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		 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__ 
 
Thank you for taking the time to fill out our Computer Problems Form. Please allow 1 week response time so that the problem will resolve its self or you will reboot your computer, most likely resolving the issue. 
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