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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:
   A. Minor   __
   B. Minor   __
   C. Minor   __
   D. Trivial __

5. Nature of the problem:
   A. Locked Up     __
   B. Frozen        __
   C. Hung          __
   D. 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 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
at the time the problem occurred?

________________________________
________________________________

l8. If you answered nothing, then explain
why you were logged in?
________________________________
________________________________

l9. Are you sure you aren't imagining
the problem?

Yes __ No __

20. Does the clock on your home 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 electronics products
that DO work?

Yes __ No __

24. Is there anyone else 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 __