OCR recovered text quality varies — view PDF for accurate reading. iii ah = iB id is f = = § LE EE jE Pa a : i = om ie 1h FEE aE i ; pT so a 1 CUB TT Tl TLR FR EPTFE = ; peli vi i U.S. AIR FORCE TECHNICAL INFORMATION i This questionnaire has been prepared so that you can give the U.S. Air Force as much 1 informction as possible concerning the unidentified aerial phenomenon that you have observed. Dlaase try to answer 6s many questions as you possibly can. The information that you give will be used for research purposes. Your name will not be used in connection with any statements, conclusions, or publications without your permission. We request this parsonal information so shat if it is deemed necessary, we may contact you for further details. I a —— mE mr = — = EE em = == —————- = = ep — ee — — = ee ms a. eS me — mmm sem tam EEE ER SSE Ea = { 1. When did you see the object? { 2. Time of day: Hour Minute : J ‘ w ’ 3 o / y 4d 4 i oo | 1 Day Month Year | : —— 3, Time Zone: = | (Circle One): a. Easte Y (Circle One): a.-Daylight Saving | b. Centr b. Standard. C, deg Nee” d. Pacific : Omer ot wa el oad rr — = SE —— =r ini i = = — - A = ee ee — et ——— i Sr Ss a | TR p—— ostal Nearest P ee ei —— 5 EE Ee ————— i —— - - —— = ~ ’ a a ce em a mr = = L S— 5. How long was object in sight? (Total Duration) Minutes Seconds Certain ory. b. Fairly certain d. Just a guess Y S - : # W CE Sa & Na et poo 3 | man Ay ey TL PN 5.1 How was time in sight determined? _. = = 7° 0 2-7 0 70 277 5.2 Was cbisec- in sight continuously? Yes ibis Naz ob LS { 6. What was the condition of the sky? DAY NIGHT | a. Bright «Bright 5. Cloudy “b, b. Sovdyy.. 7. IF you saw the cbject during DAYLIGHT, where was tha SUN located as you locked at the abject? { (Circle Qne): a. In front of you d. To your left ; b., In back of vou e. Overheod c. lo your rignt f. Don't remamber "FORM _ i F io OCT 62 164 This form supers=dea FTN 154, Jul 61, which 1s obaolets,