PROJECT BLUE BOOK

—

U. S. AIR FORCE

mn ee ae ee ee es — ee

TECHNICAL

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INFORMATION SHEET

This questionnaira has been prepared so that you can give the U. S. Air Force ag much
information as possible concerning the unidentified corial phenomenon that you have observed.
Ploase try to answer as many questions as you possibly can, The information that you give wil!
be used for research purposes, and will be regarded as confidential material. Your name will no»

ba used in connaction with any statements, conclusions, or publications without your permission,

We request this parsonal information so that, If it is deamed necessary, we may contact you for

further details.

SSC RESIS PR IE SS SST SS I PE EEE SSE I EI ES IS
1 © Ce
], When did you see the object? poo) 2. Time of day: { Cs ee
| f\ 3 {3 \ ~ Hour Minutes
{.! / t i
! 2 f a. , tom } j i , a
| Day Month ” Yeor (Circle One): A.M. cor { P
oe
3, Time zona: nee a
(Circla Ong): a. Eastern (Circle One): a, Daylight Saving

8 Central
c. Mountain
d. Pacific
e, Other

b. Standard

A ee

|

4, Vihere ware you sow the object?

——

Ostal Address

Additional romarks:

fi as | pile Ny /

flea EX DAA ts st
PSE

“City or "

State or Counrry

——

—--

77

— +

5, Estimate how long you sow the object,

Hours

—

* Minutes Seconds

5.1 Circle one of the following to indicates how certain you are of your answar to Question 5,
g Y Y

a. Certaia—

“~—~b, Fairly certain

c. Not very sure
d. Justa guess

— —

&, Whot wes the condition of the sky?

(Circle One): a. Bright doylight

b. Dull daylight ( s Accent

c. Bright twilight

d, Justa trace of daylight

1, e. No trace of daylight
a f. Don't remember
a,“

,
_— - - _ _ oe ee a

7, IF you saw the object during DAYLIGHT, TWILIGHT/ or DAWN, where was the SUN located as you |

the object?

(Circle One): a.
b, In back of you

In front of you

c. To your right

——— - - ——— ee es

ATIC FORM NO. 164 (13 CCT $4)

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—_— -
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ae, To your left +

ry “Overhead ay V4

f. Don't remember

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= 2c —

——_———————

Page a

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

8,1 STARS (Circle One): 8.2 MOON (Circio One):
o. Nena a. Bright meonlight
Dek iw b. Dull moonlight
Many oo ‘No moonlight ~ —- pitch dark
d. Don’t remombar d. ‘Don’ hremeniber SOS~*

ee a mg ee ee ee me et ee ee — see — —

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9. Was the object brightor than the background of the sky?

(Circle One): ( Q Yes ) b, No ¢. Don’t remember

oy

10, IF i} wos BRIGHTER THAN the sky act ea wos the brightness like that of an automobile headlight?:

a Ge \ | uN (Circle One) a. A mile or more away {a distant car)?

b Yr a J y ee b. Several blocks away?
J- il ye. c. Ablock away?

UA d. Several yards eway?
Pei ri aT eo. Othor o.,
11, Did the object: (Circle One for each question)
a, Appecr to stand still at ony time? Gos) No Don't Know
b. Suddenly speed up and rush eway of any tims? Yos ‘No’ Don’t Know

c, Breck up into parts or explode? Yos aA Don’t Know
d. Give off smoke? Yes Now Don't Know
e, Change brightness? Yos (Now Don’t Know
f. Change shape? Yes Nox Don’t Krow
g. Flicker, throb, or pulsate? Yes ( No Don’t Know

Some tee

12. Did the object move behind something at anytima, particularly a cloud?

(Circle Ona): Yes (No } Don’t Know. IF you answered YES, then tell what
it moved behind: i

-— — 0 eee ee ee ower ewe ——- —— + a —_—_—=— -_—— —o -—- —

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

——

(Circle One’: Yes { No / Don’t Know. IF you answarad YES, than tell what
it moved in front of: ed nel Fae e.
= Sen SS eee PNT = {

14, Did the object appear: (Circle Ona): (Gs ia Y b. Transporent? c. Don’t Know,
15. Did you observe the object through sny af the following? /

a, Eyoglasses Yos No ©. Binoculars Yes i No

b. Sun glasses Yos No f, Telescope Yes No

c. Windshield Yes | No g. Thoodolite Yes No

d, Window giass Yos No A | eer a eS ae

Pays 4

-_ eee

20. Draw a picture that will show the motion that the object of objects made. Placa an “A® ot the beginning
of the path, a “B” at tha end of the path, and show any changes in direction ducing the course.

- /

bject was in ita longest dimension.

fort. rte We. i

21. IF POSSIBLE, try to quess or eee ths Sear of th

AA a 4 .
a ¢* . ¢ yas

|

22, How large did the object or objects appear as compared with one of the following objects bald in the hand
and ot about arm's length?

(Circle One): g- Silver dollor

b. Pea h, Baseball
c, Dime i, Gropofruit
d. Nicket j- Basketball
e, Quarter k. Other —

f. Halt dollor

22.1 (Circle Ons of the following to indicate how certain you are of your answer to Quastion 22.

Ci Cousin c. Not very sure f)
/

b, Fairly certain d, Uncertain fn
ae were 5
: wry
23, How did the object or objects disappear fromwiew? s f ny psig” 12 LN
i a Sa ©, alll
iy rat SL Lee VR" "A Tan
ee, ae Oa, c Abs sped dd 1 Al, fF ee

+

24. $n order thot you can giva os cleor o picturs oa possible of wha? you sow, wa would like for you to imogina tast you could
construct the object thot you sow. Of whot type material would you moke it? How jorge would I? be, and wha? shape
would It have? Descride in your own words a tommon object or objects which when ploced up tn the sky would give the

same cppeoranes a8 the object which you saw. ;

*
S72 ee
s)
PR) i i ee
’

fi 2
fp Lt i

ee ee ee ae
————-

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

a. Inside o building
b, Ina car )
os si onemoanialg “3

i c. Ovfoors

Sr ———— i '
d. Inanairplone Te aod
e. Atsea ls

Pe

 Ofner Se Se :

a ee eee + ee + ee -- o-oo

f, Flying over open country?
Qj. Other < ae eT’

27. What were you doing at the time you saw the object, and how did you huppen to natice it?
; < 5 , ,
ia | & f- s
\ : > ay, 4 UE , 4 ins } 4 ; Rf - :
OEREREROIET RRA EER EEE 72 ER: ee — -- ————— wn ho _ -_-++ +
j isn be ff ; / / sf
a j 7, Py a - ; I eat J F x j ; y j , I f
i> / ; ro ee a 0 2 is ‘ / : a et , ‘ “
eer ee se" Rael gh Dat MO a ll a SS mT a Ti _
te a ee Pd ; J , on j '
et A Att G : AD 4) & a ee he 2s AY eet PA
 cicinicabtasa f a aS a Sc es pace tian seni a ce ene Sl Was
8. 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)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
28.2 How fast were you moving? _.... ___-__ __.___._ miles per hour.
28,3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No

—-— = -

2).

Om

-

Po . —
(ay. North

b. Northeast

c. East
d. Southeast

_—_——— rr

oe

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a. In the business section of a city?
b. In the residential section of a city?
ct In open countryside?

d. Flying near an airfield?

e. Flying over a city?

What direction were you looking when you first saw the object? (Circle One
7 3 y j

East
Southea st

Ce
d.

oa - 7
” ae
co. North —-—~

————

>, Northeast

What direction were you looking when you lest saw the object? (Circle One)

e. South g. West
f. Southwest h. Northwest
e. South q. West
f. Southwest h. Northwest

Ov co’

31. Ify

from true

“OF

31.1 When it first appeared:

From true North ___
b. From horizon _

Cc.

degrees.

_ degrees.

31.2 When it disappeared:

a. From true Morth

cdeorees.

b. From horizon ~ U; d

eaqrens.

th and also the number of degrees it was upward from the horizon (elevation).

,
4 J

2 familiar with bearing terms (anguler direction), try to estimate the number of degrees the object was

!
'
j

= SS a

——s — + ~~ Ce SS Ce CS a —— — —

34. What were the weather conditions at the time you saw the object?

34,1] CLOUDS (Circle One 34,2 WIND (Circle One)

‘ ; ‘
a. Clear sky a. No wind -
b. Hazy b. Slight breeze
c. 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 TEMPERATUPE (Circle One)
a. Dry _ / a. Cold
( “bre Fog, mist, or light rain b. Cool
c. Moderate orheavy rain oe. Warm i
d. Snow d. Hot

e. Don't remember e. Don’t remember

a

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

} -) {ij |
AE aS CE 2 Sk raion, SNe we
Doy Month Yeor
St Rr a - == ee Ss eS > SS a
36. Was anyone else with you at the time you saw the object?
PT
{Circle One) Yes / No
36.1 IF you answered YES, did they see the object too?
(Circle One) Yes No

e list their names and addresses:

Loe |
o
nh
“U
o
Q

“

— ——— — —_—_— —_ —

-—- - - ——

37. Was this the first time that_you had seen an object or objects like this?

a

(Circle One)/ Yes / No
' e)( Yes _

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

_ — —— -—— —--— a a

38. In your opinion what do you think the object was and what might have caused it?

grt

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