?~OJi:C~-i0~73 R2CC:1D DA:-~ LOCA "iiON iO. CO:\:~USION OCIJ cc.:. C::>j ~CL.S Project Blue Book I nformation Washington, D.C. 20330 34. Oat you completed this questionnaire: Man.( Year 35. Information which you f .. l pertinent and which is not adequately covered in the spec'f' f h 1c po1nts o t questionnaire or o narrative explanation of your sighting. . \~Cur Iii\"<! "'"'Y otl."C.I-;,~po1-t. Th~sc "bJec.t,s + \r'o\-e I. f>.-\c'~"-\,ly vJ~"'-\~ \f\J.-huvc 'i'efor-teJ ihl~J, U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give t~e U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please 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 th'is personal information so that if it is deemed necessary, we may contact you for further details. 1. When did you see the object? (Circle One): 3. Time Zone: (Circle One): a, Daili.9ht Saving c. ~oun:o1n d. Pacific 4. Where were you when you saw the o~ject? Stote or County 5. How long was object in sight? (Tot:~l Durotion) a. Certain c. Not very sure (b.-f~irly certai~ d. Just a guess . wos time in sight determined? rJ ~) i :. t?: '{' 1 ~ i"' J ~" &\ i I i Was object in s ight continuously? Yes \/ No-- 6. What was the condition of the sky? 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. In back of you c. To your right d. To your left e. Overhead f. Don't remember FTO OCT 62 164 Thla fcwm auperaedee FTD 164, J u l 61, whic h l obeolete. 8. IF you saw tlte object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One}: (c. _Many) d. LJO:-t't remember 8.2 MOON (Circle One}: (a. ~righ_t ~;n~:;;hj) b. Uull moonlignt . c. No moonlight -pitch dark d. Don't remember 9. What were t h e weather conditions at the time you sow the object? CLOUDS (Circle One): WEATHER (Circle One}: (a. Clear s~y) b. t-og, mist, or light rain c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds e. Don't remember 10. The object c:ppeared: (Circle One): Th-e) vet\' 4 b. Tro:-tsparent d. As a light e. Don't remember 11. If it appeared os a light, was it brighter than the brightest stars? (Circle One): c. About the same d. Don't know 11.1 Compare brigbtness to some common obiect: 12. The edges of the object were: (Circle One): a. Fuzzy or blurred b . Like a bright star Sharply outlined d. Don't remember 13. Did the object: a. Appear to stan d still at any time? b. Suddenly speed up and rush owoy at any time? c. Break up into ports or explode? d. Give off smoke? e. Change bri9ntness? f. Change shape? g. Flash or flicker?. h. Disappear and reappear? (Circle One for eoc:h question) Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Did the object disappear while you were w~tching it? If so, how\ 15. Did the obje-ct move beh i,d something at any time, particularly a cloud? (Circle .Jne }: Don't Know. IF you answered YES, then tell what it moved behind: Did the object move in front of something at any time, particularly a cloud? (Circ:le One): Yes @ Don't Know. IF you answered YES, then tell what 17. Tell in a few words the following things about the object: o. Sound Th~ re w"'s ~bs.o/1.\i~ lv na SOI.tl'\q, 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect and note how of the object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of the object would have been covered by the match head? 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 rn: t you saw such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place on arrow beside the drawing to show the direction the object was moving. The c.; C"c.\e .l Ol'\ e. \.JUS l ()l~j 20. Do you think you con estimate the speed of the oLject? (Circl'! One) Yes IF you answer~d YES, then what speed would you estimate? """ -------- 21. Do you th ink you can estimate how far away from you the object was? ( Circle One) @ No IF you answered YES, then how far away would you say it was? .Po~'; l bl.;t J.'t W.} fe.s. 22. Where were you located when you sow the object? (C ire le One): 23. Were you (Circle One) a. In the business section of o city? a. Inside o building (b. In the residential section of a city?) b. In a cor c. In open countryside? d. Near on airfield? e. Flying over a city? (C?bu o~rs) d. In an a irplane (type) f. Flying over open country? 2~. IF you were MOVING IN AN AUTOM03 1LE or other vehicle at the time, then complete the following questions: 24.1 'llt'hot direction were you moving? (Circle One) a. North c. East e. South g. West Nortn~ost d. Southeast f. Southwest h. Northwest 24.2 How fes t were you moving? ---------~ iles per hour. 24.3 Did you stop at any time while you were looking at the object? (Circle One) 25. Did you observ e th e object through ony of the following? a. Eyeglos ses b. Sun glosses c. Wind s!-1 ie l ci d. Window g loss e. Binoculars f. Telescope g. Theodolite 26. In order that you can give a t dear a picture as possible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give tho same appearance as the object which you sow. '"'~o \NeY'e fl''C.ltj Ji+n tu. t-h-e"' t\. ked eyf!,-aV\c! 27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object was above the horizon (skyline) when you lirst saw it. Place a "B" on the same curved line to show how high the abiect was above the horizon (skyline) when you last saw it. Place an .. A" on the compass when you first sow it. Place a "B" on the compass where you last saw the object. 28. Orow a picture that w i II show the l':"'ot ion that the object or objects mode. Place an "A" at the beginning of the poth, a ,.S '' at the end of the path, ond s!eu~ ~ny changes in direction during the course. 29. IF there ~NOS MORE THAN ONE obj~ct, then how many were there? Draw a pictur e of how they were orr~nged, and put on arrow to show the direction that they were traveling. 30. Have you ever seen this, or a simi lor object before. If so give date or dates and location. 31. Was anyor"e else with you at the time you sow the object? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) 31.2 Please I ist their names end addresses: 32. Please g ive the following information about yourself: Firat Name Middle Name TELEPHON~ NUMBER sEx H ~ \ e Indicate any additional information about yourself, including any special experience, which might be pertinent 33. When end to whorr. did you report that you had seen the object? d. 6 J\pr:j' /'lbit- Day Month Year FfD ( 'l'DEW) . Wrignt-Patterson.AFB~ Ohio 45433 ~ Louisiana 70805 Ra!arence your recent 'unidentified observation. The information in ;your letter o 28 April 1966 \>/aS not sufficient. f'or evaluati~n R&qUest 70u complete the attached FTD For.m 164 and return it in the envelope provided. \';e "dsh. to thank you tor reporting ,.our observation tothe Air HECTOR QUINTANillA, Jr, Major~ Chie.t, Project Blue Book o ol. ll I De ::-:r Sir, I am eighteen yea:rs old ; cazi avid rGader of UFO reports. I was sure it was ct one in a n:ill.ion chance that I would ever see one. I did better ~han that I wa s in my be.ck yard Tuesday, t h e twenty-six, about 7:50 ? .r~] I bc:d my binooulc~s and telescope. I didn't have a.aything to do so ! \vent out to 2.:>~k at the st2rs, moon, etc. The sky wa s ab- ol~tely clear. I glanced to my left. I couldn't b elieve what I se.'N I hurrie.i ~1d put the binocul8.rs to my e.yes. Ther e wa s tv1elve small bri &.ht dots. i hey were just as brigli.t as sta=-3 . 1'hey flev; in a V-shape as birds do, but weren def:..:li te pattern. They v1ere fl,ying close together. Soon as I looked through the binoculars, I noticed one wee lagging behind a slight bit; it rapidly ca.u.ght up to the r est. They were trav- eli~g in a easterly direction. I viewGd ther:. f or only about ten seconds nt the most before t he l wE-nt out of sight. For this reason I didn~. t he.ve time to see tr:eir actual s!lape. I live near an airport and have never see21 planes :fly that close together a:1d in that pattern. There w~n't any noise~ They were pretty high ru1d trav1ing very fast. I told my p2re.1ts and they believed me. About ten minutes lat~r I called a loca l radio station, but they probably thought it nsz a joke. I don't blame t~em. There were no other reports. I s~s'1'is.to me the.t someone else in the city of Baton Rouge, La . would hcve seen t hem, but obviously didn't. I am sure what I saw was no ~.irpls:.nes, stars, or meteorites. I a s SLlre tl'Ji s is no joke . Could I )lecwse get so1;.e inforwc:.tion on t his. Sincerely yours;