\documentclass[a4paper,10pt,BCOR10mm,oneside,headsepline]{scrartcl}
\usepackage[french]{babel}
\usepackage[utf8]{inputenc}
\usepackage{wasysym}% provides \ocircle and \Box
\usepackage{enumitem}% easy control of topsep and leftmargin for lists
\usepackage{color}% used for background color
\usepackage{forloop}% used for \Qrating and \Qlines
\usepackage{ifthen}% used for \Qitem and \QItem
\usepackage{typearea}
\areaset{17cm}{26cm}
\setlength{\topmargin}{-1cm}
\usepackage{scrpage2}
\pagestyle{scrheadings}
\ihead{Enquête sur la sécurité des données (informations sur l'entreprise)}
\ohead{\pagemark}
\chead{}
\cfoot{}

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%% Beginning of questionnaire command definitions %%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%
%% 2010, 2012 by Sven Hartenstein
%% mail@svenhartenstein.de
%% http://www.svenhartenstein.de
%%
%% Please be warned that this is NOT a full-featured framework for
%% creating (all sorts of) questionnaires. Rather, it is a small
%% collection of LaTeX commands that I found useful when creating a
%% questionnaire. Feel free to copy and adjust any parts you like.
%% Most probably, you will want to change the commands, so that they
%% fit your taste.
%%
%% Also note that I am not a LaTeX expert! Things can very likely be
%% done much more elegant than I was able to. If you have suggestions
%% about what can be improved please send me an email. I intend to
%% add good tipps to my website and to name contributers of course.
%%
%% 10/2012: Thanks to karathan for the suggestion to put \noindent
%% before \rule!

%% \Qq = Questionaire question. Oh, this is just too simple. It helps
%% making it easy to globally change the appearance of questions.
\newcommand{\Qq}[1]{\textbf{#1}}

%% \QO = Circle or box to be ticked. Used both by direct call and by
%% \Qrating and \Qlist.
\newcommand{\QO}{$\Box$}% or: $\ocircle$

%% \Qrating = Automatically create a rating scale with NUM steps, like
%% this: 0--0--0--0--0.
\newcounter{qr}
\newcommand{\Qrating}[1]{\QO\forloop{qr}{1}{\value{qr} < #1}{---\QO}}

%% \Qline = Again, this is very simple. It helps setting the line
%% thickness globally. Used both by direct call and by \Qlines.
\newcommand{\Qline}[1]{\noindent\rule{#1}{0.6pt}}

%% \Qlines = Insert NUM lines with width=\linewith. You can change the
%% \vskip value to adjust the spacing.
\newcounter{ql}
\newcommand{\Qlines}[1]{\forloop{ql}{0}{\value{ql}<#1}{\vskip0em\Qline{\linewidth}}}

%% \Qlist = This is an environment very similar to itemize but with
%% \QO in front of each list item. Useful for classical multiple
%% choice. Change leftmargin and topsep accourding to your taste.
\newenvironment{Qlist}{%
\renewcommand{\labelitemi}{\QO}
\begin{itemize}[leftmargin=1.5em,topsep=-.5em]
}{%
\end{itemize}
}

%% \Qtab = A "tabulator simulation". The first argument is the
%% distance from the left margin. The second argument is content which
%% is indented within the current row.
\newlength{\qt}
\newcommand{\Qtab}[2]{
\setlength{\qt}{\linewidth}
\addtolength{\qt}{-#1}
\hfill\parbox[t]{\qt}{\raggedright #2}
}

%% \Qitem = Item with automatic numbering. The first optional argument
%% can be used to create sub-items like 2a, 2b, 2c, ... The item
%% number is increased if the first argument is omitted or equals 'a'.
%% You will have to adjust this if you prefer a different numbering
%% scheme. Adjust topsep and leftmargin as needed.
\newcounter{itemnummer}
\newcommand{\Qitem}[2][]{% #1 optional, #2 notwendig
\ifthenelse{\equal{#1}{}}{\stepcounter{itemnummer}}{}
\ifthenelse{\equal{#1}{a}}{\stepcounter{itemnummer}}{}
\begin{enumerate}[topsep=2pt,leftmargin=2.8em]
\item[\textbf{\arabic{itemnummer}#1.}] #2
\end{enumerate}
}

%% \QItem = Like \Qitem but with alternating background color. This
%% might be error prone as I hard-coded some lengths (-5.25pt and
%% -3pt)! I do not yet understand why I need them.
\definecolor{bgodd}{rgb}{0.8,0.8,0.8}
\definecolor{bgeven}{rgb}{0.9,0.9,0.9}
\newcounter{itemoddeven}
\newlength{\gb}
\newcommand{\QItem}[2][]{% #1 optional, #2 notwendig
\setlength{\gb}{\linewidth}
\addtolength{\gb}{-5.25pt}
\ifthenelse{\equal{\value{itemoddeven}}{0}}{%
\noindent\colorbox{bgeven}{\hskip-3pt\begin{minipage}{\gb}\Qitem[#1]{#2}\end{minipage}}%
\stepcounter{itemoddeven}%
}{%
\noindent\colorbox{bgodd}{\hskip-3pt\begin{minipage}{\gb}\Qitem[#1]{#2}\end{minipage}}%
\setcounter{itemoddeven}{0}%
}
}

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%% End of questionnaire command definitions %%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

\begin{document}

\begin{center}
\textbf{\huge Enquête sur la sécurité des données}
\end{center}\vskip1em
\textbf{\Large Identifiant de l'entreprise \huge \Square \Square \Square \Square \Square \Square \Square \Square }



\Qitem{ \Qq{Quel domaine représente le mieux votre entreprise?}
\begin{Qlist}
\item Médical et Santé
\item Science et Technologie
\item Éducation et Enfance
\item Commerce, Négoce et Distribution
\item Bois, Papier, Carton et Imprimerie
\item Édition, Communication et Multimédia
\item Banque et Assurance
\item Mécanique, Équipement et Automobile
\item Agroalimentaire
\item Services aux entreprises, Études et Conseil
\item Textile et Habillement
\item Plastique et Caoutchouc
\item Transport et Logistique
\item Immobilier
\item autre ou refus de mentionner
\end{Qlist}
}

\Qitem{ \Qq{Combien d'employés compte votre entreprise~?}
\begin{Qlist}
\item 1 à 5
\item 6 à 15
\item 16 à 50
\item 51 à 150
\item plus
\item refus de mentionner
\end{Qlist}
}

\Qitem{ \Qq{Votre entreprise stocke-t-elle des informations personelles ou sensibles de ses clients~?}

\QO{} Oui \hskip0.5cm \QO{} Non \hskip0.5cm \QO{} Refus de mentionner }


\minisec{À quel degré votre entreprise est-elle concernée par:}

\Qitem[a]{ \Qq{La sécurité de ses informations (inquiétudes relatives au vol)}

\Qtab{3cm}{Peu concernée \Qrating{5}
Très concernée}}

\Qitem[b]{ \Qq{La sureté de ses informations (perte/destruction accidentelle)} 

\Qtab{3cm}{Peu concernée \Qrating{5}
Très concernée}}



\Qitem{ \Qq{Combien de terminaux informatiques sont en activité dans votre entreprise~?}
\begin{Qlist}
\item aucun
\item 1 à 5
\item 6 à 15
\item 16 à 50
\item 51 à 150
\item plus
\item refus de mentionner
\end{Qlist}
}

\pagebreak

\Qitem{ \Qq{Combien de serveurs informatiques sont en activité dans votre entreprise~?}
\begin{Qlist}
\item aucun
\item 1 à 5
\item 6 à 15
\item 16 à 50
\item 51 à 150
\item plus
\item refus de mentionner
\end{Qlist}
}



\Qitem{ \Qq{Votre entreprise utilise-t-elle des outils parmi cette liste~?}
\begin{Qlist}
\item Logiciels de chiffrements de disques
\item Matériel de chiffrement de disques
\item VPN (Réseaux privés virtuels)
\item Applications de messageries chiffrées (y compris emails chiffrés avec PGP)
\item Disques réseaux chiffrés
\item Logiciels de gestion de mots de passe
\end{Qlist}
}



\Qitem{ \Qq{Si votre entreprise dispose de serveurs informatiques stockant des données sensibles, combien de personnes peuvent physiquement accéder à ces machines~?}
\begin{Qlist}
\item N/A
\item 1 à 5
\item 6 à 15
\item 16 à 50
\item 51 à 150
\item plus
\item refus de mentionner
\end{Qlist}
}



\end{document}
