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 youve read the manual? Yes__ No__

12. Are you absolutely certain youve read the manual? No__

13. Do you think you understood it? Yes__ No__

14. If Yes then why cant 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



17. If nothing explain why you were logged in.


18. Are you sure you arent 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. Cant you do something else, instead of bothering me? Yes_

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