28974454.pdf

|  1. DATE | 2. LOCATION | 12. CONCLUSIONS  |
| --- | --- | --- |
|  10 November 1957 | Shiroi AB, Japan | ☐ Was Balloon ☐ Probably Balloon ☐ Possibly Balloon  |
|  3. DATE-TIME GROUP Local night GMT not reported | 4. TYPE OF OBSERVATION ☐ Ground-Visual ☐ Air-Visual ☐ Ground-Radar ☐ Air-Intercept Radar | ☐ Was Aircraft ☐ Probably Aircraft ☐ Possibly Aircraft  |
|  5. PHOTOS ☐ Yes ☐ No | 6. SOURCE Military | ☐ Was Astronomical ☐ Probably Astronomical ☐ Possibly Astronomical  |
|  7. LENGTH OF OBSERVATION 1 1/2 mins | 8. NUMBER OF OBJECTS one | 9. COURSE rising to NW  |
|  10. BRIEF SUMMARY OF S…

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 it is deemed necessary, we may contac…

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8. If you saw the object at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS AND MOON?

8.1 STARS (Circle One):
a. None
☑ b. A few
c. Many
d. Don't remember

8.2 MOON (Circle One):
a. Bright moonlight
☑ b. Dull moonlight
c. No moonlight - pitch dark
d. Don't remember

9. Was the object brighter than the background of the sky?
(Circle One):
a. ☑ Yes
b. No
c. Don't Remember

10. If it was BRIGHTER THAN the sky background, was the brightness like that of an automobile headlight?:
(Circle One) a. ☑ A mile or more away (a distant Car)?
b. Several blocks away?
c. A block aw…

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16. Tell in a few words the following things about the object.
a. Sound: None
b. Color: Cream to White

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.

Somewhere between these two shapes!

18. The edges of the object were:
(Circle One): a. Fuzzy or blurred
b. Like a bright star
c. Sharply outlined
d. Don't remember
e. Other

19. If the…

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20. Draw a picture that will show the motion that the object or objects made. Place on "A" at the beginning of the path, a "B" at the end of the path, and show any changes in direction during the course.

15
40

21. IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension. 2.

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
b. Poa
c. Dime
d. Nickel
e. Quarter
f. Half dollar
g. Silver dollar
h. Baseball
i. Grapefruit
j. Baske…

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25. Where were you located when you saw the object? (Circle One):
a. Inside of building
b. In a car
c. In an airplane
d. At sea
e. Other outside of 66

26. Were you (Circle One)
a. In the business section of a city?
b. In the residential section of a city
c. In open countryside?
d. Flying near an airfield?
e. Flying over a city?
f. Flying over open country?
g. Other

27. 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 complete the following questions:

28.1 What directio…

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32. In the following sketch, imagine that you are at the point shown. Place on "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 last saw it.

[Diagram: A bar chart with labeled parts: 3rd, 4th, 5th, 6th, 7th, 8th, 9th, 10th, 11th, 12th, 13th, 14th, 15th, 16th, 17th, 18th, 19th, 20th, 21st, 22nd, 23rd, 24th, 25th, 26th, 27th]

33. In the following larger sketch place an "A" at the position the object was when you first saw it, …

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34. What were the weather conditions at the time you saw the object?

34.1 CLOUDS (Circle One)
a. Clear sky
b. Hazy
c. Scattered clouds (high altitude)
d. Thick or heavy clouds
e. Don't remember

34.2 WIND (Circle One)
a. No, wind
b. Slight breeze
c. Strong wind
d. Don't remember

34.3 WEATHER (Circle One)
a. Dry
b. Fog, mist, or light rain
c. Moderate or heavy rain
d. Snow
e. Don't remember

34.4 TEMPERATURE (Circle One)
a. Cold
b. Cool
c. Warm
d. Hot
e. Don't remember

35. When did you report to some official that you had seen the object?
Day: ___________ Month: ___________ Year: ___…