4. NUMBER OF OBJECTS .>. LENGTH OF OBSERVATION lC ~-iioutes 6. TYPE OF OBSERVATION ,7. COURSE 9, PHYSICAL EVIDENCE II, BRIEF SUMMARY ANO ANALYSIS Tite r,o ... ,.,.r sighted a light that SeCJcd t o be b::-isotr.r than the plar.ot Venus , T:1e light >pproechcC ~rom tr.-. l'iE ttu-nod l"'' &nd di<~>.>pcarad rapidly, The ob ., .. ,.,. st~t.;d tJn t h o ulq simply h~vo di"'>isced thic on an ctrplar.o <Xe<pt !'or t b ints.1co hrilliabco of tho light r:C':!J such a S;:!all sou::-co, Aluo tho bright light as not vic~ble 3S it disappAared, but only o red light, like a :ail light, could be acou, FTO SCP63 0-:'>29 (TDE) PrevlouaediUona ott.'lhtorrzaQaybeuud, 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 as many questions as you possibly can. The information that you gi,e will be used for research purposes. Your name will not be used in connection with any statements, conclusions, or publica- tions without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details 1. When did you see the object? 2. Time of day: Day Month Year (Circle One): A.M. 0 3. Time Zone: (Circle One): a. Eastern c. Mountain d. Pacific e. Other------ Where were you when you saw the object? (Circle One): a . Daylight Saving Nearest Addr as City or Town St~te or County 5. How long was object in sight? (Total Duration) Hours Hinutes Seconds c. ~ot very su~ d. ~ust a guess a. Certain b. Fairly certain 5.2 Was object in sight continuously? 6. What was the condition of the sky? IF you saw the object looked at the object? during DAYLIGHT, wbere was the SUN located as you (Circle one) a. In front o f you d . To your left b. In back of you e. Overhead c. To your right f. Don't remember 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and STARS (Circle One): d'. Don't remember 8.2 MOON (Circle One): a. Bright moonlight b. Dull ooonlight c. ~o_mponlight--pitch d. nIt r elnembd) 9 . What were the weather conditions at the time you saw the object? CLOUDS. (Circle One): WEA1~ER (Circle One): a . (!ear ski) b . tog, mist, or light rain c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds d . Snow e . Don't remember 10. The object appeared: (Circle One): b . Transparent e . Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a. QriSh- t-er:J c . l\bout the same b. Dimr.ufr d . Don' t know 11.1 Compare brightness t o some common object : 12. The edges o f the object were: (Circle One): a. Fuzzy or blurred b.~!fe a bright st~ c . Sharply outlined d. Don't remember the object: a. Appear to stand still at any time? Suddenly speed up and rush away at Break up into parts or expl ode? off smoke? e . Change b rightness? Change shape? Flash or flicker? h. Disappear and reappear? (Circle One for each question) Don't know No Don't knCIW Don't knot-1 No Don ' t know Don' t know Don't know Don't know ( Circ'l e One): then tell what it moved behind: IF you answered YES, Don't know 16. Did the object move in front of something at any time , particularly a cloud? (Circle One): then tell what in Don't know IF you ans we r ed YES, 17. Tell in a few words the following things about the obj ect: We wis h to know the angular size . Hol d a match stick at arm's l engt h in line with a known obj ect and note how much o f the object is cove red by t h e ead o f the match. If you had performed this experiment at t h e time of the sighting , bow much o f the object would have been cover~d by the mat ch head ? Dr aw a pi cture tha t will show the shape o f the object or object s . Labe l a nd lude in your sketch any det ails o f the object tha t you saw s uch as wi ngs, trusions , etc., and especially exhaust trails o r vapor trail s . Place an arrow beside the drAwine t o show the direction the object was moving . y ou think you can estimate the speed of the object? (Circle One) Yes If you answered YES, then what Do you think you can estimate how far away from you the object (Circle One) Yes If you answered YES, then how far away would you say it was? 22. ~ere were you located when you saw the object? (Circle One): 23. Were you (Circle One) a. Inside a building b . (!n a cai> c . Outdoor s d . In an airplane (type) e . At sea IF you we r e MOVING IN AN AUTOMOBILE or complet e the following questions: 24.1 l-1hat direction a. North c. East b . Northeast a. In the business section b . In the r esidential sec- tion o f a city? c . c._fnopen countryside_?.) d . Near anairfleld? e. Flying over a city? f. Flying ove r open country? vehicle at the time, then (Circle One) Southwest h. 24. 2 How fast were you moving? u~J ~miles per h our. Did you stop at any (Circle One) time while you were_ l ooking at the object? observe the obj ect through any o f the f ollowing? Eyeglasses Qes) No e . Binoculars Yes b . Sun glasses Ye s ( NO) f. Telescope Yes c . Windshield No g . Theodolite d . Window glass es No h. Other In orde r that you con give as clear a picture as possi b l e o f what you saw, describe in your own words a common object or objects \.rhich, when placed up in the sky, would give the same appearance as the object which you saw. 27. In the f ollowinn sketch. imlsine that you are at the point shown. Place an "A" on the curved line t o show hot-1 high the object '~as above the horizon (skyline) when you first saw it. Place a "B" on the same curved line t o show how high the object was above the horizon (skyline) when you last saw it. Place a n "A" on the com?ass when you first saw it. Place a "B" on the compass when you last saw the object. 28 . Draw a picture tha t will show the motion tha t the object or objects mac.le . lace an "A" at the beginnin~ of the path, a "B" at the end of the path, and show any changes in direction during the course. 29. IF there was mor e than one object, then how many were the re? Draw a picture of how they \t~ere arrl'n~Prl. nnrl \"'t An ar.1.ow to show the direction tha t they were traveling . 30. Have you ever seen this, or a similar object before? If so, give date or dates and location. 31. Was anyone else wi~=you at the time you saw the object? (Circle One) ~ No 31.1 IF you (Circle One) 32. Please answered YES, did they see the object too? City State TELEPHONE NUMB Indicate any additional information about yourself, including any special experiences, which might be pertinen 33. When and to whom did you report that you had seen the object? Day l.fonth Year Dote you comrl e t ed this questionnaire: I 'I r. .fl' Month Year Information which you feel pertinent an~ which is no t adequate l y cove r ed in the specific points of the questionnaire o r a narrative explanation of your sighting . SEND TO: U.F.O. Report ~ir Force Research and Development Wricht-ratterson Air Force Dase Dayton, Ohio