John Company

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

CIA-UAP-015 · page 288 of 312

Page 288 of 312 of CIA-UAP-015

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39. Do you think you can estimate the speed of the object?
(Circle One)
Yes
No
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?
(Circle One)
Yes
No
IF you answered YES, then how far oway would you say it was?
_______ feet.
41. Please give the following information about yourself:
NAME-----,--,-~-----
Last Name
First Name
Middle Name
ADDRESS
Street
City
Zone
Stote
TELEPHONE NUMBER _______
_
What is your present job?--------------------------------
Age ____ _
Sex ______ _
Please indicate any special educational training that you have had.
a. Grade school __________
e. e, Technical school ____________ _
b. High school__________
(Type) _____________ _
c. College ____________
f. Other special training __________ _
d. Post graduate _________ _
42. Date you completed this questionnaire:
Day
Month
Year
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