Eyes on the unseen. Action in the unknown.

Cybersecurity Assessment Intake Form

Tell us about your organization so we can scope an assessment. You'll receive documented findings, prioritized recommendations, and an improvement roadmap.

🛡️ Your answers are sent over an encrypted (HTTPS) connection and used only to respond to your request. The form adapts to your responses, and progress is saved in this browser until you submit.
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Organization
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Infrastructure
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Security
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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 Implied Defense. We'll follow up by email to confirm scope before any paid work begins.

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 information will be used only to respond to this request