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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. ___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 when the problem 
occurred?
__________________________________________________
__________________________________________________

18. If you answered 'nothing' then explain why you were logged in:
___________________________________________________
__________________________________________________

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

20. Does the clock on your 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 electronic products that DO work?
Yes __ No__

24. Is there anyone else that 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 __

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