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Declassification Authority NND 923007 U.S. AIR FORCE TECHNICAL INFO 5 RMATION SH HEET 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 ba used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that,…

Declassification Authority NND 923007 . Fage 2 8. IF you saw the object at NIGHT, TWILIGHT, or DAWN, what did you notica concerning the STARS and MOON? 8.1 STARS (Cirele One): 8.2 MOON (Circle One): | cami a. Nona a. Bright moonlight b. (A tow b. Dull moonlight c. Many c. No moonlight — pitch dark d. Don’t remember d. Don’t remember 9. Was the object brighter than the background of the sky? i. } (Circle One): . @. Yes A b. No ¢. Don’t remember . IF it wos BRIGHTER THAN the sky background, was the brightness like that of an automobile headlight?: (Circle One) a. SA mile or more away (a distant …

Declassification Authority NND 923007 Page 3 16. Tell in a few words the following things about the object. a. Sound b. Color 17, Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object that you saw 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. wk \ 18. The edges of the object were: (Circle One): a. Fuzzy or blurred e. Other _ b. Like a bright star c. Charply outhneds. ‘d. Don’t remember 19. IF there was MORE THAN…

Declassification Authority NND 923007 Page 4 20. Draw a picture that will show tha motion that the object or objects made. Place an “A” at the beginning of the path, a “B” at the and of tha path, and show any changes in direction during the course. 21. IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension. 4 feet. 22. How large did the object or objects crpeat as compared with one of ths following objects held in the hand and at about arm’s length? (Circle One): a. Head of a pin g. Silver dollar b, Pea h. Baseball c. Dime : i. Grapefruit d. Nickel …

Declassification Authority NND 923007 26. Were you (Circle One) 25. Where wera;you located when you saw the object? (Circle One): a. ‘In the business section of a city? b. In tha Fesidential section of a city? c. In spen countryside? d. Flying near an airfield? e. Flying over a city? f. Flying over open country? ge Other a. Inside a building b, Ina car d. !nan airplane a, At sea f. Other Se 27. What were you doing at the time you saw the object, and how did you happen te notice it? S IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 28.1. …

Declassification Authority NND 923007 Poge 6 | 32. In the following skatch, imagine that you ars at the point shown. Place an “A” on the curved line to show how high the object was above the horizon (skylina) when you first saw it. Place a "B” on the some curved line to | show how high the object was above the horizon (skyline) whan you lost saw I. 33. In the following larger sketch place an “A” at the position the object was when you first saw it, and a “B” at its position when you Jast 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) a, (Clear sky a. No wind _ b, Hazy b. Glight breeze c. Scattered clouds c. Strong winc d. Thick or heavy clouds d. Don’t remember 34,3 WEATHER (Circle One) 4 34.4 TEMPERATURE (Circle One) a. Dry a. b. Fog, mist, or light rain b ) c. Moderate orheavy rain c. Warm d. Snow d. Hot e. BowF remember e. Don’t remember - 35. When did you report to some official that you had seen the object? , Ac THis 3 4? Dr ne? Day Month ! Year 36. Was anyon…