Cybersecurity Questionnaire
Let's get to know you!
Name
*
First Name
Last Name
About you
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Services you are interested in
Parental Control Assistance and Implementation
Personal Cybersecurity Review and Education
Password Management Education
Physical security device setup and installation
Smart Home setup or troubleshooting
Technology vendor renogotiations
Who are these services primarily for?
What is your household like?
*
Family with children
Adults
Small Business/Home office
Other
How many people regularly use devices in your household?
*
1-2
3-4
5 or more
Other
About how many internet-connected devices are in your home?
*
1-3
4-6
6+
"I don't know" - (It's okay, I can help you determine how many and which devices are connected during a home visit)
Which types of devices do you use? (Select all that apply)
*
Phones/Tablets
Laptops/Desktops
Gaming consoles (Xbox/PS/Switch)
Streaming devices/Smart TVs
Smart locks/Cameras/Doorbells/Garage doors
Other connected devices (thermostats, appliances, or anything that connects to your wifi)
Other
In Depth service questions
(Optional)
Password & Cybersecurity Support
Password manager setup
Shared family accounts
Multi-factor authentication/Passkey setup
Privacy & safety review
Other(or anything pertaining to security in your life that you are concerned with)
Smart Home
Connect Smart Devices
Troubleshooting devices in the home that you are having issues with
Other
ISP (Internet Service Provider)/ Cell phone Provider/Subscription assistance
Negotiate ISP bill/reduce cost/Research other providers
Improve Wi-Fi coverage & speed
Cut the cord (remove cable TV)
Help switching ISPs
Cell phone options
Subscription review and reduction
Other
Physical Security Installation
Doorbell/security cameras
Indoor / outdoor cameras or monitors and sensors
Smart locks/garage door access
Whole-home security consult and installation
Other
Project Details
This will help with scheduling and expectations.
What is your biggest concern or goal right now about anything related to technology in your life?
*
Do you prefer a single setup or ongoing support?
*
One-time setup or consultation
Ongoing support
Not sure yet
What is your budget range?
*
Under $200
$200–$500
$500–$1,000
$1,000+
Other
What days/times are best for a consultation? (At home or in person meetings can help to get an idea of your network)
*
Weekday mornings
Weekday afternoons
Weekday evenings
Flexible / anytime
Other (Use the space below)
Other explained
Final Questions
How did you hear about CO Crew Ltd.?
*
Anything else we should know before reaching out?
Should be Empty: