Security Evaluation Inquiry Security Evaluation Inquiry Complete the form below, and our team will gladly assist you with your needs. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Contact InformationName *FirstLastOrganization *Email Address *EmailConfirm EmailPreferred Contact Method *Select OneEmailPhoneTextNo PreferenceSelect your Preferred Contact methodPosition or Title *Phone *Assessment DetailsSize of Organization *Select OneLess than 66 - 1011 - 50More than 50How large is your organization?Does your organization use a Firewall? *Select OneYesNoNot SurePlease indicate if your organization uses a Hardware Firewall.Firewall Information *Please list the Make and Model of the firewall appliance.Internet Connection Type *Select OneFiberCableDSLSatelliteNot SurePlease provide the type of Internet Service your company has.Cloud Services Usage *Select OneYesNoNot SureDoes your business use any cloud services like Microsoft 365, Google Workspace, or AWS?Cloud Service Type *Please tell us what type of Cloud Services your company is currently using.Data Backup Practices *Select OneYesNoNot SureDo you have an existing data backup solution?Single Line Text *Please tell is if your backup solution is cloud-based, on-premises, or both.Antivirus and Endpoint Protection *Select OneYesNoNot SureDo you have antivirus or endpoint protection installed on all company devices? IT Support Structure *Select OneInternalOutsourcedNo dedicated IT supportDo you have an internal IT team or an outsourced IT provider?Single Line Text *Please tell us who your Outsourced IT Provider is (if known).Email Security *Select OneYesNoNot SureDo you use email filtering or anti-spam solutions?Compliance Requirements *Select OneYesNoNot SureIs your business subject to compliance regulations such as HIPAA, PCI-DSS, or GDPR? Device Security *Select OneYesNoNot SureDo employees connect personal devices to your work network? Incident History *Select OneYesNoNot SurePrefer not to discloseHas your business experienced any cybersecurity incidents within the last 12-months?Incident Type *Select OneRansomwarePhishingData BreachMalwareUnauthorized AccessNot SurePrefer not to discloseNot disclosing Incident History can hinder our Security Evaluation for your Organization.Date of Incident *Affected Systems *Which systems or data were compromised?Response Actions Taken *What immediate steps were taken to mitigate the impact?Data Impacted *Was sensitive or customer data exposed?Incident ResolutionWas the issue fully resolved or are there ongoing challenges?Current Security Measures *Have any new security measures been implemented since the incident?Reporting *Select OneYesNoNot SureWas the incident reported to authorities or compliance bodies?Frequency *Select OneYesNoNot SureHas your company experienced similar incidents before?Evaluation Objectives *What are your objectives for this Evaluation? e.g. concerns like data breaches, compliance needs, threat prevention, data protection, ransomware threats, or something else.Other Challenges or NeedsOutline the Challenge or need you have.Additional InformationSpace to provide any additional relevant information.Submission AcknowledgmentHow Did You Hear About Us? *Search EngineReferralSocial MediaOtherOther... *We're curious, please indicate the Other selection.Agreement *I agree to be contacted by At One Designs, LLC regarding this inquiry.Submit