PROJECT BLUE BOOK

, Cel a + Oe 0.8.4 Fe. Ais - > 7
6 RS TC a = = ~
= hh. f mon, PAL. \'

te ‘ s. Aim BORCE TECHNICAL INFORMATION SHEET

\v This questionnaire has been prepered so that you can give the U. $. Air Force o
information os possible concerning the unidentified aerial phenomenon that you have o

Please try to answer as mony questions os you possibly con. The information thet you will
be used for research purposes, ond will be regarded as confidential material. Your nome will not

be used in connection with any statements, conclusions, or publications without your permission.
We request this personel information so thet, if it is deemed necessory, we may contact you for

further detoils.

1. When 7 you see the eo 2. Time of day: wal J Oz.

Hour

roe Sate Sharpe —( end (Circle One):

3. Time zone: sitet eet
(Circle One)x a. “Eostern * (Circle One): a. Daylight Seving

b. ~ Central C b. Sta ord

c. Mountoin
d. Pacific
_ Other

4, Where were you when you saw the object? , on KO
y City or Town State or Country

Additional remarks:

5. Estimate how long you sow the object. |
Hours Minutes Seconds

5.1 Circle one of the rereene to indieste how certain you ore of your answer to Gvestion 5.
Fe Cortalr c. Not very sure

~—-

b. Fairly certain d. Just a guess

6. What was the condition of the sky?

(Circle One): a: Beighe 1t daylight d. Just a trace of daylight
ull daylight e. No trace of daylight
c ; ae twilight f, Don't remember

7. \F you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located os you looked af
the object?

(Circle One): a. In front of you - ct To your tate
b. In back of you “— Overhead ©
c. To your right f, Don't remember

( (

Fege ?

8. IF you saw the object at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?

8.1 STARS (Cirele One): | 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight — pitch dark
d. Don't remember d. Don't remember

9. Was the object brighter than the background of the sky?
(Circle One): a. Yes ; b. No c, Don't remember

—

+

10, IF it wes BRIGHTER THAN the sky background, wos the brightness like that of an automobile headlight ?:

(Circle One) a. A mile or more away (a distant car)?
ee get

“
‘

b. Several blocks away?

ow
*

¢ rye of a

a ay; y, tL ¢. Ablock away?
/' Leg. ; d. Several yards away?

9

ES NR ————
11, Did the object: (Circle One for each question)

a. Appear to stand still at any time? <Yes » No Don't Know

b. Suddenly speed up and rush away at any time? Yes < No» Don’t Know

c. Break up into ports or explode? Yes «Ne» Don’t Know

d. Give off smoke? Yes C No > Don’t Know

e, Change brightness? Yes ° Don't Know
f. Change shape? Yes ; Don’t Know |

g. Flicker, throb, or pulsate? Yes No Don't Know

—

— _—_—_ -—— —_-

12. Did the object’move behind something ot anytime, particularly o cloud?

( Circle One): Cvs No  — Don’t Know, a IF you  caprinag YES, then tell what
it moved behind: ———— ee ee et tt Cee eel

—_—_—_— — —_—-_---_—____- -—- --:- - - C+; - rr-- ec ---m'" — — — —-—— + TO -_—_—- ooo

_— aera eran nearer ee oe eo en snes ee

eee eee -___l ---- —_

13. Did the object move in front of something at anytime, particularly a cloud?

(Circle One): Yes (- No J Don't Know. IF you answered YES, than tell what
it moved in front of: ——-_ >. —_ ai

——_ --— eer ee er CU Ch —-- — —_—-_----- -—-

ao.

-——_--oo- ————

—_

14, Did the object appeor:; (Circle One): g. Soli ‘ b, Transparent? c. Don't Know.
15. Did you observe the object through any of the following?

a. Eyeglasses Yes Ba e, Binoculars Yes CNo_?

b. Sun glasses Yes Me f. Telescope Yes < No_>

c, Windshield Yes << No g- Theodolite Yes Ne

d. Window glass Yes “No ) h. Other re aii
SE

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

17. Drow a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., ond especially exhaust trails or vapor trails. Place
an arrow beside the drawing to show the direction the object was moving. |

G

18. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other

b. Like o br

d. Don't remember

19. IF there was MORE THAN ONE object, then how many were there? —-. = EE
Draw a picture of how they were arranged, and put an arrow to show the direction that they were travel ing.

20. Drow a picture that will show the motion that the object of objects mode. Place on “A” at the beginning (
of the path, a “B® ot the end of the path, and show any chenges in direction during the course.

—

i or

Pe eee a

21. IF POSSIBLE, try to guess or estimate what the real slse of the object was In its longest dimension.
ea |

22, How large did the object or objects appear as compored with one of the following objects. held in the hand
and at about arm's length?

(Circle One): §. Head of a pin > g- Silver dollar
7, h. Baseball
c. Dime i. Grapefruit
d. Nicket j- Basketball .
e. Ques ber k. Other
#. Half dollor

. 22.1 (Circle One of the following to indicate how certain you ore of your answer to Question 22.

c. Not very sure
b. certein d. Uncertain

cs” tw {

wae .,-- [ee

4 Ie ee t—-t..4/.4 =)

23. How did the object or ob

24. In order that you can give as clear o picture os possible of what you saw, we would like for you te imagine that you could
construct the object thet you sow. Of whet type materiel would you make it? How forge would it be, and whet shepe

would it have? Describe in your own words o Lommon object or objects which when placed up in the sky would give the
same appearance as the object which you sew.

‘ or :
we. , go , a wis's
Ft wwe , tO a at ne Oe ae ee > = Li wat -gh Zt ee a aon

“=

ow eet 9 2. , Fa fe / — po < y~ d Ys ap s ¢ fens,

i

POEM al A lS A ES AL TS ee

Paaoo 5

26. Wore you (Circle One)

25. Where were you located when you sow the object?
(Circle One):

a. Inside a building

a. In the business soction of a city?
ee a the residential section of a city? >

“ey tn open Countryside? =

. Outdoors. d. Flying near an airfield?
. Inan airpl eo. Flying over o city?
e. At see f, Flying over open country?

28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:

28.1 What direction were you moving? (Circle One)

e. North ce East e. South g: West
b. Northeast d. Southeast f. Southwest h. Northwest
28.2 How fast were you moving? — similis per hour.
28.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
29. What direction were you looking when you first sow the object? (Circle One)
| a. North <<, Eost > @. South g. West
b, Northeast d. Southeost f. Southwest h. Northwest

30. Whot direction were you locking when you lost saw the object? (Circle One)

a, North ec. East e. South g- West
b. Northeast d. Southeast f. Southwest hy Northwest ——

31. lf you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true North and also the number of degrees it was upward from the horizon (elevation).

31,1 When it first appeared: =

a. From trve North ee ae degrees.
b. From horizon____ 77 2 degrees.

31,2 When it disappeared: Lai

a. From true North ae degrees.
b. From horizon degrees.

32. In the following sketch, imagine that you sre 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 "B” on the same curved line to
show how high the object wes above the horizon (skyline) when you Jast saw it.

33. In the following larger sketch place an “A” at the position the object was when you first sow it, ond a “B" ot its
position when you last sew it. Refer to smaller sketch as an example of how to complete the lorger sketch.

At | ete ley A

Ee abe ed et

;

’

0 ee ee ee —— —

——oSN
(Circle One) Yes ax ; }
IF you answered YES, then what ae estimate? ee ee m.p.h,
40. Do you think you can estimate how for away from you the object wos?
(Circle One) Yes y No
IF you answered YES, then how far ‘away would you say it was? a a,

———— me ee ——

TL OE EEE Se AE Sc ae

39. Do you think you con estimate the speed of the object?

41. Please give th urself:

NAME
ADDRESS . A
City
ly
hi /f7
TELEPHONE NUMBER ../ ‘lea
{fy ; ’ / At 4 ; } of f /
a f re - , P mn a th ae ‘
What is your present job? ee. mae ath is ff — nee

a mon Ar. Sex Pd ] bin

Please indicate any special educational training that you have had.

a. Grade school Ex [er Et. § e.e. Technical school __
b. High school 3 er dai (Type) ___ E
ce. College _____ so. eS f, Other special training At d ale Aaa

d. Post graduate eS ———— ; ¥: ..
ki Li ik

LS Lf P S >
4?. Date you completed this questionnaire: wi Im << 3 ae See
. " " Day ( Mon Y eor
nas a 7
wf? 's + / ? oe |
S72 0 Z ry ’ Ciuc rl ~ cesaite a —
Z i” A” oe 3
, a
oma a 4
“73 4 0 a

- ee ee _—— — ——— - * ES ee ee ee eee ee es | —

eee ee "

—

Form 6

U. $. AIR FORCE TECHNICAL INFORMATION SHEET
(SUMMARY DATA)

In order thet your Information moy be filed and coded os wieneuils os possible, gheuee use
the following space to write out @ short description of the event that you observed. You moy re-
peat informietien thet you hove already given in the questionnaire, and add any further comments,
statements, or sketches that you believe ore important, Try to present the detetls of the observa-

tion In the order in which they occurred. Additionel peges of the same size paper moy be attached
if ~ are needed,

NAME < (Do Not Write in This Space)

SIGNATURE
DATE