,:.: :~CL US ION SUMMARY AND ANALYSIS d. IF y ou sow t he object at NIGHT, wha t dicf you notice c o ncerning the ~TARS ond MOON? 8.1 STAR~ ( C rrc/e One): 8.2 MOON (Crrcle One ): Bright moo n I ight Dull moon I ight No moonlight -pitch dark ~ r~member d. Don't remember 9. Who~ we n .,~ weather conditio n s o~ ~he time you saw the object? CLOUDS : : -de One): HEATHER (Circle One ): a. C !e-:Jr S'<Y b. F o g, mist, or li ght rain {2; Sca~te, ~= c I oud s c. Mod e ra te or heavy rain d. T hick o r 11eovy clouds d. Sno w e . Don't remembe r 10. Th~ objec;. .J ppeored: (Circle One): d A.s o light '-e. D::n 't "'emembe r 11. If it ~;>pee:-~-= c s a light, was it b 'it!:r th a n the brightes t s t ars? (Circle One): =-i;hter c . About the some d. Don't know 11.1 Coi.':>~r~ :,r i ghtness t o some-'= Y""l:-non object: 12. The ed;~s ~f f,~ oS~ec:t wer~: e. Other IJI! IF It /rl!. tJ u,vJJ llf?t-17 t-1~ D a. Appear ro .srond still at any t ime? b. Suddenly s~ed up and rush away at any time ? c. Bre c k up in :; ~arts or e xplode? d. G :ve o ff sno ? e. Ch-:1nge br i;htness? f. Change sh,-:~? g. F Ia s h or fl icker? h. Disappear and reappear? (Circle One for each question) Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know 15. Did the cb'~t move b-.hind som-,thing at any time, ptJrticularly a cloud? (Circle Cne): '--Yes~) No Don't Know. IF you answered YES, then tell what it mev~ ~hind: .;..d.L-.-"fL;;.. Did the ob ject move in front of something at any time, particularly o cloud? \.. -> (Circle Omt): ()':?) No Don't Know. IF you answftred YES, then tell whal 17. Tell in:: w words the followin~ th ings about the obiect: 18. We wish to knew the angulor si~' Hold a match stick at arm's length in line with a known obiect and note how much of tO,e object is covered by ~e heed of the match. If you had performed this ex~riment at the time of the sighting, !sow much of the object would have been covered by the match head? THu OIJTt;-C r Vfifl-ltf' j) ~ v u rL tf-t3o U/ 19. Drew a pic~,. ~et will sho'-1' t:1~ shape of the obiect or obiects. Label and include in your sketch any details of the ~bi~c-:-.. !'\:~ ou saw such as wings, protrusions, etc., and especially exhaust trails or vapor trai Is. Plac~ an ~r-.::. ~side 'the drcwing ro show the direction the obiec:t was moving 20. Do you think you con estimate. the sp~etd of the objec:t? (C ire: 1~ One) IF yo.J o ru..., ... ~d Y~S, then what Spt'ed would you estimate?--------- 21. Do y~ ::h~ ...,~u co, 8$timate how fer away from you the obiect was? IF ycu ::ns~r3d YES, then how br oway would you 5ay 22. Where -H'!!:r~ :ou located wherr you 5ow f-1-e object? (Circle Ont! !: Were you (Circle One) !Hide ~ ;,uilding In the bu~in~ss section of o city? In the residential section of a ci~" ? b. In a c~r c. Outdoor~ In op~n countrysid~? Near on oirfittld? Flying ov~r o city? f. Flying C'ver open country? lf .' i .....,~ .. ~MOVING IN AN AUTGMC8 !LE or other V4,hicle at the time, th:,n complete th" following questions: 2.1. i W~=~ .:!r$Ction w~re you mo.,::1;? (Circle One) o. i't ~rt;, ec s t c . utn~ast f. Southwest 24.3 D id -:~v stop at any tine wh : ;-!' you wert!) looking at the obiect? Did you ~ss~!"',. ... .,~ o~j~ct ~hrou::::'! ::r.y of the following? Binoculars f. Telescope Theodolite h. Northwest 26. In order th~!' vou con give as clear a picture os pos~ible of what you saw, describe in your own words a common object or cbj~c:3 w+,ich, when pfaced up in the sky, would give the sam~ appearance as the obi0ct which )'OU saw. In the following sketch, imagine that you ore at the point shown. Place or "A on th~ curved I in.J to show how high the obiec:t was above the horizon (sky I ;ne) when you I irs t saw it. Place o 'B" on th~t se1m~ cJrv~d I ine to show how hi;n th e object was above the horizon (skyline) when you last sow it. Plocft on "A" on the compass when yov fi rs t sow it. Place~ a ,. B" on the compass where you /as t sow tl1c object 28. Oraw a picture that wi II show the met ion that the obiect or obiects rnode. Place on ,. A" ot the beginning of the path, a " b '' at the end of the p~th, =nd show any changes in direction during tht: course. R-IU,) FOI!-T II b( ll.EC. Tt o AJ 29. IF there wcs ~CR~ THAN ONE ~biect Draw a p i=rt.-"'4! ~: ;-,ow they were o:-onged, onJ put on arrow to show the direction that they were traveling. ~0. Have you ~ver seen this, or ~ similar objtt<:t b&fore. If ao give dat.t or da~"~ and t ocotion. 31. Wo!, c.,v~r~ e wirh you at the time you saw the obiect? (Circle One) 3 1. I ,;= '~ ons ''d YES, did !h~y see the object too? (Circle! One) P ~f!ose I ist their nc;m~s e nd oddresse~: G i :..~rJ iLT If/} (,L f u ,rv, u E IZ-SI7 V oF Dr7 Y ro tV l:Jh'Yf(JI'l 32. Ph~ose -~;v~ th~ following information about yourself: First Nom Middle Nome I) IT_l!_Jl; tY tU TELEP:-:;~= NUMBER tndicr.:te ... ..,~ ~dditionol info!i'1cro" ::Sout yourself, including any special e~perience, which might b~ pcrtin:!nL When and t~ 'lw'~orn ~id you report that you hod se"n the obiect? Month Year 34. Date you comp1ted this questionnaire: 35. Information whic:h you feel pertinent and which is not adequately covered in the specific points of the questionnoir 01 a narrative explanation of your sighting. HEADQUART~RS ~O~IIGN TECHNOLOG'f DIVISION ("'"C) WftiGHT.PATT&RSON AUt ~O .. C& 8A8K. OHIO 4!3 .. 33 ~?~ se~ration , 6 Mar 67 u~!J s1ty ot Dayton .De.;~n, Ohio 454ol ?~: ence your uni~e ified observation. The information which ~r::. have received is n~:. sufficient for a scientific evaluation. :\e ! ..test you conpl e"te ":ne attached FTD Forbl 164 and return 1 t in t:-:~ envelope provid.~c. Thank you for reporting your observation t: the Air Force. 1 Atch Js: S C. MANATr, Co'l.o:1el, USAF :: ector of Tec olcgy and Subsystems F~D Form 164 w/envelope U.s. AIR FORCE TECHNICAl. IHFORMATIO~ Tt.i s questionnaire hat been prepared 10 that you can give the U.S. Air Force at muc:h in forma' i~n e s possible concerning the unidentified aerial phenomenon that you t\lavo oLa~ti . Pleoae t:-y !':l answer os many question 01 you possibly con. The information that y~u ;ive wiU be usd !=r research purposes. Your nome will not be used in con"ec:tion with any st~ten .. ni:J, con~lus:ens, or publications without your permission. We request this personal lnform:tlon Ae thot if ! 1 :~deemed necessary, we may contact you for further details. 1. When d i d yo:.. -;$e the object? '). fime of ~a; 3. Time Zone: .. b. Cent;"ol- c. Mounr~in d. Pee if!e 4. Wh!tr~ wer :tou wn&n you sow the objec:'? ( C 1rcle One): A.M. or P.M. (Circl~ L)ne): a. Daylight So\ino b. Sta11dard Nor.- ? ott o I Ad eire a 1 ._ \ C lty or'-Town 5. How long w::s .:lblec~ in sight? (To~el Duration) c. Cerlo in b. F c ir ly Ho"" w~.s i r:-1e , s ight detrmined? Stot '!If' Cowrt; c. Not very sure cl. Just a guess 6. What was tf,~ ::-=:r~:-::on o f the sky ? o . o right 1. IF you sew the ~bjct during DAYLIGHT, where waa the SUN located as you lock~d at th obi~t? (Circle One): FTO OCT 62 16~ a. In front of you b. Jn baclc of ~ou c. To your riWtt cl. To your left e. Overhead f. Don't remember Thl fo.M euper .. d PTD 164, Jul 61, whleh le obDiete. 8. IF ynll tow the ob1ect ot NIGtil, what did you nottce concerning the STARS ond MOON? 8.2 MOON (Circle OM): Bric#Jt moonleght Dull moonlight No moonlight -pitch darlc d. Dent remember U ::r"l ! r.~mo.r 9. What ""e'~ ... other condttiont 'lt ~.time you aaw the obiect? CLOt.!D~ : ,de One): c. ScaHe ... c :lov,h WEATHER (C ire le One): ( ...... ~.-Tog, mist; Ot leght roi!.' ~ c. Moderate or heavy rain Don't rensember 10. The ~bi,., .J;>peored; (Circle One). So! 1d tf. Tro~sp :ent Li~, f ra-mlJJ'IIh'ir H 1t =~p,.!!r ... -: as o light, wa it t'.t'i 'JhrtJr than the brightest stars? (Circle One): c. About tn aame d. Dont know Co~OQ,.. :,1 gntne11 to some :~l!!mon obiect: '~ 1 12. Th d~a vi ~. object wr: ~-. Li~e a br;~,. J?or c. :Jont remm~ o. Appeor ~o ~r::nd atill at any tim? b. Sudden !y te.eod up and ruah away at any time? c. Break "';; ;nto porta or explode? d. Gtve off lmolte? f. Ch:Jn~ t h:p.? g. fJa,n or f lidcer? h. Oi aapp.or and reappear? (Circle One for each qu~tlon) Don't know Don't know Don't lcnow Don't know Don't know Don't ltnow Don't lcnow Don't know Old the obiect disappear while you wr.rc .,otch ing t? If so, how? 15. Did the object m:ve behind IOmttthtng at any time, particul\lrly a cloud'~ (Cirelli) c, J it movec ~ehlrd: - Don't Know. IF you .:JQWC.'~d '( them '" ll ,._.hat Did th o!li.u move in front of ~SJmerhi~ at any teme, p()rficularl~ a cloud? (C ire 1~ J:le ): , (), e;'~,' i, N o ) Don't Kno>N. IF you answered YES, th~M ti n w;, .. _., 17 . Tell in a f..,. words the following things about the obiect: