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° © ° (=) =) — (=) ° (=) = (=) ° S o ° o to ° (=) a pan io) ou ja) oe < Oo Approved For Release 2001/04/02 _ Official U.S. Air Forc Page 3 15. Did the object move behind something at any time, particularly a cloud? _(Cirele One): Yes No Don’t know, IF you answered YES, then tell what it moved behind: é i] 16. Did the object move in front of something at any time, particularly a cloud? : (Circle One): Yes No Don’t know, IF you answered YES, then tell: what in front of: 17. Tell in @ few words the following things about the object: a. Sound b. Color 18. We wish to know the angular size. Hold a match stick at object is covered by the head of the match. If you had pi the object would have been covered by the match head? artn’s length in line with a known object and note how much of the erformed this experiment at the time of the sighting, how much of 19. Draw a picture that will show the shape of the object or objects. that you saw such as wings, protrusions, etc., to show the direction the object was moving. Label and include in your sketch any details of the object and especially exhaust trails or vapor trails. Place an arrow beside the drawing UFO form continued 20. Do you think you can estimate the speed of the object? (Circle One) Yes No IF you answered YES, then what speed would you estimate? 21. Do you think you can estimate how far away from you the object was? (Circle One) Yes No IF you answered YES, then how far away would. you say it was? 22. Where were you located when you saw the object? 23. Were you (Circle One) . 7 (Circle One}: a & a. In the business section of a’city? ar, J ee &. Inside a building fn ofa cit j . In the residential secti b. Inacar in open countryside? by ay ¢. Outdoors . Near an airfield? d. Inon airplane (type) Atsea Other . Flying over a city? 24, IF you were MOVING IN'AN AUTOMOBILE or other vehicle at the time, 24.1. What direction were you moving? (Circle One) a. North b. Northeast c. East d, Southeast e. South g. West’ é a é & , f. Southwest h. Northwest & te q 24.2 How fast. were you moving? miles per hour, 24.3. Did-you stop at any time while you were looking at the object? (Circle One) Yes No 25. Did you observe the object through any of the following? a. Eyeglasses Yes No b. Sun glasses Yes No ¢. Windshield — ” Yes No d. Window glass Yes No e. Binoculars f. Telescope g. Theodolite sh. Other ra aa 26. In order that you can give as clear @ picture as possible of what you saw, describe in your own Wordsia comma jects which, when placed up in the sky, would give the same appearance as the object which'y: uisaw. § d For Release.2001/04/02 pprove ’