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. Shot__

 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 read the manual? Yes__ No__

 11. Are you sure you've read the manual? Yes__ No__

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

 13. Do you think you understood it? Yes__ No__

 14. If "Yes," then why can't you fix the problem yourself?
     ______________________________________________________________

 15. How tall are you?  Are you above this line? __________________

 16. What were you doing with your computer at the time the problem
     occurred?
     ______________________________________________________

 17. If "nothing," explain why you were logged in.
     ________________________________________________________________

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

 19. How does this problem make you feel? ____________________________

 20. Tell me about your childhood. ___________________________________

 21. Do you have any independent witnesses of the problem? Yes__ No__

 22. Can't you do something else, instead of bothering me? Yes__
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