Computer Problem Report Form

,

  1. Describe your problem:

    ________________________________________________________________

  2.  

  3. Now, describe the problem accurately:

    ________________________________________________________________

  4.  

  5. Speculate wildly about the cause of the problem:

    ________________________________________________________________

  6.  

     

  7. Problem Severity:
    • A.Minor__
    • B.Minor__
    • C.Minor__
    • d.Trivial__
  8.  

  9. Nature of the problem:
    • A.Locked Up__
    • B.Frozen__
    • C.Hung__
    • d.Strange Smell__
  10.  

  11. Is Your Computer Plugged In?     Yes_____ No______
  12.  

  13. Is It Turned On?     Yes_____ No_____
  14.  

  15. Have you tried to fix it yourself?     Yes_____ No_____
  16.  

  17. Have you made it worse?     Yes_____ No_____
  18.  

  19. Have you had a "friend" who "Knows all about computers" try to fix it for you?     Yes_____ No_____
  20.  

  21. Did they make it worse?     Yes_____ No_____
  22.  

  23. Have you read the manual?     Yes_____ No_____
  24.  

  25. Are you sure you've read the manual?     Yes_____ No_____
  26.  

  27. Are you absolutely certain you've read the manual?     Yes_____ No_____
  28.  

  29. If you read the manual, do you think you understood it?     Yes_____ No_____
  30.  

  31. If 'yes', then explain why you can't fix the problem yourself?

    ________________________________________________________________

  32.  

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

    ________________________________________________________________

  34.  

  35. If you answered 'nothing' then explain why you were logged in?

    ________________________________________________________________

  36.  

  37. Are you sure you aren't imagining the problem?     Yes_____ No_____
  38.  

  39. Does the clock on your home VCR blink 12:00?     Yes_____ What's a VCR?_____
  40.  

  41. Do you have a copy of 'PCs for Dummies'?     Yes_____ No_____
  42.  

  43. Do you have any independent witnesses to the problem?     Yes_____ No_____
  44.  

  45. Do you have any electronics products that DO work?     Yes_____ No_____
  46.  

  47. Is there anyone else you could blame this problem on?     Yes_____ No_____
  48.  

  49. Have you given the machine a good whack on the top?

         Yes_____ No_____

  50.  

  51. Is the machine on fire?

         Yes_____ No_____

  52.  

  53. Can you do something else instead of bothering me?

         Yes_____ No_____

  54.  


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