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Please fill the following ^*

First Name ^*

Last Name ^*

Email ^*

Phone Number

Company ^*

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What best describes your organization? ^*

Solo/Freelancer

Small business(1-10)

Growing team (11–50)

Distributed / Remote team

Other

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Industry ^*

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Do you handle any of the following? ^*

Customer data

Payment information

Internal IP or proprietary data

Cloud infrastructure

None of the above / Not sure

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How would you describe your current cybersecurity setup? ^*

No formal security measures

Basic protections only

Some tools, no clear strategy

Mature setup but need review

Unsure

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Have you experienced any of the following in the past 12 months? ^*

Phishing attempts

Account compromise

Malware or ransomware

Data loss

Near misses

None

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What are you primarily looking for help with? ^*

Risk & security assessment

Security hardening and hygiene

Ongoing security oversight

Staff security training

Incident readiness

Not sure yet

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Role/Title ^*

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Time Zone ^*

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What prompted you to reach out now? ^*

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Are you looking for: ^*

One-time assessment

Short-term remediation

Ongoing support

Training for staff

Unsure

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Ideal start timeframe

Immediately

Within 30 days

1–3 months

Just exploring

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What does “secure” mean to you? ^*

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