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CIC Client Intake Questionnaire
The Executor & Associates
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CIC Client Intake Questionnaire
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Name
*
First
Last
Title and Role in the Organization
Name of Entity or Agency Requesting CIC Services
Type of Threat/Concern
*
Internal
External
Legal
Digital
Is this a reactive or preemptive engagement?
*
Reactive
Preemptive
Who are the key stakeholders involved ?
*
Internal
External
Role containment Organization
Are there ongoing investigations or legal actions?
*
Yes
No
What is the urgency level?
*
Low
Medium
High
Critical
Is this request part of a larger strategic containment plan?
*
Yes
No
Has any media or public exposure occurred yet?
*
Yes
No
Secure contact for CIC follow-up (email or encrypted phone)
*
Any additional comment
Submit
