Project Blue Book Special Report (second copy)

U. S. A I R F O R C E T E C H N I C A L I N F O R M A T I O N S H E E T
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.
1. When did you see the object?
Day Month Year
2. Time of day: Hour Minutes
(Circle One): A.M. or P.M.
3. Time zone:
(Circle One): a. Eastern
b. Central
c. Mountain
d. Pacific
e. Other
(Circle One): a. Daylight Saving
b. Standard
4. Where were you when you saw the object?
Nearest Postal Address
Additional remarks: '.
City or Town State or Country
5. Estimate how long you saw the object.
Hours Minutes Seconds
5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.
a. Certain
b. Fairly certain
c. Not very sure
d. Just a guess
6. What was the condition of the sky?
(Circle One): a. Bright daylight
b. Dull daylight
c. Bright twilight
d. Just a trace of dayl ight
e. No trace of daylight
f. Don't remember
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7. IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at
the object?
(Circle One): q. In front of you
b. In back of you
c. To your right
d. To your left
e. Overhead
f. Don't remember
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