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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 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 at the time the problem occurred?
________________________________________________________________________
______________________________________
18. If you answered 'nothing' then explain why you were logged in?
________________________________________________________________________
____________________________________________
19. 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____
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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