8174aa3a7a7fa1a7

23857158-009-013

NARA·NARA_4602D_AISS_23857158·tiff_group··9 pages

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Declassification Authority NND 923007 Yared Beale, e020 AISS UFOB REPT. BOK... S Z Tare wagner y SJ, Pave TIME GROUP - 2) Span st, lad in - 28 ey, 4 vu. S$. R 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. Pleasa 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 stat
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Declassification Authority NND 923007 Page 2 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): 8.2 MOON (Circle One): _@, Nene a. Bright moonlight b. A few - b. Duil moonlight @ Mony c. No moonlight — pitch dark d. Don’t remember fay Don't remember 9. Was the object brighter than the background of the sky? Fi . f ¢ (Circle One): (ap Yes b. No Caw 10. IF it was BRIGHTER THAN the sky beckground, was the brightness like that of an automobile headlight?: c. Don't remember (Circle One) a. A mile’or more away (a distant c
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Declassification Authority NND 923007 _ Page 3 16. Tell ina few words the following things about the object. a. Sound 270M a ee eee b. Color a a preteen nt RON Serene Le te ing eek enh teeter een at cet ee enter ere ae erm Ag Sarma eres waraimanttean ane ronan wast SSSR NESS Cane ST ntl OSOR 1. Drew a picture thet will show the shape of the object or objects. Lobe! ond include in your sketch any details of the object thet you saw such os wings, protrusions, eic., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving. (Circl
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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. — 21. IF POSSIBLE, 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? ¥ y chy. be Chaths (Cirele One): a, Head of a pin g g. Silver dollar , b. Pea h. Basaball | c. Dime i
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Declassification Authority NND 923007 Page 5: 26. Were you (Circle One) 25. Where were you located when you saw the object? (Circle One): g. In the business section of a city? b. In the residential section of a city? a. Inside a building b.- liv a car c. In open countryside? c. Outdoors . d. Flying near an airfield? d. {nan airplane e. Flying over a city? e. Atsea f. Flying over open country? Osha ge vine ee 97. What were you doing at the time you saw the object, and how did you happen to notice it? wage A ra Lied 28. \F you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then compl
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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 los! sow it. Soy Pe BW iene AW le Cie \ 33. In the following larger sketch place an “A” at the position the object wos when you first saw it, anda “B” at its position when you last saw it. Refer to smaller sketch o3 an example of how to complete the larger sket
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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) aClear sky a. No wind » Hazy b. Slight breeze c. Scattered clouds c. Strong wind d. Thick or heavy clouds Don’t remember e. Don't remember -" 34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One) : Dry a. Cold: b. Fog, mist, or light rain @ 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? Day _ Month, Year 36. Was anyone el
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Declassification Authority NND 923007 (Circle One) Yes No 39. Do you think you can estimate the speed of the object? feet og 73 F sale Bows i IF you answered YES, then what speed would you estimate? m.p.h. 40. Do you think you can estimate how far away from you the object was? . i + , : Hy | (Circle One} Yes No / py? IF you answered YES, then how far away would you say it was? _ feet. Ad Please give the following information about yourself: ADDRESS gil State TELEPHONE NUMB " ‘What is your present job? Age > ae - Sex Please indicate any special educational training that you have had. GO? a. Gra

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