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.


    Your details


    First Name*

    Last Name*

    Position/Job title*

    Email Address*

    Phone Number*

    Country Location*


    Company Details

    Company/Organization name*


    Yearly revenue


    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

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    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



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