PROBLEM REPORT FORM

Your name_________
Your login name________
Date_________
Date the problem occured__________

Problem Severity? Minor__ Minor__ Minor__

Computer Name?

Which part appears to be broken?
Cup Holder (CD)__ Disk__ Base Unit__
Network__ Keyboard__ Screen__
Mouse__ Everything__ Don't Know__

Is it plugged in? Yes__ No__

Is it switched on? Yes__ No__

Has it been stolen? Yes__ No__

Have you tried to fix it yourself? Yes__ No__

Have you made it worse? Yes__ Yes__

Have you read the manual? Yes__ No__

Are you sure you've read the manual? Yes__ No__

Are you absolutely certain you've read the manual? Yes__ No__

Did you understand it? Yes__ No__
If 'Yes' then why can't you fix it yourself?

Is the equipment unexpectedly noisy? Yes__ No__

If 'Yes' what sort of noise?
Grinding__ Rattling__ Whirring__
High pitched whine__ Scouring__ Out of tune whistling__

Is there a smell of burning? Yes__ No__

If `Yes' is the equipment on fire? Yes__ No__

Is the fault repeatable? Yes__ No__

What were you doing at the time the fault occurred?

If 'nothing' explain why you were logged in.

Are you sure you aren't imagining the problem? Yes__ No__

Do you have any independent witnesses of the problem? Yes__ No__
Describe the problem.

Now, describe the problem accurately.

Speculate wildly about the cause of the problem.

Can't you do something else, rather than bothering Support? Yes__