John Company

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

CIA-UAP-015 · page 281 of 312

Page 281 of 312 of CIA-UAP-015

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AIR FORCE TECHNICAL INFORMATIO.N 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 contact you for
further details.
When did you see the object?
2. Time of day:
Hour
Minutes
Day
Month
Year
(Circle One):
A.M.
or
P.M.
Time zone:
(Circle One): a, Eastern
(Circle One):
a. Daylight Saving
b. Central
b. Standard
C, Moun ta in
d. Pacific
e. Other
Where were you when you saw the object?
Nearest Postol Address
City or Town
Stote or Country
Additional remarks:
Estimate how long you saw the object,
Hours
Minutes
Seconds
5.1 Circle one of the following to indicate how certain you ore of your answer to Question 5.
a. Certain
c. Not very sure
b. Fairly certain
d. Just a guess
What was the conditia, of the sky?
(Circle One):
a. Bright daylight
d. Just a trace of daylight
b. Dull daylight
e. No trace of daylight
c. Bright twi I ight
f. Don't remember
IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at
the object?
(Circle One): a. In front of you
d. To your left
b. In back of you
e. Overhead
C, To your right
f. Don't remember
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