SECURITY ASSESSMENT

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MY-ALARM offers Custom Designed Wireless Alarm & Video Systems
Choose Professional Installation or Professionially Designed DIY

Florida State License EG-0000022
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^{Commercial UL Grade Equipment}

Cellular Connection, No Internet or Phone Service Needed

^{No Term Contracts, Low Monthly Fees}

^{Optional Police/Fire/EMS}

^{Free Mobile Apps for Full Remote Control}

^{Unlimited Text/Email or Voice Notifications for all Events}

^{Lifetime Technical Support}
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THE FOLLOWING SECURITY ASSESSMENT IS DESIGNED TO ASSIST MY-ALARM IN CONFIGURING A PERSONAL SECURITY SOLUTION FOR THE USER. DO NOT ANSWER ANY QUESTIONS THAT YOU FEEL UNCOMFORTABLE WITH. YOU WILL ALSO HAVE THE OPTION FOR A COMPLETE IN DEPTH ON-SITE EVALUATION & SECURITY RISK MITIGATION REPORT FROM MY-ALARM.

this self assessment will take less than 5 minuites
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Name* This field is required.My-Alarm does not disclose any information to third party's
First Name
Last Name
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Business NameIf Applicable
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Address* This field is required.Physical Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Email* This field is required.My-Alarm does not disclose any information to third party's
example@example.com
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Phone Number* This field is required.My-Alarm does not disclose any information to third party's
Area Code
Phone Number
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MONTHLY SERVICE FEES* This field is required.SELECT ONE
I EXPECT TO PAY FAIR MONTHLY FEES FOR SERVICE (15% select this option)
I'M OPEN TO DISCUSS PAYING FAIR MONTHLY FEES FOR SERVICE (80% select this option)
I WANT ABSOLUTELY NO MONTHLY FEES (5% select this option) (this will end assessment)
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PROPERTY TYPE(SELECT ONE)
BUSINESS
SINGLE FAMILY HOME
TOWN HOME
OTHER
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PRODUCT INTERESTS(SELECT ALL THAT APPLY)
BURGLAR ALARM SYSTEM
CAMERA SYSTEM
HOME AUTOMATION (lights, thermostats)
AUTOMATED LOCKS
PROFESSIONAL INSTALLATION
DIY (arrives pre-programmed ready to install in minutes)
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SECURITY CONCERNS(select all that apply)
RECENT BREAK-INS
PERSONAL THREATS
NEIGHBORHOOD ISSUES
VACATION HOME
PIECE OF MIND
RECENT VANDALISM
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SPECIFIC SECURITY CONCERNS
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GENERAL PROPERTY INFORMATION(select all that apply)
PETS
SAFE
GUNS
NATURAL GAS
EXISTING SECURITY
FENCE/GATE AROUND PROPERTY
TRAVEL FREQUENTLY
AWAY DURING THE DAY (work)
SHED/DETACHED BUILDING
INTERNET ON LOCATION
SWIMMING POOL
MULTI LEVEL STRUCTURE
SPECIAL NEEDS INDIVIDUAL
RURAL/ISOLATED SETTING
WORKING SMOKE DETECTORS
HIGH VALUE ITEMS
SOCIAL MEDIA MEMBER
INTERNET SECURITY (router)
CHILDREN AT PROPRETY
OTHERS HAVE KEYS TO PROPERTY
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OTHER COMMENTS OR QUESTIONS
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ALARM SYSTEM DESIRED COVERAGE
# OF WINDOWS (select accessible & vulnerable)
# OF MOTION DETECTORS (interior space protection)
# SINGLE DOORS (select all doors)
# OF SMOKE DETECTORS
# OF SLIDERS/FRENCH DOORS (select all doors)
# OF WATER LEAK DETECTORS
# OF OVERHEAD GARAGE DOORS (optional)
# OF GLASS BREAK DETECTORS
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VIDEO OPTIONS
# OF OUTDOOR CAMERAS
# OF INDOOR CAMERAS
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MONTHLY SERVICE OPTIONS(Select all desired)
Cellular Alarm Notification Service with Unlimited Text/Email Notifications for all Events
ALARM 24 HR UL MONITORING (Police/Fire/EMS Notification)
SMARTPHONE APPS TO CONTROL SYSTEM FROM ANYWHERE
REMOTE VIDEO VIEWING & NOTIFICATIONS WITH CLOUD STORAGE
ONSITE VIDEO STORAGE WITH REMOTE ACCESS
LIFETIME EQUIPMENT WARRANTY & PROTECTION FOR ALL EQUIPMENT
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CONCLUSIONplease select one
TELEPHONE CONSULTATION & WRITTEN ESTIMATE
COMPLETE ONSITE SECURITY CONSULTATION, INSPECTION AND SECURITY MITIGATION REPORT WITH WRITTEN ESTIMATE BY A STATE CERTIFIED SECURITY CONTRACTOR. REPORT COVERS ELECTRONIC SECURITY, PHYSICAL SECURITY, CYBER SECURITY. (fee based credited back towards any equipment & services purchased)
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Detected Location
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PREPARED AND SUBMITTED BY
Should be Empty: