◆ SpookStack

U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as 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 personal information so that if it is deemed necessary, we may contact you for further details. 1, When did you see the object? 2. Time of day: Minutes (Circle One): M, P.M. 3. Time Zone: (Circle One): a. Eastern . Central a (Circle One): a. Daylight Saving b c. Mountain d e. b. Standard . Pacific . Other eee Utdt EEUU EEE EISESESS EERE 4. Where were you when you saw the object? Nearest Postal Address City or Town State or County 5. How long was object in sight? (Total Duration) Hours Minutes Seconds a. Certain c. Not very sure b. Fairly certain d. Just a guess 5.1 How was time in sight determined? 5.2 Was object in sight continuously? Yes No | 6. What was the condition of the sky? DAY NIGHT a. Bright a. Bright b. Cloudy b. Cloudy a 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. In back of you ¢. To your right d. To your left e. Overhead f. Don’t remember FORM ° FID ocré2 164 This form supersedes FTD 164, jul 61, which is obsolete. 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (| Circle One): a. None &. b. Afew . Many d. Don’t remember a. Bright moonlight b.- Dull moonlight a ¢. No moonlight—pitch dark d. Don't remember . What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): a. Clear sky . Dry b. Hazy . Fog, mist, or light rain c. Scattered clouds . Moderate or heavy rain d. Thick or heavy clouds |. Snow . Don’t remember : . 10, The object appeared: (Circle One): a. Solid b. Transparent ¢. Vapor d. Asa light e, Don't remember 11. If it oppeared as a light, was it brighter than the brightest stars? (Circle One): ¢. About the some d. Don’t know a. Brighter b. Dimmer 11.1 Compare brightness to some common object: 12, The edges of the object were: . @, Other. (Circle One): a. Fuzzy or blurred b, Like a bright star c. Sharply outlined d, Don’t remember i CC CC A 13. Did the object: (Circle One for each quéstion) Don’t know" Don't knows, Don’t know , * . Appear to stand still at any time? . Suddenly speed up and rush away at any time? Break up into parts or explode? .~ , Donit know* a gDon't-kiow, © Déin't know «, % Don’t know Don't.know * ” ¥ |. Give off smoke? ¥ ¢ 4 . Change brightness? LO . Change shape? . Flash or flicker? 2% . Disappear and reappear? _ Fanevoanee