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 to this problem?  Yes____ No_____ 

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