Short Assessment
Please complete all questions
Full Name
*
Prefix
First Name
Last Name
Company Name
*
Company Website
Phone Number
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-
Area Code
Phone Number
E-mail
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Briefly Describe Your Business
Has your business experienced a breach? (i.e. Virus, Ransomware, data theft)
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Yes
No
Does your company have a documented security policy?
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Yes
No
Does your company have a website?
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Yes
No
Is the website encrypted (HTTPS)?
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Yes
No
N/A
Does your company collect your customer's personal information? (email, phone#, address, etc..)
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Yes
No
N/A
Does your company store the personal information of it's customers? (email, phone#, address, etc..)
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Yes
No
N/A
Do you accept Credit Cards?
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Yes
No
Is wireless access allowed in your place of business?
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Yes
No
Are wireless passwords changed regularly?
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Yes
No
N/A
Do you have Antivirus Installed on all computers and mobile devices?
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Yes
No
If so, is your antivirus scheduled for automatic updates?
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Yes
No
Is your place of business shared with other businesses?
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Yes
No
Are all physical entry points to your place of business secured?
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Yes
No
N/A
Are the entry points to your equipment rooms secured?
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Yes
No
Do you track/record network and physical access to your place of business?
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Yes
No
Do you use any cloud services?
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Yes
No
If so, which cloud services do you use?
Tell us why you are interested in a cybersecurity assessment
How did you hear about us?
Website
Blog/Vlog
Word of Mouth
Flyer/Brochure
Facebook
LinkedIn
Twitter
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