CONCLU~I0,-1 Jr-.::..1s.:RVA l'ION i YP: Oi c.-RVATION DEPARTMENT OF TH~ AlA FO;lCE HEAOQUA .. T1U F"Oil2:1GN TC:CH NO LOGY QIVISION I J\F::SC I WRIGHT ... ATT!I:A.,ON AlA I"OftCl DAl~ OHIO 4~433 F.e.:~rence y:.ur unidentified obnarva.tion. The infornation vhich ~= ~ave received i s not sufficient for a scientific evaluation. R~:...:est you complete t'!ie attached FTD Form 164 and return it i n t.!-:~ envelope provid::d. Thank you for reportlnb your observation t.c t he Air Force. t4ANATI', Colo:1el, USAF of Technolc y end Subsystems F?D Form 164 ~/envelope U.S. AIR FORCE TECHNICAL INFORMATION ; ; .. i s questionnaire has been prepared so tha t you con give the U.S. Air Force as much inform=o~ cs possible concerning the unidentified aerial phenomenon that you hove observed. Pl~os~ <r y to answer a s many questions as you possibly con. The information that you give w i ll be use e ior research purposes. Your name w i ll not be used in connection w ith any statements, conciu~:;,s, or publications w ithout your permission. We request this personal information so that :~ it rs deemed necessary, we ma y contact you for further detai ls. 1. When did y o u see the object ? 3. T iiT'e Zone: (Circle One):~: toste rn '-b. Central c. Mount a in d. Pacifrc 4. Y,here were y?u when you sow t he obj~ct? Near~ Pos:ol Addre s s Ho ur Minutes (Circle One): (Circle One): ( a. Daylight Soviny ' b". Standard City or Town Stole or County 5. h o w lcng w :: $ object in sight? (Tot::~l Dur a tion) Hours Ml nuto: Seconds ::. Cetain c. No t v ery sure ~-Foirlv certain d . Just o guess 6. Wha t was t'-1~ cc..,:: ~: ;m o f the sky? o. C l :::vdy b. C loudy 7. IF you sow t h e co!ect during DAYLIGHT, where was the SUN located OS you looked a t the object ? (Circle One): d. T o your left e. Qvcrheod f. Don' t reme mber o. In front o f y o u b. In bac k of you c . T o your right Thl~ f orm uperoed F'Tn 164, Jul 61, whic h Ia ob .. oletr. ~. If you ~ow the O~fc<.t o t tliGIIl, wlwt d rci you rr0rir~ C"nn "rning thr )TA!<S 11nJ M/)01'4? 8 2 MOON (( rrd One') n. Bri,..ht n onl"'llt b. Dull IT')Orlli!jhl c. No rr:~or.liJhl pit'h dork d. C ~'t rerncmb.,, 9. \'rhot .,. ~ 'i'' weather condrtior1s at the tir,,.,. yo.J sow th<: object? CLouns r-clc O"t.:): c . Sco!l~r.! Thick c ~H:O'IY clvr I!> c. o i" lcrole or h V)' ,,.;, 10. Th objcc .lppeored: (Crrdc Or.c): e . Do11't remember ll. If rt Ofl""Je::! o s a light, WO!. it brt/er than ti.tl lm)1tcst !ilors? (Citr'o.: One): a . ...righter c . About tht-sor.1!'! d. Don't know 11.1 Cc~p=r brightn~ss to some =~mm:m object: a . Fuuy or bbrr~d l:. l i kt' o Lrr :1h 1 s cr c . Sharply o~.t' = a. Ap;>etJ o :.1 J still ot o'ly rime? b. Sud-:l~,jy sc~-:i up ond rush owoy n t ony time? c . E3. e , r u:-r-., 'lCJrts o r cxplcd~? c. Chonq..: br w 11,ess? g. rlosh o flo er? h. D i soppc-m und r ..:oppr:ur? c. Other 0 for cr.ch qu"'stiol"') Dc.o1 t ltrrow Dcn'l 'r-cw l)c.,'r <r>ow r Jo Oc-.. + 14. Did the obje c t disappttOf' whi lo you were watching it? If s o, h ow? 15. Did-~::--.ct move bohind some inq a t any tim~, porticulorly o c loud? Yos No Don't Know. IF you answered YES, then tell what 16. Did ~hf" ~-rt move in front o f so~T~ething a tony t ime, oorticularly a cloud? (C~r:-~One): Yes No Don't Know. IF you answere d YES, then tell what 17. Tell an a rew words the fol lowing things abou t the object : 13. ~ ... w:.~ -:~ !.:now thtt angular s i:e. W-:~ld o motc:h s tick at arm' s le noth in line with o known object and note how n..1d of.,~ objt~ct i:; covered by ",e heed of the mntch. If you had performl'd th is oxp1:ri ment a t the t irne o f the si:;l.:t 1ng, h~.,.,. much of th o object would hove been covered by the matc h head? 19. D_..,-: ~.: .. ~-~twill sl,~w t'"!~ s---:;;~ o f the object or objects. Lobel and include in your sketch uny details of.:..'! -:::.:. ---~ ""u sow such-::. .. i,,:?s, protrusions, etc., and especially oxhaust trails o r vapor trolls. PI:: :::--:: -:.,..s,:let the draw;-~ .:~ s~ow the d irec t ion the object was mov ing. 20. Do you think you con o:~timore the ~fJe.,d of tho object ? (Circl~ One) I F y01v cnt..,~ .. d YES, t h-:n wha t sp.,ed would you cstimotc? -------- 21. Do y~ t~r..,.c v::~u cc" tutimato h o w for away from you tho obj')c t wo,? IF fCI.: :" '"'l)red YES, th~n how f:u away would you s oy it wos? 22. Wivre w-: you locotod wh~n you sew tho object? (Circle C:r~): I . I I "ld" c . Outdxt s I, o n c.rplon., (typa) 23. Wore you (Circlt: One) a. In th"' business ~ection o f o city? b. In th e rcsidontio l :~ection o f o city? c . In opc:n countryside? Ncar an oirfi-,ld? F lying o wr o city? Flying ovor op.cn country? ....,~., MOVING IN AN AUTOV.C8lLE o r other vehicle o t the tim.,, then complet~ the following questions: 2t1.1 What diroction w::re you movi:-~;? (Circle One) c . c:o z t h. N ~rthoost d. SoJhoost f. Southwest h. Northw'!st 24.2 how l:a wtore you moving? mile!. per hou r. 2.1.3 D,d y~u so p at any tim., ,..,~.;j:~ you were looking ot thn ohj3cl ? Did ~o .. oS:; .~.,~ t:,a object thro~.o~--;-~ of tho following? B incx:ulors Yos No Telescope Yes Theodolite ~ , u h. Other~ 26. In order t'l: :w : - n giv~ o s clecr o p1cture o s possibb of what you saw, describe in your own words o c ornmon objoct o r ob.~c:; ,.;,ich , when placed up in t h sky, would give tho some appea rance as th'!J objec t which you sow . 27; In t ho fo llo w ing ske tc h, imagire that you 0 10 or the point shown. Place or "A" on th" c~rvftd l ine to ~how how high the object wo:. above the h orizon (skyline) when y ou first sow it. P loco o ''B" O'l t heJ ~om" curv~d l1n~ l o show how hgl--th~ objec t was above the horizon (skylin;,) when you lo s t saw it. P lace on " A' ' on ~he composs when you frs sow it . Place o "[3" on the compass where you las t sow t ltc objert. t.lro.v a picture that will show the motion that the object or obj!!ct s madt-. Ploco on "A" at the beginn1ng of tho a "b' a t the e nd of the poth, end sLow a ny changes in direct ion during th!. course. 29. lr th~re ..,~s VORE T HAN ONE o!>,~-.:r, tl,en how mony were there? Oro..., c pi:~:. ... ::'how they were o~,..g~d, onJ put on arrow to show the d~rcction thor they were trove ling. 3 1. \'/os cnyo 8 :I:;:' with you or the l im" you sov th.: t~hj;~ ... t? (C1 1..: OnJ) TE Lc i'HC~ = t~UMBI:R Fir :ii! tlc.r ... 34. Date you completed this questionnaire: 35. lnformoti oo ""'h tc h you fee~l pertinent and whtch is not odequa to ly c ov..,rod in tho specific points of t he quostioonate 01 c narrative explanation of your sighting.