PROJECT BLUE BOOK

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is Form A if
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\ U.S. AIR FORCE TECHNICAL INFORMATIGNSSHEER=” /
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This questionneire hos been prepared so that you can give the U./S. Air Fores os much
informetion as possible concerning the unidentified aerial phenomenon that you have observed.

Please try to answer os many questions es you possibly con. The information that you give will
be used for research purposes, and will be regerded os confidential material. Your neme will not
be used in connection with any statements, conclusions, or publications without your permission.
We request this personal information so thet, if it is deemed necessary, we may contect you for

further details.

1, Wheo did vou see the object? 2. Time of day: eZ Za? Ole 22-4, =f wale
tour aZ Minutes
79 ts PO 43 LGZ2Oo we |
= OeP Month Yoor (Circle One): A.M. or P.M, |

all — -

_—_— =

—_——

3. Time -one:

(Circle One): q WW Bastern (Circle One): a. Daylight Saving
b. Cenwel b. Standerd
¢. Meauntein
i. P reife |
Wher

4, Where were you when vey cen he object? . ‘ fo
f "y =
eeres Stete er County

Additional remorks:

een

5. Estimote how long you se te reject,

Heurs Minutes Seconds

5.1 Cirele one of the follewing te indicete hew certein you are of your answer to Question 5.

e. Certein c. Net very sure
ao Fairly cormain d. Juste guess

6. Whet wes the conditian of the sky?

(Cirele One): a. Bright daylight d. Justo trace of daylight
| b. Duil daylight war No Wace of deviight © = aw
c. Brigne mwilight ‘, Don! rememoer
| peipiasterimnamenainnnemenre!
7, 'F veu saw the object during DAYLIGHT, TWILIGHT, of DAWN, where wos tre SUN ocated os you looked of
the cbject?
's One): a, In front of you 4. To your toft

d, in woice >? yev _ * 200G

a --- — ee —— —
—_—- — ee —— - — ee —— - o=-nene<es — . ~

Page 2
| 8. IF you saw the object ot NIGHT, TWILICHT, or DAWN, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None. a Bright moonlight
| yb. A tew b. Dull moonlight
c. Many c. No moonlight — pitch dark
| d, Don't remember d. Don’t romember
9, Was the object brighter than the background of the sky?
ie,
(Circle One): im “Yes b. No ¢. Don’t remember

—_— —— =< —_— = —_——_ — _ _ —— _—_ 4

—— re

/ 10, IF it was BRIGHTER THAN the sky background, was the brightness like thet of an automebile headlight?:

——

(Circle One) ay A mile or more away (a distant car)?
b. Several blocks away?

c. Ablock away?
d. Several yards away?

i —

OL a ae ee eke ake Rone ak a ewe
11, Did the object: (Circle Ore for each question)
a. Appear to stand still o ve? Yes No Don’t Know
b. Suddenly speed up and ©.» 5 +ay at any time? Yes No” Don’t Know
¢. Break up into ports or «+0? Yes Neo Don’t Know
d. Give off smoke? Yes Noo Don’t Know
e. Change brightness? Yes Now | Don’t Know
f, Change shape? Yes Nae Don’t Know

g. Flicker, throb, or pulscre’ Yes Ng s Don’t Know |

12. Did the object move behind so-<* +o at anytime, porticulerly a cloud?
( Circle One): Yes No” Don’t Know, IF you answered YES, then tell what
it moved behind:

~- -eo = - _—_

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

—_————

:

(Cirele One): Yes Don’t Knew. IF you answered YES, than tell what

ye 60 Oe peewee a
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«14, Did the sbiect appear: (Circle One): a. Selid? 4. Trensoarent? ec Don't Krew.

|5. Did you observe the object through any of the following?

&, Evegiosses Yes No 2. Binecculers fes No

b. Sun glasses Yos Na tf. Teloscape Yes No

ec. Windshield +5 No 9g. Theodelites Yos No

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‘9

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tow @G'GSS

(jews ~ 6 & he catty) P — |

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Page 3

16. Tell in a few words the following things bout the object.
a, Sound Seen

Pa 5 :
b, Cole ee Lahde = ie Pot
y

17. Drew a picture thet will show the shepe of the object or objects. Lobel! and include in your sketch any details
of the object thet you sow such as wings, protrusions, ete., and especially exhaust trails or vapor trails. Place
an arrow beside the drewing to show the direction the object was moving.

\ Pa .
Cog: oan
vat

ee ee ee

13, The edges of the object were:

(Circle One): a. Furay a > 's0red e. Other
b. Like @ bv ent star

c¥ Sharply ) ed

d. Den’? rome er

19. IF there wes MORE THAN ONE odject, then hew mony were there?
Drew o picture of how they were orranged, and put an errew to show the direction that they were travel ing,

—

eaqreweo = oo enw ee

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—_——— ee ee + = - > ee 5 2 oe + eo - e

Page 5

oo

25. Where were you located when you saw *r= object? 26. Were you (Circle One)
(Cirele One):
a. In the business section of a city?
a. Inside a building fA the residential section of a city?
b. Ina cor c. In open countryside?
. Outdoors d. Flying near an airfield?
d, In an airplane e. Flying over a city?
e. At sea f, Flying over open country?
eS g. Other

27. What were you doing at the time you sow the object, and how did you happen to notice it?
‘Be , Po a °

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

28.1 What direction wera you moving? (Cirele One)

a. Nerth ec. Fas? e. South 9. West
b. Northeast i.  Leovtheast f. Southwest h. Northwest
28.2 How fast were you mover) miles per hour.

28.3 Did you stop at ary time while you were looking at the object?
(Circle One) Yes No

- = 7 =e

29. What direction were you looking ~-en vou first sow the object? (Circle One)

| a. North . ae Cast e. South g. West
b. Northeest i. Southeast f. Southwest h. Northwest

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30. What direction were you looking «hen you last saw the object? (Circle One)

a. North jr East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest

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

‘oan? cirst apoeared:

. From true North ‘ degrees.
6. From horizon _. degrees.
21.2 ‘when ') disespeared:

From irue North... _.. | degrees.

— ~~ eee —

Page 4

20. Draw a picture that will show the moron thet the, object or objects made, Place an "A® at the beginning
of the path, a “B° of the end of the octh, and show any changes in direction dwing the couse.

21. IF POSSIBLE, try to quess or estimate what the real size of the object was in its longest dimension.
Seat,

Ln SS eee ne ++ wee —_—. _—= —- -————_

22. How large did the object o objects oppear as compared with one of the following objects held in the hand
and at about arm's length? / i

———-= —-« —_— —

(Circle One): . Heod of a pin g. Silver doller |
b, Pes h, Baseball ;
| c. Dive 1, Gropefruit
d. Nicks! j. Basketball |

e. Quwle OE ————— =
fF, Holt tolle |
22.1 (Circle One of the following 4 cate how certain you are of you answer te Question 22.
a, Carta | c. Not very sure
| y- Fuwiy cattoin d. Uneartein |
ce et

23, Hew did the abject or objects dis spoecr irom view? acti Cage

;
a

_ oe

24. In order thet you can give es clear » . <1swe a9 possible of whet yeu sew, we would like fer you te imegine the? you could
conetrvet the abjeer thet yeu sew. _{ ~het type materiel wevid yeu meke it? How large would it be, end whet shepe
weuld it heve? Deseribe in your own words 2 commen object of objects which when sieced up in the shy would give the

seme epeecrence os the object wn = seu sew,

-—2- ee ee a ea ce = ae

st it S de

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34, What were the weather conditions ct ‘he time you sew the object?

34,1 CLOUDS (Cirele One) 34.2 WIND (Circle One)
»O«- Clear sky a. No wind
b. Hazy sees STight breeze
¢. Scattered clouds c. Strong wind
d. Thick or heavy clouds d. Don't remember

e. Don't remember

34,3 WEATHER (Circle One) 34,4 TEMPERATURE (Circle One)
yaw Dry a. Cold
b. Fog, mist, of light rain b. Cool
c. Moderate orheavy rain jo Warm
d. Snow d. Hor

*. Don't remember @. Don't remember

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~_-

36. Was anyone else with you at 1+ time you saw the object?

(Circle One) Yes No
36.1 IF you answered YES, «+ “ey see the object too?
(Circle One) Yde No ‘

36.2 Please list their nanes 0-4 addresses: Srtpt ee ae

(sewn. ane Pfs io }

37. Wes this the first time thet you had seen an object or objects like this?

(Circle One) Yde~ No
37.1 \F yeu answered NO, ther when, where, and under what circumstances did you see other ones?

—_ - ~ -- . —— -——- — 2 ee) ees ow = —— <—— - - “2. _—— — a sae @

— Ye ae - EE TT mmm ws me

—+ ee -—_—-—- ---

———— —-_— _— ——_—_— _ _ -_ ———— See ee

28, In your opinion what deo you think the object wes and what might have caused ir?

=- Se te | SS

ig A A A TTT we

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|

33. In the following larger sketch

position when you last saw it.

—— ———— _— — —_ —

» * on “A” at the position the object was when you first saw it, und a “8” ar its
cor to smaller sketch as an example of how to complete the lerger sketch.

2am ® -

—_——_—— @

32. In the following sketch, imagine “he? you ar at the point shown, Place an “A” on the curved line to show how
high the object was above the horizon (s«) oe) when you first saw it. Place a “B" on the same curved line to

show how high the object was chove the or ron (skyline) when you Jast saw it,

;
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oe. -

— ee ee ee

Poge 8

Sennen ene

; Le se
| 39. Do yow think you can estimate the speed o' >@ object?

! (Circle One) Yes No

—_

!
IF you answered YES, then what speed would you estimate?

2
z
a

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_—_ —_ —_—_—

40. Do you think you can estimate how for away from you the object was?

(Circle One) Yes No

- " “i ; “ ; ;
IF you answered YES, then how for away would you say it was? webs dadind— 1g feet. |

11, Please give the following information about yoursalt:
Cn $< “ee <r
ane idle Nome

ADDR

Seeeesteeaeeeatiai ee
eet at eas

TELEPHONE NUMBE

Whar is your present job? .—s'*—«_ ties t= : a!
Age = %. Ane Sex _ : —_——_

Please indicate any special «+ i. »-onal training thet you heave hed.

a. Grade school _____ -_ 2. @. Technical school
b. High scheol _____ — (Type)
c. College a ae — f. Other special training

d. Post gredvete —

12, Date you completed this questionnaire: : or ae rr 2
av Mon {ecr

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