Approved For Release 2005/07/20 : CIA-RDP81R00560R000100060001-5
8.1 What direction were you looking when the object disappeared?
(Circle One):
a. North
b. Northeast
c. East
d. Southeast
e. South
f. Southwest
g. West
h. Northwest
8.2 Circle one of the following to indicate how certain you are of your answer to the above question and preceding question (8 and 8.1).
a. Certain
b. Fairly certain
c. Not very sure
d. Just a guess
9. Were you wearing eye glasses when you saw the object? (Circle One):
Yes or No
10. How was the object seen?
(Circle One):
a. Through window glass
b. Through windshield
c. Through binoculars
d. Through telescope
e. Through theodolite
f. Through sunglasses
g. Through open space
h. Other _______________
11. What do you remember about the weather conditions at the time you saw the object?
11.1 CLOUDS (Circle One)
a. Clear sky
b. Hazy
c. Scattered clouds
d. Thick or heavy clouds
e. Don't remember
11.2 WIND (Circle One)
a. No wind
b. Slight breeze
c. Strong wind
d. Don't remember
11.3 WEATHER (Circle One)
a. Dry
b. Fog, Mist, or light rain
c. Moderate or heavy rain
d. Snow
e. Don't remember
11.4 TEMPERATURE (Circle One)
a. Cold
b. Cool
c. Warm
d. Hot
e. Don't remember
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SECTION C
12. Estimate how long you saw the object?
Hours
Minutes
Seconds
271
Approved For Release 2005/07/20 : CIA-RDP81R00560R000100060001-5