CONCLUSIO~ 34. Dote you com~lt:td this qu~stionnoirc: ,) . lnformoti ::1" 0 ov f ul pertinent and which is not od3quotely cov~red norrctive e"<plonotion of your sighting. in , ;,., ~pol)cific points o f the qu&sti()(I'-Cir~ ~ , U.S. AI R FORCE T ECHNICAL INFORMATION - . ~ q stionnoire hos been prepared so tha t you con give the U.S. Air Force os much '"r~r--:mas possible concerning the unidentified aerial phenomenon that you hove observtd. PI!:: ry t o answer as many questions os you possibly con. The information that you give will b !' ..!H-for resea rch purposes. Your nome will not be used in connection with any statements, ccn_ 'Js 'ons, or publications without your permission. We request this personal information so th:::t i' , t is deemed necessary, we may contact you for furtht: r details. 2. T ir.,e o f day: 1. 'Nhen d,J '=.J sec tho object ? Month Yc:~r Circlc One): a.~' (Circle One): a. Doylight Soviny I b,. Standard 4 . \'O,:lr!! we~, ::lU when you sow the o~ject? /City or Town Stole or County Mi nuto:. Second:; c . tlot very suro ~:: ly c~rto in d . Just a guess 6. \'/hot was ti-:'! ; o-:c o n of the sky? c. E-i;ht ". o) l>r i gh I 7. IF you sow the c.bj<:'ct during DAYLIGHT, whc ro was the SUN located os you lookt!-l a t the object? ( C ire/<.: Ono): a. In front of you b. In back of you c. T o your ri ght d. T o your 1--ft c . OvNh"CYI f. Don' t remember FTD OCT G2 16tl t!. 1r you sow rhe objec t a t NIGHT, what dtcl you notice concerning the 5TARS and MOON? Circle One): 8.2 MOON (Ctrcle One): a . !3right moonlight <..::"DDull moonlight c. No moonlight -p itch dark d. Don' t remember 9. Wltol W"re ;he w~other conditions a t the time y ou sow the object ? CLOUDS ( ::.rclo 011e): WEATHER (Circle One): b. Fog, mis t , o r light rain c . Scotto ... j c louds c . t'.-iodcrote or heavy rain d. Thiel< ..;r h eavy clouds c . Don't rt:m::mber 10 . Pc obj~:: ::opeorcd: (Circle One). :>. t rcns?.:':Hlt ~-<h._A~. a l inht c. Do ... 't rC:m!!mber li i : .J?C'~'Jrec as o light , was it brig";ter than the brightest s t a rs? ( C ircle One): <;/ 3 ighter c . About t h e some b. Dimme r d. Don't know 11.1 Cc::-::., brightness t o some c~"'lr-on object : (Ci: e J-:~ ': ::1. Fuzzy or bl.we:: e . Other _ (Circle One fo r each question) o. Appt-o r -:: -::rd still a t any time? Don't know b. Sudd!:"':" d up and rush away o t ony limo? c. 13reok J':J .. I:. oorls o r e x p lode? d. Give oif $ , ,? c . Chcnge ~r;g rncss? f. Chonye sho;:-~? g . Flash or f licker? h. Disappear c.,d reappear? Don't know Don' t know Don' t know Don' t know Don't know Don't know Don' t know 15. Did th e oo. ~ct move behind something a t any t ime, particularly o cloud? Don' t Know. I F you answered Y ES, then te ll what it m::vt:C behind: --~- 16 . Did the o.;, e:t move in front of sonerhin g a t any t ime, particularly o cloud? (Circl~ :Jne): on't Know. IF y ou answered YES, then te ll whet 17. T e II in c ie H word:. the following tt, ings about tho object : 18 . n'e wish . ., know the angular size. Ho ld o match stic k a t arm' s length in line with o known object end no te how muc h of :"'1~ object is covered by tne head o f the match. If you hod performed this exper iment a t the t ime of the sis~rins, row much of the object would hove been covered by the match head? 19. Oro,.. .J : ' :t ~ ~::twill show tLe s._,c;:>e of the object o r object s . Lobel and include in you r sketch any details o f t~e o;;;~= ::1 vou sow S\.CO cs N 'l,;s, prorusions, etc., end especially exhaust trails or vapor trail s . Place c:1 -:~c ... ':-! .. :de the dro,..i:-? :;, ~h::>w the direc tion the object wos moving . 20. Do you th ink you con e stimate the speed of the object ? (Cicle One) ,y~ No IF you cnswer~d YES, then what speed would you estimate? 21. Do you thi-', lou con estimate ho w fo r away from yo u the object was? IF you cnsw~r~d YES, then how for away would you soy it was? 22. Where wer!! ou locate d when you sow the object? (C irclo On~ o, Inside c :,udding b. In a cor , c. Ou:doors J:-ln on o ar:l'ane (type) e . At sea 23. Were you (Circle One) a. In the business sect ion of o city? b. In the rcsid~ntiol section o f a city? , c..:_)" open countryside? d. Near on oirfit:ld? e. Flying over o city? f. F lying over open country? g. O ther _ :: . lr yoJ wer! ;,~QVING IN AN AUTOM081LE or other vehicle at the t ime, then complete the following questions: 2J.l 'hhot c!ect ion were you moving? (Circle One) a. No n c. East b. Ncr'1eost d. Southeast f. Southwest h . Northwest 24.? Hew ::::: wero you moving? ----------""ilos p'!r hour. 2.1.3 Ctd you sop at any t ime whil~ you were looking a t the object? 25. Did y:-v .::~ ,.,~,~ :"' '! o~ject through c-y ot l, e following? Binoculars Sun ;1:-:.~ s Yes T ht:odol i te 26. In order that ~"' ,: : , give os clear a picture as possible o f what you s o w, describe in your own words o common object or objo.:~s ,.,,ich, when p laced up in tho sky, would give the some appearance as the object which you !\OW 27. In the following sketch, imagine that you arc at the point shown. Place on "A" on the curved l in e to show h ow high the object was above the horizon (skyline) whon y ou fir5 t sow it. Place o " B " on the some curved line lo show how hish the object was above the horizon (skyline) when you los t sow it. Place an "A" on the compass , when you {, s: sow it. Place o "B" on the compa:.s where y ou I O'> t sow tl1c object . 28. Urow a picture that will show the mot ion t hat the object or objects mode . Place an " A" at the beginning of the path, a "~" a t the end o f the path, and show ony changes in direction during the course. 29. IF lnere ... ~s ~.oR= THAN 01-.E ob;~c, then how many were there? _j _ _ ---- Ore v c ? .: .. ci h:>w th~y were or::l\:1ed, an~ put an arrow to show the direction that they were traveling. 3 0 . Hove you ever seen this, oro similar object before. If so give dote or dotes and loca t ion. 3 1. Was ontont-,sc with you o t the time you sow the object ? (Circle One) 31.1 IF yo'-onswerod YES, did they see the object too? (Circle One) Yes 3 1.2 Ple::~t-li s t their names and addresses: 32. Pl~!'lse gtv~ the foll owing informat io n about yourself: TELEPHO't:: NUMBER _/Z./"";;'1-r:. ,J First Nom" Middle Name tndt:ot~ c-..:, ddit ionol information about yourself, including any special experience, which might be pertinent. 3. Whe n and to 'rlhom did you report that you hod seen tho objec t ? 34. Date you complatod this qu.,stionnoiroe: 35. Information ~L,ich you feel pertinent end which is not adequately covered in the s~cific points of tho U.S. AIR FORCE TECHNICAL I NFORMATION 1-:s questionnoir<' has been prepared so that you con give th e U.S. Air Forc e as much i:-!-:r:"l: : -o:o possible concerning the unidentified a"riol phe-nomenon t hat you hove observed. Pi J 'I to answer os many qu~stions a s y ou possibly c a n . The information t hat you giv~ w i ll ~ ...... for r.;,search purposes. Your name wil l not be used '"conn~ction wit h any stot.:~m.,nts, o r publications without your permission. We request this pnr:oonol information s o thct , t is deemed nece ssory we may contac t you for further deta i Is. 2. Tir,,c of day: (Crrclc Onr): I 3. iir~ Zor~. {C irclc One): o. to s tern 1 c. }.~ountcin d. Poci:ic (Circle One): C0.:)Doylight Savin~ L. Standard 4 . 'n'"lee we! y ou when you saw the o::'ecl? N eore ...,oslo I Address C ity or Town State or Coullty ~ =crly certain c. Not very sure d. Just o guess ::. =right o. !"\right b . C loudy 7 . IF you sow t~'!: o:l:ect during (.JAY LIGHT w_hero was the SUN locatod as you looked ot thu object ? (Circle 0flc ): o. In front of you b. In bock of y ou d:Lc. T o your r ight d . To your 1,-h c . Ovorh od f. Don' t renumber PI<OPOSED REPLY 1 . );.o:fercnce your recen 1.. observation of an unidentified fJ y i ne ,:>='.~.:-:.. \-.'e h:lvc attempted t.o determine-\rhot. you ob..;~rv-~<1; hm1ever, -r:.:: -::. :.e ... :c ha v e been u:1ablc: to localle t..be exact s t:.t rnulus. You d!.: . . ;:nt..io n tho.t th~ 3lient~ left behind e. box of angel hair. He a!::~:-..:: for the opportunity to reviell ~orne of the m~terll; howe11er, no;:~ .. :::1s received. He h~VI" not received onJ :-iddi.tion'Jl reports f-:-c-th"! Gro.ysvill~, Ir . .J.i..;.tnH o.reu on 19 i ;;>, ! n the .f'ut,trc, i f you ~>hould ob;:-;crvc unotht:r U~'O, cont'!.ct t.ile :1~..,=-~st Air Force installation, vhich i s Bakal'1r AFB, flu neur Co2...~'71bu:.;, Indiana . They arc in a 111uch better posil.ion to conduct ..:; c:1-the - spot investi~ i;ion. The Ufo'O "tn ,cctigator a t Ra i s ~.jor Richard J . S.~a.;-t, l~3l~th rroop C'l.rric r \-ling , E.kala.r 1\FB,