BLOCKS

Question 1

Block 1-4
Top Line
Member info

Answer 1

Name, Rate, DESIG, SSN

Question 2

Block 5-9
Second line
Command info

Answer 2

Duty/Competitive status, UIC
Ship/Station
Promotion Status
Date Reported

Question 3

Block 10-15

Third line

Answer 3

Occasion for Report

Period of report

Question 4

Block 16-21

Fourth line

Answer 4

NOB
Type of Report
Physical Readiness
Billet Subcategory

Question 5

Block 22-27
Fifth line
Boss’ info

Answer 5

Reporting Senior, Grade, DESIG,Title, UIC, SSN

Question 6

Block 28

Sixth line

Answer 6

Command Employment and Command Achievements

Question 7

Block 29

Seventh line

Answer 7

Primary/Collateral/Watchstanding Duties/ PFA

Question 8

Block 30-32

Counseled info

Answer 8

Date Counseled
Counselor
Signature of Individual

Question 9

Blocks 33-39

Answer 9

Performance Traits

• professional knowledge
• quality of work
• e.o.
• military bearing
• job accomplishment
• teamwork
• leadership

Question 10

Block 40-42

Answer 10

Individual Trait Average
Career Recommendations
Signature of rater

Question 11

Block 43

Answer 11

Comments on performance

Question 12

Block 44

Answer 12

Quals/Achievements

Question 13

Block 45 and 46

Answer 13

Individual Promotion Recommendation

Summary group

Question 14

Block 47

Answer 14

Retention

Question 15

Block 48

Answer 15

Reporting Senior Address

Question 16

Block 49

Answer 16

Signature of Senior Rater

Question 17

Block 50

Answer 17

Signature of Reporting Senior

Question 18

Block 51

Answer 18

Signature of Individual Evaluated

Question 19

Block 52

Answer 19

Regular reporting senior on Concurrent Report

Question 20

How many blocks are there are on EVAL?

Answer 20

52

Question 21

What is the EVAL form number?

Answer 21

NAVPERS 1616/26