Scope Worksheet:

What are the target organization's biggest security concerns:
(Examples include disclosure of sensitive information, interruption of production processing, embarrassment due to website defacement, etc.)

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What specific hosts, network address ranges, or applications should be tested:

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What specific hosts, network address ranges, or applications should explicitly NOT be tested:

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List any third parties that own systems or networks that are in scope as well as which systems they own (written permission must have been obtained in advance by the target organization):

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Will the test be performed against a live production environment or a test environment:

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Will the penetration test include the following testing techniques:

Ping sweep of network ranges:  ____________________________________________

Port scan of target hosts:  _________________________________________________

Vulnerability scan of targets: ______________________________________________

Penetration into targets:  __________________________________________________

Application-level manipulation:  ____________________________________________

Client-side Java/ActiveX reverse engineering:  _________________________________

Physical penetration attempts:  ______________________________________________

Social engineering of people:  _______________________________________________

Other:  _________________________________________________________________

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Will penetration test include internal network testing:  ____________________________

If so, how will access be obtained:  ___________________________________________

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Are client/end-user systems included in scope:  _________________________________

If so, how may clients be leveraged:  __________________________________________

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Is social engineering allowed:  _______________________________________________

If so, how may it be used:  __________________________________________________

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Are Denial of Service attacks allowed:  _____________________________________

Are Dangerous checks/exploits allowed:  ____________________________________

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Signature of Primary Contact representing Target Organization

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Date

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Signature of Head of Penetration Testing Team

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Date