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Introductory Questionnaire
Company / Contact Info
Company Name
Business Sector
Contact Name
Contact Position / Responsibility
Telephone
Email Address
About Your Company
Some background information
About 1: Has your company ever suffered a card data breach?
yes
no
don't know
Additional Info
About 2: Do you process card payments for anybody else?
yes
no
Additional Info
About 3: Who is your current card acquirer?
About 4: Who is your current Payment Service Provider?
About 5: Have you appointed a Qualified Security Assessor (QSA) ?
yes
no
What's a QSA?
About 6: Are you registered under the Data Protection Act?
yes
no
don't know
Additional Info
Payment Channels
Some information about how you process payments, payment volumes and PCI scope.
PC 1: What payment channels do you use?
Card Present (Retail)
Card Not Present (e-commerce)
Card Not Present (Telephone)
PC 2: Approximately what percentage of Card Not Present transactions are by Telephone)?
PC 3: How many contact centres do you operate?
PC 4: Are your contact centres UK based?
yes
no
Additional Info
PC 5: How many agents take payments?
PC 6: How many payment calls do you take each year?
PC 7: Are payment calls inbound, outbound, or a combination of both?
Inbound
Outbound
Both
PC 8: Is it important that agents remain in contact with the customer during the payment process?
yes
no
Additional Info
PC 9: Do you know your peak transaction volume?
yes
no
Additional Info
PC 10: Do you record payment calls?
yes
no
Additional Info
PC 11: Have you deployed any technology to reduce PCI scope?
Manual Pause & Resume
Automatic Pause & Resume
DTMF via IVR
DTMF via agent
No
Additional Info
PC 12: Does your company have a valid Attestation of Compliance (AoC) and Record of Compliance (RoC) validating your PCI DSS certification?
yes
no
don't know
Additional Info
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