Copyright © 2025 Techciaga LLC | ABN 95 646 759 364.
BASIC INFORMATION
CLIENT NAME
CLIENT COMPANY
EMAIL ADDRESS
PHONE NUMBER
INDUSTRY
SECURITY NEEDS & CHALLENGES
WHAT ARE YOUR PRIMARY SECURITY CONCERNS?
(Select multiple if needed.)
Network security & firewall protection
Endpoint security & malware prevention
Cloud security & compliance management
Cyber threat detection & incident response
Security automation & AI-powered monitoring
Regulatory compliance (GDPR, HIPAA, SOC 2, ISO 27001, NIST, etc.)
HAVE YOU EXPERIENCED A SECURITY BREACH OR CYBERATTACK BEFORE?
Yes
No
DESCRIBE BRIEFLY
ARE YOU LOOKING FOR CONTINUOUS SECURITY MONITORING & 24/7 SUPPORT?
Yes
No
CYBERSECURITY STRATEGY & IMPLEMENTATION
WHAT AREAS OF YOUR IT INFRASTRUCTURE NEED SECURITY IMPROVEMENTS?
(Select multiple if needed.)
Servers & Network Infrastructure
Web & Mobile Applications
Cloud Services (AWS, Azure, Google Cloud)
IoT & Connected Devices
Remote Workforce Security
DO YOU NEED AI-DRIVEN THREAT DETECTION & AUTOMATED SECURITY RESPONSE?
Yes
No
SPECIFY NEEDS
WOULD YOU LIKE ASSISTANCE WITH VULNERABILITY ASSESSMENTS & PENETRATION TESTING?
Yes
No
COMPLIANCE & RISK MANAGEMENT
DO YOU NEED ASSISTANCE WITH SECURITY COMPLIANCE & REGULATORY ADHERENCE?
Yes
No
Servers & Network Infrastructure
Web & Mobile Applications
Cloud Services (AWS, Azure, Google Cloud)
IoT & Connected Devices
Remote Workforce Security
DO YOU REQUIRE A SECURITY RISK ASSESSMENT & MITIGATION PLAN?
Yes
No
EXPECTED TIMELINE & BUDGET
WHAT IS YOUR EXPECTED TIMELINE FOR IMPLEMENTING SECURITY SOLUTIONS?
(1-3 months, 3-6 months, flexible.)
DO YOU HAVE A BUDGET RANGE IN MIND?
Yes
No
SPECIFY AN APPROXIMATE RANGE
ADDITIONAL NOTES
ANY EXTRA DETAILS OR SPECIFIC SECURITY REQUIREMENTS FOR YOUR BUSINESS.