Project Blue Book Special Report No. 14 (Analysis of Reports of Unidentified Aerial Objects)

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TErJTATIVE
OBSERVERS QUESTIONNAIRE
SECTION A
1. When did you see the object:
1.1 Date: -...--
Day
Month
Year
1.2 Time of Day:
A,M, or P.M.
(Circle One)
Hrs.
Min.
l.J Time Zone:
(Circle One):
a. Eastern
d. Pacific
b. Central
e. Other
c.
Mountain
(Circle One):
a. Daylight Saving
b. Standard
1.4 Circle one of the following to indicate how certain you are of
your answer to the above question 1.2:
a. Certain
c. Not very sure
b. Fairly certain
d. Just a guess
2. Where were you when you saw the object:
Postal Address
Additional Remarks:
City or Town
3. Where were you located when you saw the object:
(Circle One):
a.
b.
c.
Inside a building
In a car
Outdoors
d. In an airplane
e. At sea
f. Other
state
------
3,1 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?
r. Flying over open country?
g.
Ot)lEJr --------------
269
Country