Computer Problem Report Form

In order to streamline the handling of problems within the system. Please fill out the following questionnaire before sending it in for Help. With your co-operation we should be able to provide faster and more efficient fault resolution.

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 in.
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 [ ]