 21. Do you think you can estimate how far away from you the obiect was? (Circ:le One) IF you answered YES, then how far away would you scy it was? --------- 23. Were you (Circle One) 22. Where ware you located when you saw thtt object? (C irc:le One): Inside a building ~In the business section of a city? b. In the residential section of a city? In open countryside? c. Outdoors d. Near an airfield? In an airplane (type) Flyin9 over a city? f. Flying over open country? 24. IF you were MOVING fN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) c. Eost e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving?---- ....,.~miles per hour. 24.3 Did you stop at any time while you were looking at the object? (Circle One) 25. Did you observe the object through any of the following? a. Eyeglasses Bi't,oculars Sun glosses f. Te!escope Yes Windshield Theodolite Window gloss 26. In ord~r that you can give os clfJor a picture as possible of what you sow, describe in your own words a common obj~ct or objacts which, when placed up in thft sky, would give the some appearance as the obj~ct which you sow. 27. In the following sketc-h, imagine that you ate at the point s hown. Place ur" "A" o n the curved I ine to show how high the obiec:t VIOS above the horiion (skyline) when you first sow it. Pluce a ' ' B " on the tom!! c urved l ine t~ show how high the object was above the horizon (skyline) when you lo s t !".ow it. Ploc:e an "A" on the compass wh~n you First saw it. Place o "B" on the compass where you fast sew the obj~ct. 28 . lJrow a picture that will show the motion that the object or objects mode. Place an "A" at the beginning of the path, a "B" ot the end of the path, and show any changes in direction during th~ course 29. IF there was MORE THAN ONE object, then how many were there? ) -"'--_;;:;:;:}:..,_;_. ---- Draw a picture of how they were arranged, on.:l put on arrow to show the direction that they were traveling. W'Js anyone else with /OU at the ti m.t y ou sow tht! obj~ct? (Circlo On~) 31.1 1c: yoo on.swered YES, d iJ they sfte th.! object too? ( Ci reb On~) 31.2 P1eose list their names and address~s: Ploas~ giv~ the follo\ofing informatio n a bc .Jt yours:tlf: Fir o~t Name Uidd Ia Name 1e1dicote any additional information a bo u t yourself, including ony special :Juricnca, which tnight b.! ~ertin~nt. 33. When ord to whom did 'JOU ! ort that yo~. .. had s~en th e obj o;ct? 34. Date you completed this questionnaire: 35. Information which you fHI pertinent and which is not adequately covered in the specific points of the " questionnaire or a narrative explanation of your sighting