Cybersecurity Self-Assessment Questionnaire PDF

Create a Compliant Security Assessment PDF in Minutes

Generate a downloadable report aligned with IRS Publication 4557, the FTC Safeguards Rule (16 CFR 314), and NIST CSF principles. Use it to document your internal risk review, identify gaps, and brief leadership or auditors.

IRS 4557 FTC Safeguards NIST CSF

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Sample Cybersecurity Self-Assessment Questionnaire PDF

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How to Use This Cybersecurity Self-Assessment

Answer concise Yes/No/Unsure questions across policy, technical, and administrative controls. Assign action items, owners, and due dates. When finished, you will receive a personalized PDF report that summarizes maturity, gaps, and prioritized remediation steps.

Estimated time: 10–15 minutes without interruption
Best practice: complete collaboratively with administration and IT
Deliverable: email with your downloadable Cybersecurity Assessment PDF

Why This Questionnaire Matters

Regulators and clients expect formal risk reviews. This assessment helps small and mid-sized organizations document safeguards, show due diligence, and plan remediation consistent with leading guidance.

Demonstrate alignment with IRS Publication 4557
Map to the FTC Safeguards Rule (16 CFR 314)
Organize controls by NIST Cybersecurity Framework functions

What You’ll Receive

Downloadable Cybersecurity Self-Assessment PDF with your responses
Priority actions grouped by policy, technical, and training domains
Owner assignment fields for accountability and follow-through

Frequently Asked Questions

Yes. After completion, your personalized Cybersecurity Assessment PDF is generated and emailed immediately.

IRS Publication 4557, the FTC Safeguards Rule (16 CFR 314), and NIST CSF principles.

Owners or administrators with input from IT. Collaborative completion yields the most accurate results.

Confidentiality and Data Use

All responses are treated as confidential. Integrity Technologies does not share, sell, or distribute survey results to third parties without explicit consent. Results are used solely to generate your assessment report and, if applicable, to provide recommended resources or support. Any retained data is stored securely and used only to improve security awareness and compliance readiness.

Legal Notice

This assessment is provided for informational and educational purposes only and does not constitute legal, financial, or compliance advice. Integrity Technologies makes no representations or warranties, express or implied, regarding completeness or accuracy. Use is at your own risk. Consult qualified legal or compliance professionals regarding specific obligations.