Cybersecurity Health Check Assessment Questionnaire
Use this form to evaluate your organization’s cybersecurity posture, current protections, and priority security concerns.
Organization Profile
Organization Name
*
Industry / Sector
*
Please Select
Technology
Healthcare
Financial Services
Education
Manufacturing
Retail
Government
Energy
Other
Approximate Company Size
*
1-10
11-50
51-200
201-500
500+
Primary Cybersecurity Contact Role
Cybersecurity Posture Assessment
Overall security maturity
*
1
2
3
4
5
Current security program status
*
Not started
In progress
Implemented
Established and maintained
Under review
Other
Protections currently in place
*
Antivirus/endpoint protection
Firewall
Multi-factor authentication
Backups
Patch management
Employee awareness training
Email security filtering
Security monitoring
Other
How consistently are security policies followed?
Rarely
1
2
3
4
5
6
7
8
9
Always
10
1 is Rarely, 10 is Always
Risk and Incident Review
Recent security incident history
*
None
Suspected phishing
Malware infection
Account compromise
Data loss
Other
Frequency/severity of security incidents
*
Rare/Low
1
2
3
4
5
6
7
8
9
Frequent/High
10
1 is Rare/Low, 10 is Frequent/High
Most important security concern or remediation priority
*
Submit
Should be Empty: