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Declassification Authority NND 923007 U. S. AIR FORCE TECHNICAL INFORMATION SHEET This .questionnaire hos 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…

Declassification Authority NND 923007 Page 2 3. IF you saw the object at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and. MOON? 8,1 STARS (Cirele One): 8.2 MOON (Circle One): a. Nona a. Bright moonlight b. A fow b. Dull moonlight c. Many c. No moonlight — pitch dark d. Don’? remember d. Don't remember 9. Was the object brighter than the background of the sky? (Circle One): Ca. Yes > b. No ¢. Don’t ramamber (Circle One) a. A mile or more away (a distant car)? b.. Saveral blocks away? c. A block away? d. Several yards away? Other Ae) dad hetacr Gad b Zeb) 11, Did the objec…

Declassification Authority NND 923007 Poge 3 16.. Tell in a few words the following things about the object. a. Sound sie Dae le b. Color <4E- oh DW Le vA v ‘ 5 , 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. 18. The edges of the object were: (Circle One): a. Fuzzy or blurred e. Other _ b. Like a bright star Ce. Sharply outlined > d. Don’t re…

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. IF POSSIBLE, try to guess or estimate whot the real size of the object was in its longest dimension. feet. 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 doflar b. Pea h. Baseball c. Dime i. Grapefruit d. Nickel , Basketball…

Declassification Authority NND 923007 Page 5 . Where ware you located when you saw the object? 26. Were you (Circle One) (Cirele One): a. In the business section of a a. Inside a building Enlai teaidential section of e cy b. Ina car c. In open countryside? oe Onidoors> d. Flying neor an airfield? .d. Inan airplane e. Flying over a city? e. At sea f. Flying over open country? f. Other g. Other . What were you doing at the time you saw the object, and how did you happen to notice it? fb ackbue Romree Lurtity ry 28. “30. 31. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then c…

Declassification Authority NND 923007 Q 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 some curved line to show how high the object was above the horizon (skyline) when you lost saw it, 4 | | | at eee | f MELEE 33. In the following larger sketch place an “A” at the position the object was when you firs? saw it, and-a “B” at its position when you last 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) ‘axClear sky _ , a. No wind b. Hazy b. Slight breeze c. Scattered clouds c. Strong wind d. Thick or heavy clouds d. Don’t remember e. Don’t remember “ 34.3 WEATHER (Circle One) . 34.4 TEMPERATURE (Circle One) “4, Dr a. Cold . Fog, mist, or light rain - Cool — c. Moderate or heavy 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…