Enterprise Cybersecurity Assessment Request Form Template

An intake form for security consultancies that captures company profile, current security controls, compliance obligations, breach history, urgency, and assessment scope before a consultation.

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Enterprise security buyers expect a consultant to arrive at the first meeting already understanding their environment. This assessment request form gives cybersecurity consultancies and managed security providers a structured intake that captures the company profile, current security posture, and the scope of the work before anyone gets on a call.

The form starts with the organization: name, industry, headcount, and revenue band, followed by the contact person's name, title, email, phone, and preferred contact method. It then asks about the security team, controls already in place, when the last assessment happened, main concerns, and which compliance frameworks apply. Breach history, active threats, urgency, assessment type, systems in scope, and budget complete the picture, so your team can propose the right engagement and staff it appropriately.

Two follow-ups appear only when relevant. Organizations with an upcoming compliance audit are asked when it is scheduled, and those that report a breach or incident in the past three years can share brief details in an optional field. Answers about active threats and urgency help you decide which inquiries need a same-day response.

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Frequently asked questions

How is this different from a quote request form?

This form focuses on the organization's current security posture, compliance obligations, and incident history, which a consultant needs before scoping an enterprise engagement. It suits firms that hold a discovery meeting before pricing rather than quoting straight from a form.

Which questions are conditional?

The audit date question appears only when the prospect has an upcoming compliance audit, and the incident details field appears only when they report a breach or security incident in the past three years. Everyone else moves straight on.

What should I do when a prospect reports an active threat?

Treat it as an incident response lead rather than a standard assessment inquiry. Route those submissions to someone who can call back the same day, and consider adding emergency contact details to the thank-you message.

Is it appropriate to ask about past breaches on an intake form?

Breach history shapes the assessment scope, so it is worth asking, but the details field is optional and tells prospects the information is kept confidential. Many prefer to share specifics on a call, and the yes or no answer alone is still useful.

Can I edit the lists of controls and frameworks?

Yes. Update the security measures, compliance frameworks, and assessment types to match the services and regulations you work with. Keep options like none of the above and not sure so less mature organizations can answer honestly.

Who is this template for?

Cybersecurity consultancies, penetration testing firms, managed security service providers, and IT advisory firms that sell to mid-sized and large organizations. Internal security teams can also use it to take assessment requests from business units.

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