Computer Problem Report Form

1. Describe your problem:
______________________________________________________

2. Now, describe the problem accurately:
______________________________________________________

3. Speculate wildly about the cause of the problem:
______________________________________________________

4. Problem severity:
Minor ___
Minor ___
Minor ___
Trivial ___

5. Nature of the problem:
Locked Up ___
Frozen ___
Hung __
Strange Smell __

6. Is your computer plugged in? Yes __ No __

7. Is it turned on? Yes __ No __

8. Have you tried to fix it yourself? Yes __ No __

9. Have you made it worse? Yes __

10. Have you had a friend who "knows all about computers " try to fix it for you ? Yes__ No__

11. Did they make it even worse? Yes __

12. Have you read the manual? Yes__ No__

13. Are you sure you've read the manual? Maybe __ No__

14. Are you absolutely certain you've read the manual? No__

15. If you read the manual, do you think you understood it? Yes__ No__

16. If 'Yes' then explain why you can't fix the problem yourself:
______________________________________________________

17. What were you doing with your computer when the problem occurred?
______________________________________________________

18. If you answered 'nothing' then explain why you were logged in:
______________________________________________________

19. Are you sure that you aren't imagining the problem? Yes__ No__

20. Does the clock on your VCR blink 12:00? Yes__ What's a VCR__

21. Do you have a copy of 'PCs for Dummies'? Yes__ No__

22. Do you have any independent witnesses to the problem? Yes__ No__

23. Do you have any electronic products that DO work? Yes __ No__

24. Is there anyone else that you could blame this problem on? Yes__ No__

25. Have you given the machine a good whack on the top? Yes__ No__

26. Is the machine on fire? Yes__ Not Yet __

27 Can you do something else instead of bothering me? Yes__

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