Assessment Information Form

  1. (valid email required)
  2. (valid email required)
  3. 10. Who is the best to contact if above are unavailable?
  4. 12. Do you have existing IT support?
  5. a. If yes, is it provided by internal staff, an external support provider, or both?
  6. 13. Existing hardware:
  7. ii. Are they used for remote network access?
  8. i. Do they access private records through these devices?
  9. ii. Do they work remotely on these devices?
  10. i. Are you in contract with this provider?
  11. f. Does your company or building have an alarm system?
  12. g. Does your company have access controls on doors?
  13. h. Does your company or building have security cameras?
  14. i. Does your company use any television and/or commercial free music services? (i.e. DIRECTV, Verizon FiOS, SiriusXM)
  15. j. Does your company use Wi-Fi?
  16. i. Is Wi-Fi used internally for the business?
  17. ii. Do you provide guest Wi-Fi service?

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