23857158-009-073

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Declassification Authority NND 923007 »# a 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,…

Declassification Authority NND 923007 Poge 2? &. 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): a. None _ @.. Bright moonlight -b, A few (8) Dull moonlight & 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? (Circle. One): @ Yes b. No ¢. Don’t remamber 10, IF it was BRIGHTER THAN the sky bockground, was the brightness like that of an automobile headlight?: (Circle One) @) Arile or more away (a distant car)? _b. Se…

Declassification Authority NND 923007 Poge 3 16. Tell in o few words the following things about the object, a. Sound WO etter 73 wt he Lolth A122 et) tho ft / 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. — “4 a beg RAM f Coa fen hee Bak” <4 A Jl tte ed we : 4c. ae ie ‘Ce — f Eek «A 18. The edges of the object were: (Circle One): fa.) Fuzzy o…

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? (Circle One): @> Head of a pin  g. Silver dollar b. Pea h. Baseball c. Dime i. Grapefruit d. Nickel j…

Declassification Authority NND 923007 Page 5 26. Were you (Circle One) 25. Where were you located when you saw the object? - (Circle One): a. In the business saction of a city? b. In the residential saction of a city? c. In open countryside? , d. Flying near an airfield? e. Flying over a city? f. Flying over open country? a. Inside a building b. Ina cor £¢,) Outdoors d, in an airplane At sea -28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 28.1 What direction were you moving? (Circle One) a. North c. East e. South g. West b. Northeas…

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 horizan (skyline) when you lost. saw it. 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 last saw it. Refer to smaller sketch as an example of how to complete the larger sketch.