Consultation Assessment Form

Consultation Assessment Form

Please fill out the following form to the best of your ability to help us serve you better.









Fields marked with an asterisk (*) are required.

1

Your details

Title*

First Name*

Last Name*

Position/Job title*

Email Address*

Phone Number*

Country Location*

2

Company Details

Company/Organization name*

Industry

Yearly revenue

3

Additional information

What has prompted you to have an assessment performed?

Please list compliance, regulatory or other standard involved in the assessment work

Attachment Add

Attachment Add

Attachment add

4

Interests

Cloud penetration testingRemote penetration testingInternal penetration testingSocial engineering penetration testing

Overview of the cloud infrastructure to be accessed:

Active URLs of the cloud infrastructure to be accessed:

1. When does your organization want the active portions (scanning, enumeration, exploitation, etc...) of the penetration test conducted?

During business hours?After business hours?On the weekends?

2. How many total IP addresses are being tested?

What’s the IP address range or URLs to be tested

3. Are there any devices in place that may impact the results of a penetration test such as?

a firewallintrusion detection/prevention systemweb application firewallload balancer

4. In the case that a system is penetrated, how should the testing team proceed?

Perform a local vulnerability assessment on the compromised machine?Attempt to gain the highest privileges (root on Unix machines, SYSTEM or Administrator on Windows machines) on the compromised machine?Perform no, minimal, dictionary, or exhaustive password attacks against local password hashes obtained (for example, /etc/shadow on Unix machines)?

List the server operating systems in your environment:

List the database server technologies in your environment:

List the web server technologies in your environment:

Number of employees to test:

Target list:
Provided by ClientNot Provided

Frequency:
OnceQuarterlyYearly

Type:
PhysicalVoiceEmail


We Accept Only Business Email Addresses – No Free or ISP Email Addresses

Please enter a business email address to obtain proper delivery of the product. If you do not have a business email address or experience any issues during the registration process, please send an email to support@vericlouds.com