23857158-009-034

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Declassification Authority NND 923007 U.S. AIR FORCE TECHNICAL INFORMATION SHEET 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 have observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes, and will be regarded as confidential material. 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 i…

Declassification Authority NND 923007 Page 2 . IF you saw the object at NIGHT, TWILIGHT,“ér 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 b. A faw) b. \Dull moonlight c. (Many) c. No moonlight — pitch dark d. Don’? remember d. Don’t remember Was the object brighter than the background of the sky? (Circle One}: a. \Yes) b. No c. Don’t canember IF it was BRIGHTER THAN the sky background, was the brightness like that of an gulomebile headlight?: {Circle One) a. [A mile or more away){a distant car)? b. Several bl…

Declassification Authority NND 923007 Page 3 , 18. Toll in a few words the following things about the object. er sored d to be ARE le Nere ApPeare OF Sound. 17. Drow a picture that will show the shape of the object or abjects. Label and include in your sketch any details of the object that you saw such as wings, protrusions, ete., and especiall y exhaust trails or vapor trails. Place on arrow beside the drawing to show the direction the object was moving. . S Through binsevharg Last getw moving iv R NOTH EAT ERby Areestton 18. The edges of the object were: (Circle One): a. Fuzzy or blurred e. …

rere pecerneeeee. Declassification Authority NND 923007 Page 4 20. Draw a picture that will 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 show any changes in direction during the course. Ti WW WeavinesS ipidicares bavahtness of Wah 21. IF Lelia try to guess or estimate what the real size of the object was in its longest dimension. feet. 22, How large did the object or objects appear as compared with one of the following objects held in the hand and at about arm's length? (Circle One): a. Head of a pin g- Silver dol…

Declassification Authority NND 923007 Page-5 Where were you located when you saw the object? 2. Were you (Circle One) (Circle One): : , a. Inthe business section of a city? a. Inside a building b. (In the residential section of a city? b, In a car yO ‘ce. th open countryside? ce, Ovtdoors : d. Flying near an airfield? d. In an airplane ; e Flying over a city? e. At sea ‘f. Flying over open country? {. Other the COC +owet g- Other , What were you doing at the time you saw the object, and how did you happen to notice it? 28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then …

Declassification Authority NND 923007 Page 6 32. 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 first saw it. Place a "B” on the same curved line to show how high the object was above the horizon (skyline) when you lost sow it. . _ 33. In the following larger sketch place an “A” at the position the object was when you first saw it, anda "B” at its position when you /ast saw it. Refer to smaller sketch as an example of how to complete the larger sketch.

Declassification Authority NND 923007 Page 7 34, What were the weather conditions at the time you saw the object? 34.1 CLOUDS (Circle One) 34.2 WIND (Circle One) o ey shy ; a. No wind | ae clouds c. Strong wind ri Thick or heavy clouds d. Don’t remember e. Don't remember : | . 34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One) ~~ a.(Dry) . a. Cold b. Fog, mist, or light rain b. (Cool c. Moderate orheavy rain . c. Warm d.. Snow .d. Hot e. Don’t remember e. Don’t remember 35. When did you report to some official that you had seen the object? as Au Auge sr — W486 oe onth, “Year tn a | 36. Wa…