PROJECT BLUE BOOK

go Fi*

TENTATIVE i he
OBSERVERS QUESTIONNAIRE 4A J O§,20

SECTION A

1. When did you see the object:
1.1

1.2 Time of Day?" Cy to 49 10.40) A.M. or(P.H, (Circle One)
Nhe

1.3 Time Zone: (Circle One):

ae) Eastern d. Pacific
« Central e. Other
ce Mountain

(Circle One): a. Daylight Saving
(6. Standard

1.4 Circle one of the following to indicate how certain you are of
your answer to the above question 1.2:

ae) Certain ce. Not very sure
« Fairly certain d. Just a guess

2. Where were you when you saw the objects

fry cet) (?, POY Ae dod Co
Postal Address = ty or Tow ra ies Country

OE et AOD Swed F COOP ON Pee POM rm, a4

ee

Additional Remarks:

3. Where were you located when you saw the object:

(Circle One): a. Inside a building d. In an airplane
Jorgh bos goose In a car e. At sea
- © Outdoors f. Other

4< fr ‘

3.1 Were you:

(Circle One): a. In the business section of a city?
b. In the residential section of a city?
(2 In open countryside?
d. Flying near an airfield?
e. Flying over a city?
f. Flying over open country?
ge Other

Came

-_ : ° oe.

he

5S. When did you report to some official that you had seen the object?

Py ve SO A 9s. 2.
Day 13 =th Year

Vit free CAN tying A fon 226
SECTION B
6. What were you doing at the time you saw the object? /ij74, 4. '

. ge ae ; 4 , . ‘
ae Ps OME LA + en
4
: : . se ,
i Aedae ae Sd Ce f 7 / 4

/ cys Ys ¥ «+ Sot hte ae, SF inl

6.1 What had you been doing for the 30 minutes before you saw the object?

fry to list the activity or activities and the approximate amount
of time spent on each,

‘ ’
y si = fj we -s ; “>
7

ws Ff

7. Were you moving at any time while you saw the object? (Circle One):

sa,"
Yes or ( io!

IF you answered YWS, then complete the following questions:.
7o1 What direction w were you moving?

(Circle One): a. orth e. South
bt. Northeast £. Southwest
ce. East g. West
d. Southeast he Northwest
7e2 How fast were you moving? é miles per hour.

7-3 Did you stop at any time while you were looking at the object?
(Circle One): Yes or No

8, What direction were you looking when you first saw the object?

(Circle One): a. North e. South
b. Wortheast f. Southwest
c. East ge West
de Southeast he Northwest

8.1 What direction were you looking when the object disappeared?

(Circle One): (ai North
(o> Northeast
c. East

ad. Southeast

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

» Fairly certain de

9. Were you wearing eye glasses when you saw the object? (Circle One):

8.1).
a! Certain
Y r Ato )
e O
ae =

10. How was the object seen?

(Circle One): a.

first fro grein” €b.

ll.
object?

11.1 CLOUDS (Circle One)

Clear sky

Hazy

Ce Scattered clouds

d. Thick or heavy clouds
e. Don't remember

11.2 WIND (Circle One)

(a, ilo wind

b. Slight breeze
c. Strong wind

Gd. Don't renember

SECTION C

12. Estimate how lonz you saw the object? f eka Cy Al the yroirs)
ours linutes Seconds

10

Through window glass ee
)» Through windshield
c. Through binoculars
d. Through telescope

What do you remember about the weather conditions at the time you saw the

Page 3

e. South
£. Southwest
g- West

(h? Northwest

c. Not very sure
Just a guess

Through theodolite
Through sunglasses

f.
(Es. Through open space ‘~- J € payed r
he

Other fest ty prour™

11.3 WEATHER (Circle One)

a.) Dry

be Fog, Mist, or light rain

ce. Moderate or heavy rain

d. Snow

€e Don't remember
11.); TEMPERATURE (Circle One)

ae Cold

b. Cool 4. : ee

(cy Warm 64°F Cad wt 30 kT

d. Hot

ee Don't remember

Gk fOme per ¥rou7

Page

12.1 Circle one of the following to indicate how certain you are of your
answer to Question 12:

(a2 a. Certain c. Not very sure
b. Fairly sure d. Just a guess

—e

13. Did the object look: (Circle One) Solid) or Transparent

1h. Did the object at any time:

(Circle One for each question)

14.1 Change direction? (Yes) No Don't know

1);.2 Change speed? Yes dio =©6. Don Tt know

_ 3 Change size? Yes (iio Don't know

1.4 Change color? Yes (No Don't Know

Te Break up into parts or Yes (io Don't know
explode? -

1.6 Give off smoke? Yes (ito Don't know

14.7 Change brightness? Yes (9  Dontt know

1.8 Flicker, throb, or Yes (io Dont% know
pulsate? re

14.9 Remain motionless? Yes (No) Don't _knovy

15. Did the object give off a light? (Circle One): (fen. ‘ No Don't know

os

= ee

15.1 IF you answered YES, what was the color of ‘the Might? Ly-At+ chews fod

‘ : aE

16. Tell in a few words the following things about the object?

16 mf Sound ef. 3?
16.2 Color the. Ye
17. IF there was MORE THAN ONE object, then how many were there? .’ ~ 35 + hj mf eo 8
Draw a picture of how they were arranged and put an arrow to show the epg
¢- direction they were traveling.
- j J _ es
is i Ve / a C — f
-|- Xe Fr
J ~}- * 5. é ‘ x * A \ . o
“vy “}- -f- xX . ‘ 7)
A x : +f ke ~ K x
“\ ” ie “fs ’
18, Did the object at oy times ier

18.1 Move behind something? (Circle One) Yes (ite Don't know

IF you answered YES, then tell what it moved behind,

//

Page 5

18.2 Move in front of something? (Circle One) Yes (NO Don't know

IF you answered YES, then tell what it moved in front of.

18.3 Blend with the background? (Circle One) Yes (fe, Don't know

19. Which of the following objects is about the same actual size as the object
you saw? (Circle One):

@ Pea f. Automobile
b. Baseball g. Small airplane
c. Basketball he Large airplane
ad. Bicycle wheel i. Dirigible

e. Office desk je Other fone) of ruc ov och

19.1 Circle one of the following to indicate how certain you are of your
answer to Question 19.

(as Certain Ce Not very sure
4 Fairly certain d. Uncertain

20. Try to tell the following things about the object:

20.1 How high above the earth was it? /Otco—2cc. feet. ae Te
20.2 How far was it from you? /eoo' fect or « 5 ibs miles fern er'"?
20.3 How fast was it going? p20 pity ailed et ee gtr

20.4, Circle one of the following to indicate how certain you are of your
answer to the above questions:

ae Certain ‘ Ce Not very sure
b. Fairly certain °- G,) Just a guess

‘ S) tc oc oh rere Fo ae out.
21. How did the object disappear from view?

(Circle One): a. Suddenly c. Other
b.) Gradually d. Don't remember

22. In the following sketch, imagine your eye at the point shown. Place an "A"
on the curved line to show how high the object was above the horizon
(skyline) when you first saw it. Place a "BY" to show vhere it was when ‘a

you last saw it. Overhead |

Age

—__—-. Horizon

+ bu : — ssiw¢

Page 7

SECTION E

26. Was this the first time that you have seen an object like this?

(Circle One): (Yes) or No

26.1 IF you answered NO, then when, where, and under what conditions did
you see other ones?

27. %In your opinion what do you think the object was and what might have caused

it? | /
a wie Pi let aN G78 J
wh ete 47 of Ane. » OF juve fea / fe, Ae We in ff Ly Ct, f< ees WSS AGH
' : e ' Se, ‘ F. “ JS /
+ Ae ?- PIM 29, ar o ther sre Lit fT, /? ra y/, 73 PTs ; Lv» 2 Cs” Jf © wo H¢ Pal or
. J >
/, eS S>

25. Give the following information about yourself:

1 A, s—_
st Name rst Name Middle Name

ADDRESS

zone “si State

What is your present job?

int 7 5
Sex #1242

29. Was anyone else with you at the time you saw the object?
(Circle One): (es) or No
2901 IF you answered YES, did they see the object too?
(Circle One): Ges or ilo

29.2 Please list their names and addresses:

“=
ox cy! * PROJECT 10073 RECORD CARD
1. DATE . 2." “CATION "= CONCLUSIONS ;
20 April 1 a ant, Michigan \. Wes Selleen
1O Probably Balloon
3. DATE-TIME GROUP) | 4 TYPE OF OBSERVATION ee. re ee
t seal .. os seen In AEE... (XGround- Vi sual O Ground-Rader Probably Alrereft
emt... &/ 3 Lis essai D Air- Visvol 0 Air-Intorcept Radar G Possibly Aircraft
5. PHOTOS - . aos 16. SOURCE D0 Was Astronomicol
O Yes Civilian O Probobly Astronomical
UxNo D Passibiy Astronomical
J. LENGTH OF OBSERVATION 8. NUMSEROF OBJECTS | 9. COURSE = | ‘+ Orher_ Poss, Bird. _
Varied in | Varied 0 oe Data for Evaluation
1 Er ~ 20 Min. | arie ane
groups ; '
W. SRIEF SUMMARY OF SIGHTING 1. COMMENTS
Watching drive-in movie, observed 6 groups Fr description of the objects and
of UFO's. Groups flew in formation on their characteristics, it is believed

straight flt path, except for two gps which that the UFO's were possible bird
changed directions. Objects appeared to be| flights known to frequently fly over

cherry red, ; that region on their way to the Great
: Lakea,

ATIC FORM 329 (REV 26 SEP 52)

— —~ ds is