CMMC Level 1 Intake Questionnaire

Primary Contact Information

Contact Person *

Title / Position

Email Address *

Phone Number *

Will there be additional stakeholders on the consultation call?

Yes - please list names and roles below

No - I will be the primary attendee

Additional Attendees

Federal Contract Details

Current Federal Contract Status *

We have an active federal contract now

We are pursuing / bidding on a federal contract

We are a subcontractor to a prime contractor

We are planning to pursue federal contracts in the future

Prime Contractor Name (if subcontracting)

Brief Description of the Contract Work

What services or products will you provide under the federal contract?

About CMMC Level 1

CMMC Level 1 applies to contractors handling Federal Contract Information (FCI) - non-public information provided by or generated for the government under contract. Level 1 requires annual self-assessment against 15 basic safeguarding requirements and reporting results in SPRS.

Compliance Deadline or Contract Award Date

IT Infrastructure

Software & Cloud Services

Cloud Services in Use

Select all that apply

Special Business Software

List any industry-specific or specialized software (e.g., ERP, CRM, CAD, manufacturing systems)

SaaS Tools & Cloud Applications

List cloud services and SaaS applications your team uses

Current Security Posture

CMMC Level 1 Requirement Areas

Level 1 focuses on 15 basic safeguarding requirements from FAR 52.204-21 across these six domains:

Access Control - Limiting who can access systems and data
Identification & Authentication - Verifying user identities
Media Protection - Safeguarding physical and digital media
Physical Protection - Securing facilities and equipment
System & Communications Protection - Protecting network boundaries
System & Information Integrity - Detecting and responding to threats

Project Goals & Services of Interest

What are you hoping to achieve through this engagement?

Select all that apply

Gap assessment - Understand where we stand against CMMC Level 1

Remediation support - Help implementing required controls

Documentation - Policies, procedures, and System Security Plan

Self-assessment guidance - Help completing and submitting to SPRS

Ongoing managed IT / cybersecurity services

Other (please describe below)

Additional Goals or Specific Concerns

Approximate Budget Range

Additional Information

Questions You'd Like Addressed During Our Call

List any specific questions or topics you want to make sure we cover

How did you hear about Preferred Data?

Company Information