Eyes on the unseen. Action in the unknown.

Cybersecurity Assessment Intake Form

Comprehensive security assessment to identify vulnerabilities and strengthen your defenses.

🛡️ All information is confidential and encrypted. Form adapts based on your responses. Progress is automatically saved.
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Organization
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Infrastructure
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Security
4
Review
0% Complete
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⏱️ Est. 10-12 min
⚠️ Please fix the following errors:

🏢 Organization Information

Tell us about your organization and primary contact.

Enter your organization's full legal name
Format: https://example.com
Street address, city, state, and ZIP code
💡 Smart Recommendation

👤 Primary Contact

Who should we contact regarding this assessment?

First and last name
Format: name@company.com
Format: (555) 123-4567

👥 IT/Security Resources

Current IT and security team structure.

Full-time IT and security personnel
⚠️ Recommendation
Without a dedicated IT/security team, your organization may be at higher risk. We recommend prioritizing:
  • Managed security service provider (MSP)
  • Security awareness training
  • Incident response planning

🖥️ Infrastructure Overview

Details about your IT infrastructure and assets.

Physical and virtual servers
Company-owned phones and tablets
Routers, switches, firewalls

List your most critical business systems

Include databases, applications, and essential services
☁️ Cloud Infrastructure Detected
Since you're using cloud infrastructure, we recommend ensuring you have:

📊 Data & Compliance

Sensitive data handling and regulatory requirements.

💳 Payment Card Data Detected
You've indicated you handle payment card information. PCI-DSS compliance is required.
🏥 Healthcare Data Detected
You've indicated you handle Protected Health Information (PHI). HIPAA compliance is required.

🔒 Current Security Tools

Security solutions currently in place.

🚨 Urgent Assessment Recommended
You've never had a security assessment. We strongly recommend prioritizing this assessment with an urgent timeline.

🎯 Assessment Objectives

What do you hope to achieve from this assessment?

Anything else we should know?

⚠️ Security Concerns

Recent incidents and current concerns.

What keeps you up at night?

📋 Review Your Information

Please review all your information before submitting. You can go back to edit any section.

🏢 Organization Information

👥 IT/Security Resources

🖥️ Infrastructure & Assets

📊 Data & Compliance

🔒 Security Tools & Practices

🎯 Assessment Goals

✓ Ready to Submit

Your assessment request will be sent to our team. We'll contact you within 24 hours.

By submitting this form, you acknowledge that:

  • All information provided is accurate to the best of your knowledge
  • You authorize Implied Defense to contact you regarding this assessment
  • Your data will be handled in accordance with our privacy policy
  • Assessment details will be sent to taurean@impliedd.com