Computer Problem Report Form

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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?
__________________________________________________________
__________________________________________________________

l8.  If you answered 'nothing' then explain why you were logged in?
__________________________________________________________
__________________________________________________________

l9.  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__ No__

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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