PROJECT 10073 ~ECOR) i Jt .,.f:R OF 0BJECTS CONCLUSION 11'P2 Or OBSERVATION I~ PdOTOS t':-iYSICAL EVIDENCE 11. BRIEr SU~\AMARY AND ANALYSIS infor~;.a tion Previoua edUlon ot thia f orm may be u~oed. U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer os many questions as you possibly can. The information that you give wi II be used for research purposes. Your nome wi II not be used in c onnection with any statements, ccnc:lusions, or publications without your permission. We request this personal ;,formation so that if it is deemed necessary, we may contact you for further details. 1. When did you see the obiect? 3. Time Zone: (Circle One): a. Centra_L / c. Mountain d. Poe ific 4~ Where were you when you saw the object? 5. how long wcs object in sight? (Total Duration) 2. Tir,,e of day: (Circle One): (Circle One): City or Town b. Standa"ra Minutes Seconds a. Certain c. Not very sure 6.; Fairly certain '. d. Just o guess ~ 5.2 Was object in sight continuously? Yes _ 6. What was the condition of the sky? b . Cloudy 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 b ock of you c. To your right d. To your left e. Overhead f. D on't remember d. IF y ou sow the object ot NIGHT, whClt d1~ y o u rwtic~ c:onccrntng the ~TAf<S und MOON'? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON (C~rcle One): o, Bright moonlight b. Du II moon I i gh t _ ~ No moonl(gnt -pitch dark" d. Don rr ;e;;emb"e.:---- 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): o. Clear sky d. Thick or heavy clouds HEATHER (Circle One): c o :-dry:) b. Fog, mist, or I ight rain c. ,'Jtod erote or heavy ro in e. Don't remember 10. The object appeared: (Circle One): T ron sparent e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a. Brighter c .o. b;~t"th ~-i9me-"' d. Don't know 11.1 Compare brightness to some common objt!ct: 12. The edges of the obiect were: (Circle One): a. Fuzzy or blu:-red c. ShorrfY out I ined d. Don't remember Did the object: a. A ppear to stand still at any t ime? b. Suddenly speed up and rush away at any c. Break up into parts or explode? d. Give off smo~e? Change brightness? f. Change shape? g. Flash or f1 icker? 0 i sappeor and reiJppear? (Circle One for each question) Don't know Don't know Don't know Jio_,) Don't know Don't know Don't know Don't know Don't know let. Did the obittet disaoMor hilft you wer wotehinQ it? H s o, how? 15. Did the nbieet mov4 ~hind som~thi,g atony tim.,, p,rticulorly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what 16 . Did the obiect move in front of something at any time, porticu 1arly o clt'ud? (Circle One): Yes : N Don't Know. IF you answttred YES, then tell whot 17. T e ll in o f~tw word5 the followinq th ;,gs about the object: o. Sound /} t_;W - 18. We wish to knew the angular size. Hold a match stick at arm's length in line with o known object and note how; much of the object is covered by tne he<ld of the match. If you had perform.d this ex~rhMtnt ~t th timu of the sighting, how much of the ob;ect would have been covered by the match head? 19. Draw a picture that wi II show the shape of the obiect or objects. Label and include in your sketch any detai Is 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. Do you think you can stimote the speed of the obiect ? (Cirele One) IF you answered YES, then what sp41ed would you estimat~? -~',." ,_11 Do you think you can eJtimate how far away from you the object was? , ~7f';\/ (C lrcle One) IF you answered YES, 1hen how far away would you say it was?--------- 22. Where were you loc:ated when you saw the object? (Circle One): a. Inside a building b. In a car ce. Outioe;~ d. In an airplane (type) 23. Were you (Circle One) a. In the business s~ction of a city? {c. !n the residential section of a city? c. In open countryside? ~ Neor on oirfil!fd? e. Flyi ng ovl'Jr o city? f. Fly ing over Op-!ln country? 24. IF you w~re MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t},e folrowing questions: 24.1 What direcfion were you moving? (Circle One) a. Nor1h c:. East 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 look,ng at the object? (Cirele One) Did you observe the object through any of the fotlowing? Eyeglasses Binoculars Yes No b. Sun glasses Windshield Theodolite Yes No Window glass . Yes 26. In order that you can give as clear a picture as possibla o f what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the same appearance os the obiect which you ~ow~ In the following sketch, imagine that you or~ ot the point s hown. P lace or " A,. on lh"! '-\rved l ine ~o ~hoN ho.., high the obiect was above the horizon (sky tine) whe n you firl t s ow it. P lace a ' ' B, o~ t h e sam~ curv~d I in~ to show how high the object was above the horizon (skyline) when you last s ow it. Ptoce an "A" on ~he compa~s when you first saw it. Place a "B" ""the compass where you las t sow t l c objec t . 28. L)row a picture thot wi II show the motion that the object or objects mode. Place on "A" at the beginning of the poth, a "B" at the end of the path, and show ony changes in direc t ion dur ing th~ course. 29. IF there was MORE THAN ONE object, then how many were there? ----------- Draw a picture of how they were arranged, an.:l put an arrow to show the direction that they were traveling JO. Have you ever aeen this, oro similar object bfore, If :so give date or dot~.:s c.md location 31. Was anyone else with you at the time you saw the obiect? (Circle One) 31.1 IF you answer,:.d YES, did they see the obiect too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the following information abOYt yourself: . TELEPHONE NU First Name Middle Nome Indicate ony additional information about yourself, including any special experience, which might be pertinent 33. Whe n end to whom did you report thct y ou had se~n the object? 34. Date you completed thit questionnaire: 35. Information which you feel pertinent and which is not adequately covered in the s pecific points of the questionnaire or a narrative planation of your sighting