p;=~OJECT 10073 RECORD :: 't. DA T _: TIME GROUP 2. LOCATION 4. NUMBER OF OBJECTS 5. LENGTH Of OBSERVATION 6. TYPE Ofl OBSERVATION Ground-V1Mal 8. PHOTOS 9. PHYSICAL EVID!HCI 10. CONCLUSION Otber (UNR&LIABI.B RiPOR'l') ObaerYer baa aeeD betoz-e 11. IRIIfl SUMMARY AND AHALYSII FTO SEP 63 0-329 (TOE) PreIMe ltt..-e el thla fesa --~ k \& .. 4 27. INFORMATION WHIC H YOU FEEL. I S PE . AF ll7 sent to ..... 18 Sept l968 SIGHTI"G OF UMIDEMTIFIED PHEMOMEHA QUESTIO~NAIRE RUDGI!T OU1U.'AU AP,.,O~AL THIS QUESTIONNAIRE HAS BEEN PREPAHED SO THAT YOU Ci\N Gl VE TilE U.S Ali-t FORCE AS MU\H INFO~MATION AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENO~t~:NON TliAT YOU HAVE OFlS-:RV0. J.ILEASE TRY TO ANSWER ALU OF THE QUESTIONS. TilE INJo'ORMATION YOU GIVE'. WILL OE USEI> FO~ t,of-:SF.ARCil PURPOSES YOUR NAM~ WILl,-NOT DE USED IN CONNECTION WITH ANY OF YOU R STATEMENTS O R CONCLUSIONS wtTHOUT YOUR PEH~USSldN. RF.TURN TO AIR FORCE BASt: INVESTIGATOR FOR FORWAl<DlNG TO FTO (TDI-~TR). WRI(IHT- PATTERSON AFB,OHI045433,1AW AFR80-f7. (II ADDITIONAL SHEF.1'S ARF. NEDfo;D FOU NAIU~ATIVF-; OR SKI-~TCHES ATTACH SECUREC... Y TO THIS FORM OR ANNOTATE ~HTH YOUR NAMF; FOR IDt-:NTIFICATION. ) 1 . WHEN DID YOU SEE TH~ PHEN0114ENON? 2 . WHAT TIME DID YOU FIRST SIGHT THE Q.MENOH /~ 0 I HOUR MINUTES . t; j 0 P . M . 3 . WHAT TIME D I D YOU LAST SIGHT THE PHENOMENON' L'V ,L~<.u-~<J(A'!_..?1/:l~ !: MINUTES TIM 'lOll! E AYLIGHT SAVINGS [l STANDARD 0 CENTRAL 0 MOUNTAIN 0 PACIFIC [j OTHER 5 . HERE WERE YOU WHEN YOU SAW THE PHENOMf.NON' IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON A HAND DRAWN MA~ WHER!: YOU WERE STANDING WITH REFERENCE T O THE ADDR E5S. IF IN THE '.:OUNTRV. I DEN Tl FY THE HIGHWAY Y O U WERU ON OR NEAR A~O TRY TO FIX A DISTANCE AND ~IR,IJCJ'ON F~O~SOME RE ,OGNIZtBLE ~ANDMARK. 6 . IMAGINE ':"OU M:~: A r THE POINT SHOWN IN THE SY.!!TCH. PLACE AN "f. ON THE CURVED LINE TO SHOW HOW HIG'-1 THE PHEN0"40:"" '1"1 WAS ABOVE THE HORIZON . OR S'<.YL"lE. WHE N FI~ST SEEN. PLACE A '(3 ON THE SAME CURVED LINE TO SHOW HO't'l "41GH J\BOVE T~IE HORI';:ON THE P~ENCVENON WAS WHEN LASTS::: "' OBSERVER .:" lA. NOW IMAGINE YOU A" AT THE CNTEA OF THE COMPASS R O SE'. J.'LAC.E AN A"' O N THE COMPAS~ TO INOI' A -rf ntE OIA!.CTION TO THE PHENOMENON WHEN FIRST SEEN. PLAC E A a O N THI::: COMPASS T O INOICATl THE DIRECTION TO THE PHENOMENON WHEN LAST SEEN. 7 . IN THE SI<ETC ... !!!:LOW, PLACE AN A AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. ANO A. e AT THE POSITION OF T~E PHENOMENON WHEN LAST SEEN. C ONNECT THE .. A. ANO e WITH A LINE TO APPROXIMATE THE MOVEMENT OF THE PHEN01'114ENON BETWEEN "A" AND a". THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO S~At..LER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE THE L-"RGE~ S~ET..:H. . PAGE 2 OF 9 PAGES WHER~ W I!!RE YOU WHEN YOU SAW THE PHENOME N ON? (C:Itl/jd< o p p mpriate blodc.,.) IN B U SINESS SECTION OF CITY IN B U ILDING I N R!:SI D"-N TIAL SECTIO N OF CITY 0 AS ORIVEA 0 A S PASSENGER IN OPE N COUNTRYSIDE N E A R AIRF I ELD IN AIRPLANE 0 AS P,ILOT ~S PASSE NGER YING OVER CITY FLYINC OV~R OPE N COUNTR Y IF YOU WERE IN A VEHIC L E , COMPLETE THE FOLLOWING : WHAT OIRECTION WEAE YOU MOVINOT HOW;A ST WERE YOU MO V I NG? 010 Y O U STOP ANYTIME WHILE O B SERVING THE PHENOMENON? EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN IT EMS 5 AND 6 . DESCRIBE T YPE OF VEHICLE YOU WERE IN AND TYPE OF R OAD, TERRAIN O R BODY O F WATER Y O U TRAVERSED DURING THE SIGHTING . TATE WHETHER WINDOWS OR CONVERTI B L E TOP WERE U P OR D OWN. HOW MUCH OTHER TRAFFI C WAS THERE ' DID YOU NOTIC E ANY AIRPLANES? QY ES 0N O . YES. " DESCR I B E WH E N THEY WER E I N S IGHT R ELATI V E T O THE TIM E OF SIGHTING THE PHE N O M ENON AND WHERE T H E Y WE RE IN T H E SKY RELA T IVE ro THE P O SITIO N OF THE PHENOMENO N . H O W LONG WAS THE PHENOMENON IN SIGH T ? LENGTI; OF J'I M E !/ (/ ~ ~i---1 CERTAIN OF TIME N O T VERY SUR E :=Aiqt..Y C E RTAIN JUST A GUESS HOW ffA~ TIMe: 9~-r;ERMINEQ-1 WA S T",.,e ?t1 E N O M E N <'tH IN SIGH T CON T!NUO~SL Y r j1""-rVE~ 0 N(j I F Nc, ~ I NDICATE WH ETH E~ THI S IS OU E TO Y OUR MOVE MlPJi O;i THE B!:HAVIO R OF T H E PHEHOMENO,., ANO OESC~3~ 5UC H ~OVEMENT O R 9EH~.VIOR. INDICATE DISAP- PE-'RANCES .)N P REVI OUS St<ETCHES PAG E 3 OF 9 P AG=:5 10. Ill' TH EAE W!A! MOA! THAN ONE PHENOMENON. HOW MANY WE:. RE THERE' OR AW A PIC fURE TO SH O W H O 'N THEY WERE AAAANG!D. DID THIS AAAANGEM!NT CHANGE DURI~G THE SIGHTING' CONDITIONS (Cheek oppropriace bloc ks.) A. SKY B . WEATHER DAY CUMULUS CLOUDS (Low f luffy} FOCi OR MIST TWILIGH T , CIRAUS Cl.OUDS (Hilla fleecy or Herrirts HEAVY RAIN NIGHT bone) LIGHT RAIN OR DRIZZLE , CLEAR NIMBUS CLOUDS (Rain) HAIL , PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET 0 oooooOoooo ooooooooo o oa oaaooooooooooooooooo oooooooo C. " THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTIC E ABOUT THE STARS ANO MOON, -y NONE BRIGHT MOONLIGHT t.--NO MOONLIGHT MOON WITH HALO MOO N HIOOEN BY Cl.OUOS PARTIAL (New or quo.rtf!!r) D. IF SIGHTING WAS IH DAYLIGHT, WAS THE SU~ VISIBLE? 0 YES 0 NO. IF yE s , WHERE WAS THE SUN AS YOU FACE.D THE PH~NONEHON? . 11-1 FRONT Oil' YOU TO YOUR RIGHT . O.VERHEAO (Nf!!ar noon) IH SACK OF YOU TO Y OUR LEFT UNKNOWN U. GIV A aRH!F OC::SCRIPTION OF THE PHEI'fO~EN0:-4, INDICATING WHETHER il APPEARED DARK OR LIGHT, WHETHER IT R!:Fl.EC,.'!O UGH~ O A 'ffAS S!:Li='-LU"'IHOIJS A~O 'M"'AT COLO RS "~U '+C T'':~::>. OE5CRIBE YOU~ IMPRESSION OF WHETHER . IT ,WAS SOL.tO OR TRANSP'"~!:NT. WHETHER ED(;ES WERE SHARP OR r::'J !ZY. OESCR19E THE S"iAPE OR INDICATE IF IT APPEA~e:O AS A POINT O F l.tGI1T. IN!JICA~E CC~PtRtSONS WITH OTHER ':)SSERVEO ,OBJECTS, LIKE STARS, A l.ICiHT OR'...j. PAGE 4 O F 9 PAGES OlD THE PHENOMENO N U NKNO W'4 MOVE IN A STRAIOMT LINE? STANO STILL AT ANYTIMEt SUDDENLY SPEE D UP AND RUN AWAY' BR!:AK UP IN PARTS AND EXPLODE' CHANGE COLO R GIVE OFF SMOKE' CHANGE BRIGHTNESS? CHANGESMAPEt , FLASH OR FLICKER' DISAPPEAR AND REAPPEAR? SPIN LIKE A TOP? FLUTTER OR W088LE1 B . 010 THE P H E N OMENO N twiOVE BEHIND O R IN FRONT OF SOMETHI N G , Ltr<::: ;\C LOUD . TREE, O R 9UILDING AT ANY TI~E? 15 DRAW A PICTUR THAT WILL. SHOW TH 5HAP OF THE PHNOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT HAV APP!AA!D AS WINGS OA PROTRUSIONS, AND INDICATE f..XHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE DIRECTION TH Pt4!NOMENON WAS MOVING. 16. W~AT \ofAS THE """GULAR SIZE? HOL.O A MATCH AT ARMS LE"-GTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET L''-'P OP TH~ I\IICOIIf. ~OT!: HOW lloiUCH Oil" T~! OBJECT IS COV!:PEO BY THE HEAD OF THE MATCH. NOW IF YOU HAD BEEN ABLE TO OERFORM THIS EXPAIMENT AT THE TIME OF Tt-'E SIG"iTING, ESTIMATE WHAT FRACTION OF THE PHENOMNON WOuLD HAVE BEEN COVEAEO BY THE MATCH HEAD. PAGE 4) OF 9 PAGES 17. DID YOU OBSERVE THE PHENOME.-.ON THRO U G H ANY OF THE FOLLOWING? INCLUDE INFOHMATIO N O N MODL, TYP~. FIL TEA, LENS PA~SCRIPTION OR 0 TH E R APPLICABLE OAT A . ' EYEGLASSES C AMERA VIEW!R SUNGLASSES BINOCULARS WINDSHIELD , -TELF.:~COPE SlOE WINDOW OF VEHICLE ' THEODOLITE WINDOWPANE A. DO YOU ORDINARILY WEAR GLASSES? I 0 YES lE N<> B . DO YOU USE R EADING GLASSES ? V.l' YES Cl NO 18. WHAT WAS YOUR IMIItRP:SSION OF THE SPEED OF THE L' 19. WHAT WAS YOUR IMPRESSI O N OF T H E OISTANC~.OF THE PHENOMENON? GIVE ESTIMATE OF SPEED 'J(,~ C. ,J , . VPHENOMENON? GIVE ESTIMATE OF DISTANCE {./...r:>b ,,'"1.. . 20. IN ORDER THAT WE MAY OBTAIN AS CL.EAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR o 'wN WORDS c A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU N OTED THE PHENOMENON, WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFE R E N CES 9t:::"rWEEN THE COMMON OBJECT AND WHAT YOU SAW. A. DIO THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. 0 Y E S rTl .~-........... v IF vEs, DESCRIBE. ., Y!S, .. GIVI OAT! AND NO. " YES, DID nu:v SEE IT TOO? GIVI THE ,-OL.L.OWING IN FORMATION ABOUT YOU .. SEL.F ION INCLUDING OCCUPATION AND ANY EXP!:RIINC WHICH MAY BE PE .. TINENT. 2 6 . DATE YOU COMPL.ETED THIS QUESTIONNAIRE. DAY Icy MONTH .. ~ u PAGE 8 O F 9 P A G!::S