U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you hove observed Please try to answer as many questions as you possibly con. The information that you give will be used for research purposes. Your nome wi II 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 detoi Is. 1. When did you see the object? 3. Time Zone: (Circle One): a. t:astern b. Central c. Mountain Hour Minutas (Circle One): (Circle One): 6.) Daylight Saving b. Standard ~) Pacific 4. Where were you when you sow the object? Nearest Postol Address City or Town State or County 5. How long was object in sight? (Totol Duration) APPROX. 30 Minutes Seconds a. Certain c. Not very sure ( b.) Fairly certain d. Just a guess 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? (a) Brigh t 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you d. To y our left FTD OCT 62 164 b. In back of you c. To your right e. Overhead f. Don't remember This form a uperude FTO 164. Tul 6\. whlr.h i ob'l("tlt ... 8. IF you sow the object at NIGHT, what did you notice concerning the 5TARS and MOON? 8.1 STARS (Circle One): (b.) A few d. Don't remember 8.2 MOON (Circle One): ( 4. Bright moon I ight b. Dull moonlight c. No moonlight-pitch dark d. Don't remember 9. What were the weather conditions at the time yoo sow the object? CLOUDS (Circle One): (o.)Ciear sky c. Scattered clouds d. Thick or heavy clouds HEATHER (Circle One): 6.) Dry, cold b. Fog, mist, or light rain . c. .~oderote or heavy rain e. Don't remember 10. The object appeared: (Circle One): (a.) Solid b. Transparent d. As a light e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): {a.) Brighter c. About the some d. Don't know 11.1 Compare brightness to some common object: 2X MAGNITUDE VENUS 12. The edges of the object were: (Circle One): a. Fuzzy or blurred e. Other AI.:-iOST UJ.~SZ~ti_i -B3PE~ b. Like a bright star 03 aJ ly on sides. Sharply out I ined Don't remember Did the object: (Circle One for eoch question) Appear to stand still at any time? Don't know Suddenly speed up and rush away at any time? ( Nd Don't know c. Break up into ports or explode? Don't know d. Give off smoke? Don't know Change brightness? Don't know f. Change she~pe? { Don't know) Flash or flicker? (Yes) Don't know Disappear and reappear? Don't know 14. Did the object disaool'!or while you were watching it? If so, how? 15. Did the object move beh i~d something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what it moved behind: 16. Did the object move in front of something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what 17. Tell in a few words the following things about the object: BRIGHT 03.ANG3-YELLO~i . 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how much of the object is covered by the head of the match. If you hod performed this experiment at the time of the sighting, how much of the object would hove been covered by the match head? AT CLOSEST POINT: approx. half 19. Draw a picture that wi II show the shape of the object or objects. Lobel and include in your sketch any detoi Is of the object that you sow such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving 20. Do you think y ou con estimate the speed of the objec t ? (Circle One) (Yes) No IF you answered YES, then what speed would you estimcte? _BQ-l_O_QIJ.lph-- ob j. a l s o slo\-red until s t o:rxp_ed. 21. Do you think you con estimate how for away from you the object was? (Circle One) IF you answered YES, then how for away would you soy it was? aJ)pr 0]{_, J 5_00_ft 22. Where were you located when you sow the object? (Circle One): I 23. Wereyou(CircleOne) a. In the business section of a city? Inside a building In the residential section o f o city? b. In a cor In open countryside? d. Near on airfield? d. In an airplane (type) e. Flying over o city? e. At sea f. Flying over open country? f. Other g. Other 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) a. North c. East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? -------~ i les oer hour. 24.3 Did you stop at any time while you were looking at the object? (Circle One) Did you observe the object through any of the following? a. Eyeglasses Yes No e. B inoculars Yes No Sun glosses Windshield Yes g. T he odolite Window glass In order that you can give as clear o picture as possible o f whe t you saw, describe in your own words a common object or objects which, when placed up in th e sky, would g ive the same a ppearanc e as the object which you saw. At first: a larg e orange flash, like a n ora nge stre e t l i ght 2 o l oc}:s e..-vray. As 1 t came clo s er: a hal f - i oz e n s:nalle r l ie;hts i n a r o,-r-lik e \i indo"irs Obj ect moved a nd s t opped a t ran:1on-sometimes flasC.i n s much brig h - ter than i t had been 30. Have y o u ever seen this, oro similar o bJec t before. If s o giv e d \Jt e or dates 'Jnd locatton. 31. Was anyone else with you at the time you saw the object? (Circle One) Yes 31.1 IF you answered YES, did they see the object too? (Circle One) 31.2 Please I ist their names and addresses: 32. Please give the following information about yourself: First Nome Middle Nome San Franoi seer, 9_4.118 TELEPHONE NUMBER-------- Indicate any additional information about yourself, including any special experience, which might be pertinent 33. 'Nhen and to whorr. d id you report t hat you had seen the object? a unrox. 2 Project Blue Book 3s.foi, Hash. 27. In the following sketch, imagine that you ore at the point :;hewn. Place an "A" on the curved line to show how high the object was above the horizon (sky I ine} when you first saw it. Place a "B" on the some curved I ine to show how high the object 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 lost saw the object. 1)IJ.~CI'IO.NS UNCZJ.TAI N-W.P ... S ~f.A.L king on :locklin Rd. To\vards to-t~n. 28. Draw a picture that wi II show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at the end of the path, and s!.u;,., ~ny changes in direction during the course. L stood here 29. IF there was MORE THAN ONE object, then how many were there? ----------- Draw a picture of how they were arranged, 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 date s and location. 31. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) Yes No 31.2 Please list their names and addresses: 32. Please give the following information about yourself: Last Name First Name Franci sc-o--91+~18 City ' Zone TELEPHONE NUMBER-------- Indicate any additional information about yourself, including any special experience, which might be pertinent 33. When and to whorr. did you report that you had seen the oSject? a_ppr ox. 2 Project Blu e Book Safoi, Wash. . 34. Date you completed this questionnaire: Day Month Year 35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting. I can't remember anything to you may fill in what I else. Previous letter can't remember now. I hopw this inforJlation \vill help you in your stu11es. Being a semissrian for the Catholic priesthood, any king of publicity is not appreciated. My parents and my superiors at school would. not approve. I would appreciate it if you 'Trtouldn' t lTri te me further. If there is something I reme~ber that I haven't mentioned I will write you. Respectfully,