Report Sightings - Mufo

The following questionnaire is based on the sightings of many
thousands of witnesses and the input of hundreds of researchers.

Each question is important

Please take your time, feel free to alter the format in anyway to assist in responding to the questions and delete only any part of the following that does not apply to your sighting.

Your report will be treated with the strictest confidence


Date of Sighting day/month/year: 
 

Sighting Time - Am/Pm + Time zone:
 

Duration - In the form of Seconds, Minutes or Hours:
 

Place of sighting - County - City/Town:
 

Describe briefly the physical appearance of the object(s):
 
 

Describe briefly the location of your sighting:
 
 

Where were you & what were you doing at the time?:
 
 

What made you first notice the object?:
 
 

What did you think the object was when you first saw it?: 
 
 

Describe your reaction/action during and after the sighting:
 
 

Describe the Object and its actions:
 
 

How did you lose sight of the Object?:
 

Did you record the event:

[  ] still image/s 

number of photographs: 
 

[  ] movie     [  ] video       [  ] audio

duration of sequence: 
 

Your Name & Age:

Street: 

City/Town/Village: 

Province/State: 

Postal Code:

Country: 
 

Your area code and home telephone number: 

E-Mail Address:

Your Occupation: 

Employed By: 

Education: 

Degree: 

Major: 

Special Training: 
 

Vision: 

[  ] colour-blind  [  ] wear eyeglasses: 
 

Hearing: 

[  ] Good          [  ] Fair        [  ] Poor         [  ] Use Aid: 
 
 

Health During Sighting: 
 
 

Health After Sighting: 
 
 

Environmental Situation

[Please select as many answers as apply]

Viewed From:

[  ] Outdoors  [  ] Indoors        [  ] Car                [  ] Aircraft 

[  ] Boat
 

Viewed Through:

[  ] Glasses    [  ] Window        [  ] Screen           [  ] Binoculars, 

[  ] Telescope [  ] Still Camera  [  ] Video Camera 

[  ] Movie Camera                          [  ] Theodolite      [  ] Radar
 

Area/Location:

[  ] City          [  ] Suburban      [  ] Rural             [  ] Industrial
 
 

Area/Terrain:

[  ] Fields        [  ] Woods         [  ] Hills              [  ] Mountains 

[  ] River         [  ] Pond            [  ] Lake
 
 

Area/Technical:

[  ] Airport       [  ] Power lines    [  ] Power Station

[  ] Railroad Tracks 

[  ] Other... Explain: 
 
 

Sky Conditions:

[  ] Clear          [  ] Partly Cloudy [  ] Overcast 

[  ] Foggy         [  ] Heavy           [  ] Medium 

[  ] Light
 

Precipitation:

[  ] None          [  ] Rain              [  ] Fog 

[  ] Sleet          [  ] Snow             [  ] Heavy 

[  ] Medium       [  ] Light
 
 

Direction of Object:

First seen in:

Last seen in: 
 

Elevation of Object when First seen:

[  ] 1/4       [  ] 1/2           [  ] 3/4 

and

[  ] Over Horizon               [  ] Overhead
 
 

UFO Elevation when Last seen:

[  ] 1/4       [  ] 1/2           [  ] 3/4 

and

[  ] Over Horizon or           [  ] Overhead
 
 

Object Distance when closest to you: 
 
 

Object Altitude when closest to ground: 
 
 

Object passed in front of _________ Which was __________ distance from you.

and 

Behind ___________ Which was _________ distance from you.
 
 

Also in Area:

[  ] Air plane            [  ] Helicopter       [  ] Balloon 

[  ] Searchlight        [  ] Other... explain 

[  ] Before              [  ] After              [  ] During Sighting
 
 

Observed: 

[  ] An Object         [  ] A light:
 
 

From above question: 

[  ] Number of        [  ]Shape of          [  ] colours of... 
 

Describe Sound if any: 
 

Describe Smell if any: 
 

Describe Speed if any: 
 

Real size -- Select which one applies.

[  ] Larger              [  ] Smaller          [  ] Same Size 

as

[  ] Basketball 

[  ] Compact car

[  ] Standard Car

[  ] House

[  ] Other.. if so, Explain:
 

How many times Larger or Smaller then the size of a star? 
 

How many times Larger or Smaller than Moon?
 

Bright as:

[  ] Star      [  ] Moon          [  ] or _____________ if placed same

distance: 
 

Did the Object(s) or Light(s) -- Choose as many as needed:
 
 

[  ] Change Direction             [  ] Hover 

[  ] Affect Radio/tv                [  ] Flutter 

[  ] Turn Abruptly                 [  ] Descend

[  ] Affect Electricity              [  ] Spin 

[  ] Fall like leaf                    [  ] Ascend

[  ] Affect Magnetism             [  ] Blink

[  ] Absorb Object(s)             [  ] Over Power lines

[  ] Affect Timepiece              [  ] Pulsate

[  ] Eject Object(s)                [  ] Over Building

[  ] Affect Engine                  [  ] Appear Solid 

[  ] Change Shape                 [  ] Land/ground

[  ] Affect vehicle                  [  ] Fuzzy Edges

[  ] Cast Shadow                   [  ] Land/Water,

[  ] Affect Animal                  [  ] Have Outline

[  ] Cast Light                      [  ] Carry Occupants

[  ] Affect Human                  [  ] Wobble

[  ] Reflect Light                   [  ] Communicate

[  ] Affect Water                   [  ] Vibrate 

[  ] Leave Trail                      [  ] Give Heat

[  ] Affect Ground                  [  ] Glow

[  ] Disintegrate                    [  ] Leave Residue

[  ] Affect Vegetation             [  ] Appear Transparent
 

How many other witnesses? 
 
 

Did any other agencies contact you? 

If Yes, enter agencies and person who contacted you:
 

[  ] You may use my name in any of your reporting of this case

[  ] You may not use my name in any of your reporting of this case
 

Today's Date: month/day/year



 
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