The purpose of a Business and IT Impact Questionnaire questionnaire is to assist a
business in determining its most critical applications in order to develop a disaster
recovery plan. The form contains standard language and terms used in this type
of questionnaire but may be customized to fit the needs of the person using the form.
The questionnaire may be used by business owners to assist them in developing their
own recovery plan or by IT professionals as a template for a client disaster recovery
questionnaire.
Business & IT Impact Questionnaire
Name: ___________________________________
Business Name: ____________________________
Business Address: ____________________________
Phone: ____________________________
E-mail: ____________________________
1. Please list your business’s main functions, order of importance, and what services and/or applications
are required to perform each function. An example has been included in the table.
Function Services or Applications Required Order of
Importance
Payroll QuickBooks 2
Notes or Comments:
______________________________________________________________________________
______________________________________________________________________________
2. Using a scale of 0 – 5, where 0 is no impact, 1 is a slight impact, 2 is a minor impact, 3 is a moderate
impact, 4 is a major impact, and 5 is a critical impact, assess the impact that a loss of function of your
business’s main services would have on your business. Consider how each loss would affect the
company, employees, clients, and vendors. Rate how you would be affected for each of the listed time
spans, and then determine the maximum outage tolerance for that service. An example has been
included in the table.
Impact of Loss of Function
Service Up to 1 2 days 3-5 days 5-7 days More than a week Maximum
day Outage
Tolerance
Internet 1 1 3 4 5 3-5 days
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Notes or Comments:
______________________________________________________________________________
______________________________________________________________________________
3. For each of your business’s main software applications, answer the following questions (attach
additional sheets if necessary):
Application 1
a. What is the name of the application?
b. How old is the application?
c. Was the application developed in-house or purchased from a vendor?
d. If purchased from a vendor, have any modifications been made? (please describe):
Application 2
a. What is the name of the application?
b. How old is the application?
c. Was the application developed in-house or purchased from a vendor?
d. If purchased from a vendor, have any modifications been made? (please describe):
Application 3
a. What is the name of the application?
b. How old is the application?
c. Was the application developed in-house or purchased from a vendor?
d. If purchased from a vendor, have any modifications been made? (please describe):
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