CSFTP Continuous Evaluation Questionnaire
1. This questionnaire is designed to help meet the requirements as outlined in the Navy’s mandatory personnel security review. Please read each question below and respond by placing an X in the box to the right of the question to denote a response of “yes” or “no”. The questions below were derived from the Secretary of the Navy Personnel Security Manual
(SECNAV M5510.30), Exhibit 10A and mandated by ALNAV 079/13.
a. The intent of this questioner is to provide individual awareness and training on the requirement for mandated self-reporting and to ensure all personnel have the opportunity to report any questionable or unfavorable information that might be relevant to the their security clearance determination.
Question

Yes

No

1. Have you ever been notified that your security clearance was conditional?

x

2. Have you had any involvement in activities or sympathetic association with persons which/who unlawfully practice or advocate the overthrow or alteration of the U.S. by unconstitutional means?

x

3. Do you have any close personal association with foreign nationals or nations?

x

4. Do you hold foreign citizenship (dual citizenship) or foreign monetary interests?

x

5. Have you participated in sexual behavior that is criminal or reflects a lack of judgment or discretion?

x

6. Have you been involved in conduct that would be considered questionable judgment, untrustworthiness, unreliability or unwillingness to comply with rules and regulations, or unwillingness to cooperate with security clearance processing?

x

7. Do you have any unexplained affluence or excessive indebtedness?

x

8. Do you have any delinquent debt (30 days or more past due)?

x

9. Have you filed bankruptcy?

x

10. Have you misused alcohol or had an alcohol incident?

x

11. Have you used any illegal drugs or been involved with illegal drugs?

x

12. Have you been diagnosed with any mental, emotional or personality disorder(s).

x

13. Have you been involved in any criminal conduct?

x

14. Have you been