U,S. AIR FORCE TECHNICAL INFORMATION This quastionnoird has bean prepared so that you con giva the US* Air Force os much informotien os possible concerning the unidentified oerioi phenomenon that you have observed, pieose try to answer o$ mony questions os you possibly can. The information thot you give will be used for research purposes. Your name will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal informotion so necessary, contoctyou (Circle One): o. Daylight Saving b. Stondatd^ 4. '^here were you when you saw the object? ostol Address a. Certoin b. Foirly certain determined? in sight continuously? 6. What wos the condition of the sky? c* Bright gj,_Brjght 7* IF you saw the object during DAYLIGHT, where was the SUN located os you looked at the object? (Circle One); o. In front of you b. In beck of you c. To your ri^t a. J o your lerr e. Overheod f. Don't remember FTD OCT 62 concerning 8.2 MOON (Circle One); Dont remember Bright moonJight DulLmjiQnliahf conditions o. Cisof shy WEATHER (Crc/e One); b. Fog, mist, or light roin c. .Moderote or heavy rain e. Dont remember b. Trcnsparent c. About the same brightness (Circle One): b7~TlTkea Brf^Vsror c. Sharply outlined d. Dont remember 13. Did the object; eoch question) Give cf? smol<e? Don't know brightness? Change shape? Flosh or flicker? Disappear ond reappear? 15. Did th obtc* move behind something at any time, porticolorly a cloud? Dont Know. IF you onswered YES, then tell whot 16. Did the obiect move in front of something at any time, porticulorly a cloud? (C/rc/e Cne); (_Ye No Don't Know, IF you answered YES, then tall whot 17. Toll in o few words the following things about the object; 18. We wish to know the angular size. Hold o match stick at orm's length in line with o known object ond note how much of the object is covered by the head of the match* If you hod performed this e)(periment at the time of the 19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object ^'nat you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. place an crrow beside the drawing to snow the direction the object was moving. 20. r>o you think you con estimote the soeed of the object? (Circle One) IF you answe'ed YES, then whet speed would you estimote? \ J ^ ^ (Circle One) IF you answered YES, then how for awoy would you say it wos? i.'.'t 22. Inhere- were you located when you sow the object? fC/rc/e One); building)"> I 23. Were you (Circle One) la. the business section of a city? Jn the residentiol section of o city? In open countryside? Neor an airfield? Flying over a city? Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle ot the time, then complete the following questions: b. Northeast d. Southeast f. Southwest 24.2 How fast were you moving? (Circle One) h. Northwest 25. Did you observe the object through ony of the following? Eyeglasses e. Binoculors SufI glcssss f. Telescope Wirtdsr leld Theodolite Window glass h. Other . oopearance Draw a picture of how they were arranged, and put an orrow to show the direction that they troveling. 31. Was anyoi# else with you at the time you sow the object? (Circle One) 31.2 please tist their names and addresses: Plda$9 grv* rtie following inFormction about yoursolf: rtf St Homi MiddU'^Nom# TELEPHONE NUMBER indicate any additional information obout yourself, including ony special experience, which might be pertinent. 33, When enj to v.hom did you rso-xt that you bed seen the object? 34 you compUtad this questionrtoire: 35 Informotioo which you fa#l partinant and which is not odaquotaly covarad in tha specific points of thi quastipnnai^ or o norrotiva axptonotion of your sighting. U.S. AR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U*$> Air Force as much information as possible concerning the unidentified oeriat phenomenon that you hove observed, pieoee try to answer as many questions as you possibly can. The information that you give will be used for research purposes. Your name will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details. 1. When did you see the object? 2e Tims of day: Mi nut# a {Circle One); 3. Time Zone; (Circle One); ^,^oyiight Saving 4e Wh^ra war# you whan you sow tha objact? Horast Potrol Addrtt City or Town Stoto or Counry 5. How long was object in sight? (Total Duration) Q. Certoin b. Fairly certain determined? c. Mot very sure 5.2 Wos obiecr in sight continuously? 6. What wos The condition of the sky? o. Bright Q. Bright 7. IF you sow the object during DAYLIGHT, where wos rhe SUN located os you looked ot the object? (Circle One): d. To your left e. Overheod f. Don't remember euprt?d^t 8. IF you $aw tlie object of whot did you nolicc concerning the STARS ond MOON? 8.1 STARS (Circle One); 8.2 MOON (Circle One): Bright moonlight No moonlight - pitch 6;.rJ,.y 9. Whot were rhe weother conditions at the time you saw the object? c. Scattered clouds WEATHER (Circle One): dT Fog, mist, or light roin c. Moderate or heavy roin e. Don't remember 10* The object oppeored: (Circle One); b. Transoorent e. Don't remember 11. If it opoeared as a light, was it brighter thon the brightest stors? (Circle Onej; a. Brighter b. Dimmer Cl About the sane d Don't know 11.1 Compore brightness to some common object: 12. The edges or the object were; One Jr <Sr huTzy Of b I urr eJ^D b. Like a bright stcr c. Shorply outlined d. Don't renembef 13. Did the object: Appear to stood still cit ony time? Suddenly soeed up and rush away ot any time? Break up into pa**ts or explode? Give off smoke? Chonge brightness? Change shope? Flash or flicker? Disappear end renopear? (Circle One for eoch question) 14 Did the object disoppeor while you were wafching it? If so, how? porticolorly (Circ'e One); it moved behind; particularly fCire/e One); No Dont Know. IF you answered YES, then tell whot experiment 19. Draw o pieturo that will show th shape of the object or objects. Lobel ond include in your sketch any details of the obiect t^ct you sow such os wings, protrusions, etc., and especially exhaust trails or vapor trails. piece an or^ow beside the drawing to show the direction the object wos moving* ?TD (TDSW) Wirl^'t-?at1;ersoft 7 Jasiuary i960 Tsrrace ?axi, Ohio A rrlev of our Boveaber I965 sl^tln;;s ladlcata there va& Insufflslent Infomatioa for a proper evaluation of tout re- port. Vbuld 70U please complete the attached ?TD 7ora Xoha coavealence. Sincerely, HBCTOR 0TDITA.1IULA, Jr, Va.jor, USAP Chief,. Project Blue Booi 20. Do you think you can stimote fS speed of the object? (Circle One) IF you cns-ve^ed YESi then what speed would you estlmote? 21. Do you th nk you can estimate how far oway from you the object was? (Cirzle One) 22 Where were you located when you saw the object? buiTdmg'^.' "5UT3oOf3" e. At sea resjdentiaL oi-a-city.?^ c. In open countryside? d. Near on airfield? e. Flying over a city? f. Flying over open country? AUT0V031L.E questions: d. Southeast f. Southwest lies per hour. (Circle One) h. Northwest following? a. Eyeglasses Yes No e. 3 b. Sun glasses Yes No f. T Windshield d. Window jicss ^es^ No h. C e. Binoculars f. Telescope Theodolite oppeorance at the end of the poth, and show ony changes in direction during the course, Drow a picture of how they were orranged, and put an arrow to show the direction thot they were traveling. 31* Was anyof^e eUe ^ifh you ot the time you saw the object? (Circte One) 31.1 IF ycu answered YtS, did they see the object too? fOrc/e One) 312 Please list their names ond addresses: 32 Plecse give the following informatisn about yourself: Lost Nomv F if^t Mam^ Middle Norm TELEPHONE NUMBE additional informotion experience, pertinent. 33. When and to whom did you report that you hod seen the object? 34. Oats you. compistod this qusstionnoire; Informotion odoquotoly qgostionnofro oxplonotion U.S. AIR FORCE TECHNICAL INFORMATtOH inis quastionnairo hos besn proporsd so thot you can givo the UtS Air Force as much informotion os possible concerning the unidentified aerial phenomenon that you have observed, please try to answer as mony questions as you possibly con. The information thot you give will be used t