Center for UFO Studies
2457 West Peterson, Suite 6
Chicago, Illinois 60659

UFO SIGHTING QUESTIONNAIRE - GENERAL FORM

NAME:_____________________________________________________________DATE: ______________________

ADDRESS:_______________________________________________________PHONE: (_____)__________________

CITY:__________________________STATE:______________ ZIP:____________EMAIL_______________________

PLACE OF SIGHTING:
CITY:_________________________________ STATE: _________ COUNTY:_________________ COUNTRY:_______

DATE OF SIGHTING: _________________________ SIGHTING TIME: ___________ AM or PM; TIME ZONE:_________

DURATION: ________HRS ______MIN _____SEC

WITNESS ACCOUNT (Please describe in you own words what happened and include in your account the following.
Please use additional sheets as necessary.)

What you were thinking about right before you noticed the phenomenon.
A description of the phenomenon.
Your actions and reactions before, during and after the incident.
How you lost sight of the phenomenon.