                       Virus attack report form

  Please fill out this report if some of your computer is infected by
  a virus and send it to our address provided at the bottom. Thank you   for your cooperation!     
  Securenet Technologies Inc.


Name: ________________________________________________________________

(Company): ___________________________________________________________

Address: _____________________________________________________________

City: ________________________________________________________________

Country: _____________________________________________________________

ZIP: _________________________________________________________________

Phone Number: ________________________________________________________

Date: ________________________________________________________________



        Which virus attacked your system(s)?

                 _____________________________________________________

        How many PC's were infected by the virus?
            [  ] 1                [  ] 10-25
            [  ] 2                [  ] 25-100
            [  ] 2-5              [  ] 100-500
            [  ] 5-10             [  ] >500

        How many PC's do you (or your company) have?
            [  ] 1                [  ] 10-25
            [  ] 2                [  ] 25-100
            [  ] 2-5              [  ] 100-500
            [  ] 5-10             [  ] >500

        How did you discover the virus?
            [  ] By using a scanner.
            [  ] By using a memory resident scanner.
            [  ] By using a checksummer.
            [  ] By using a software monitoring device.
            [  ] By experiencing the resulting damage.
            [  ] Other:
                 _____________________________________________________

        If you used an anti-virus package, why did you use it?
            [  ] It is used frequently and the virus was found                  unexpected.
            [  ] The package was used because the system behaved                  suspicious.

        Did you use another scanner to get confirmation?
            [  ] No
            [  ] Yes

        Where did the virus come from?
            [  ] It was on an original software disk.
            [  ] It was brought in the system via a modem.
            [  ] It was on a program I got from a friend.
            [  ] I restored it from an infected backup.
            [  ] I don't know how it came into our system(s).
            [  ] Other:
                 _____________________________________________________

        Has the system ever had a virus in the past?
            [  ] No, it has never had a virus.
            [  ] Yes, it was infected before but with a different                  virus.
            [  ] Yes, it was infected before with the same virus.

        Did the virus cause damage to data?
            [  ] No, it only infected some files or bootsectors.
            [  ] Yes, but we had a recent backup so finally there was                  no damage.
            [  ] Yes, we have lost some data.

        How many financial damage was caused by the virus in total?
            [  ] < $100
            [  ] $100 - $1,000
            [  ] $1,000 - $10,000
            [  ] $10,000 - $100,000
            [  ] $100,000 - $1,000,000
            [  ] > $1,000,000

        How did you get rid of the virus?
            [  ] We used a backup to restore everything.
            [  ] We re-installed our software.
            [  ] We used a virus remover.
            [  ] We didn't succeed in removing it. We are still                  searching for a solution.
                 

        Did you remove the virus on your own?
            [  ] Yes, but with the help of some software.
            [  ] No, I got help from inside the company.
            [  ] No, I got help from a third party for free.
            [  ] No, I had to consult an expert.

        Did the virus attack change your policy with regard to viruses?
            [  ] No, we still don't defend ourself against viruses at                  all.
            [  ] No, the current measures suit our needs.
            [  ] Yes, but we are still searching for an anti-virus                  package.
            [  ] Yes, we have found a solution against viruses.

        How do you currently defend against viruses?
            [  ] Not at all.
            [  ] By using a scanner.
            [  ] By using a memory resident scanner.
            [  ] By using a checksummer.
            [  ] By using monitoring software.
            [  ] By using a hardware immunizer.
            [  ] Other:
                 _____________________________________________________

        If you use a program against viruses, how often do you use it?
            [  ] Multiple times a day.
            [  ] Once a day.
            [  ] Every 1 to 7 days.
            [  ] Every 7 to 31 days.
            [  ] A few times a year.
            [  ] Only when we think a system is infected.

        If you use a scanner, how often do you update it?
            [  ] Every week.
            [  ] Every month.
            [  ] Every year.
            [  ] As soon as a new one is available.
            [  ] I did not realize I had to update it.

        Did you report the virus attack to the authorities?
            [  ] No, we prefer to keep it secret.
            [  ] No, but we are willing to confirm it.
            [  ] Yes

     We wish to thank you for filling of this form. This can help us
to know better the actual real danger for users and map the virus
spreading more accurately. We wish to publish the result too. Your 
answer will be kept in secret however and we will release the general
statistical overview only.
                                         
SecureNET Technologies Inc.
19105 36th Ave. W
Suite 207
Lynnwood, WA 98036
1-800-673-3539
website: http://www.securenet.org
email: support@securenet.org
