Business Information Business Name * Industry/Sector * Number of Employees * Business Website http:// Physical Locations (if applicable) Current IT Setup Do you have IT Support? Internal Team Outsourced Provider None Approximate Number of Computers Approximate Number of Servers Do employees use personal devices (BYOD)? Yes No Primary Email System Microsoft 365 Google Workspace Other Current Security Measures Select all that apply Using Antivirus / EDR Data Backup in Place (Local / Cloud / Hybrid) Regular Ransomware Defense Testing Multi-Factor Authentication (MFA) Enabled Written Incident Response Plan Employee Cybersecurity Training Business Risk & Priorities Most Critical to Your Business Protecting customer data Protecting internal files Protecting financial transactions Ensuring uptime & preventing downtime Compliance with regulations Have you experienced a cyber incident in the past 2 years? Yes No What concerns you most about cybersecurity right now? Ransomware / data loss Phishing & email attacks Employee mistakes / insider risk Compliance fines / legal risk Other Services of Interest Select all that apply Ransomware Protection & Backup Solutions Endpoint Security & Monitoring (EDR/Antivirus) Incident Response Planning Ongoing Security Monitoring & Alerts Employee Cybersecurity Awareness Training Compliance & Risk Assessment Budget & Decision Making Do you currently have a cybersecurity budget? If yes, how much? Decision Maker for IT/Security Preferred Timeline for Improvements Immediate (0–3 months) Short Term (3–6 months) Long Term (6+ months) Contact Information Name First Name Last Name Role / Position Email Phone (###) ### #### Additional Notes Anything else we should know about your business? Thank you!
