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 on.

________________________________________________________________

 

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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