:tlirl OBSERVATION 1 l'Pt: OF OASERVATION Vi r..o.l r't-iYSICAL EVIDENCE PROJECT 1CJ7~ R :COr:D I 7. LOCATION CONCLUSION .u::;t:Di:iii'?ii'tBD Obscrters approxi :na tc.:l~' Itrves&-i e;a-.; " m t the- ca-se-i !7-lll .. -'-:l'r DEPARTMEN r OF THE AIR FORCE ::torcury v:. or Proles..,ion .Je~thar :1-nrJ. Clea:::-except f o r one cb..l~. Object did not ~as3 be~ind unicenti fied ?lyin,::; Ob.hc t ('.JFO) is nccdeC: "'roccb,- :nl:no .: du'3 to l'he re:.-u!' tiN; j_nd i v.:..r;'.l:J.l ~cr~ti~ns tivisio~ C .or ti on~ Di vhd Oi.-:, U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so t h a t you can give the U.S. Air Forc e as muc h formation as possible concerning the unidentified aerial phenomenon that you hove observed. Please try to answer as many questions as you possib ly can. The information that y o u give will b e u sad for research purposes. Your nome wi II not be used in connection with any statements, conclusions, or publication s without your permission. We. request this personal information so t hat if it is deemed necessary, we may contact you f or further details. 1. Nhen did you see the object? 3. T ime Zone: (Circle One): a . tasrern c . N\'OU., to in d. Pacific 4 . Where were you when you saw the objec t ? Nearest Postal Address 5. how l ong wos object in sight? (Total Duration) a. Certain '-~ Fairly certain 'J Hou r Mi nule s (Circle One): (Circle One): a . Daylight Saving b. Standard Minutes Seconds c. Not very sure d . Justo guess 5.1 How was time in sight determined? ---''------------------------ 5.2 Wa s object in sight continuously? Yes 6. What was the condition of the sky? o . B r ight I 7. IF you sow the object during DAYLIGHT, where was the SUN located as y o u looked at the o bject? l d . T o your left e . Ove~heod f. Don't remember (Circle One): a . In front of_y:ou c. I o your rrght 8 . If yoJ sow the object at NIGHT, what did you notice concerning the !>TAI<S und .V.OON? 8 .1 STARS (Circle One): MOON (Ctrclc One): a. None a. Bright moon I ight few b. Dull moonlight c. Many c . No moonli ght-pitc h dark d. Don't remember d. Don't remember 9. What were the weather conditions at the time you sow the object ? CLOUDS (Circle One): 'HEATHER (Circle One): Fog, mi st, o r light rain c. Scattered c louds c. Moderate o r heavy rain d . Thick or heavy clouds d. Snow e. Don't remember 10. The object appeared: (Circle One}: (d. -As a I ight:: b. T ronsparent Don't remember 11. If it oppo~:_d as ~-l~ght, was it brighter than the brightest stars? (Circle On~}: (_a. Bri~,. c . About the some b. Dimmer d. Don't know 11.1 Compare brightness t o some common object: 12. The edges of the object were: (Circle One): a. Fuzzy o r blurred b . Like a briyht sta r SharplY. out I ined_ d. Don't remember Did the object : Appe a r to stand still at any t ime? b. Suddenly speed up and rush away at any time? Breo'< up into ports or explode? Give off smok-e? e . Change brightness? Chlnge shape? F lo:oh or fl ick~r? h. Di scppeor and reappear? (Circle One for e on t t<now Don' t kno w Don' t kno w Don't know Do n ' t know Don't k n o w ' No , Don't know Did th e object disappear wh i le you were watching it? If so, how~ 15. Did the object move ~hind something at any t ime, particu larly o c loud? (C ircle One): Yes e 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 One): Yes GJ Don't Know. IF y ou answered Y ES, then tell what 17. Tell in a few words the following things about the object : 18 . We wish to know the angular size. Hold a match s tick at arm's length in line with a known object and note how much of the object is covered by the head of the match. If y ou hod performed this exper iment at the t ime of the sighting, how much o f the object would hove been covered by the match head? 19. Dra w a picture that will show the shape of the object o r objects. Label and include in your sketch any detoi Is of th e object that you sow such as win9s, protrusions, etc., and especially exhaust trails or vapor trails P lace on a rrow beside th e drawing to sh:>w the direction the object was moving. ' ~o. Do y->u th in k y o u co:-~ estirnott! the spe::d of the object? (Circle One) I F y ou answered YES, then what speed would y ou estimate?----- 21. Do you think you can estimate how for away from you the object was? (Circle One) IF you answered YES, t he n how fo r away would you soy it was? 22. Where were you located when you sow the object ? (Circle One): Inside a building ) b . In a car d. In on airplan e (type) e . At sea 23. Were you (Circle One) In the business section of a city? b . In the residential section o f a city? In open countryside?, Near on airfield? Flying over o city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t he following questions : 24.1 What direction were you moving? (Circle One) a. North c . East e. South g . West b. Northeast d. Southeast f. Southwest h. Northwest 24. 2 How fast were you moving? --------" i les per hour. 24.3 Did you s top a t any time while you were looking a t the object ? (Circle One) Yes No 1 25. Did you observe the obje c t th rough any of the following? a. Eyeglasses Y e s No e. Binoculars Yes No Sun glasses Yes No f. T e lescope Yes Windshield heodolite Yes d . Window gloss 26. In order that you con give as cl~or a picture as possible of whot you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the same appearance as the object which you sow . 27. In the following s!<etch, imag ine that you ore at the point shown. Place on "A" on the curved I inf" to show how high the object was above the horizon (skyline) when you firs t sow it. Place a "8" on the some curvP.d line to show how high the object was above the horizon (skyline) when you lost saw it. Place an "A" on the compass when you first saw it. Place a " 8 " on the compass where you los t saw the object. 28. ~.1row a picture that will show the mot ion that the object or objects rnade. Place on "A" at t he beginning of the path , a at the e.nd o~ the _path , and show any c hanges indirect ion du r ing the course. 29. IF there was MORE THAN ONE object, then how many W'!re there? Draw a picture of how they were arronyed, an.:l put on arrow t o show the direction that they were traveling . 30. Hov2: you ever seen this, or a simi lor object before. If so give d ote or d ot"s and loca tion. 31. Wa s anyone else with you at the t ime you saw the object? (Circle One) 31.1 IF you answer 3d YES, did they see the object too? (Circle One) 31.2 Please list 32. Please give t he following information about yourself: Indicate any additional in formation about yourself, including any special experience , which might be pertinent. 33. When a nd to whom did you report that you hod seen the object? \ 34. Dot<! you completed this questionnaire: 35. Information which you feel pertinent and which is not adequately covered i n the specific points of the qu.:stionnaire or a narrative explanation o f your sighting. REI'\.Y - o D EPARTMENT OF TH AIR F0!1C::: HEACOU..I.RT:-t:S FO~'!IGN TECHNOLOGY o:VISIOI'! C A,_::;CI W 'tt~HI 'A,(