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:
5. Nature of the problem:
A. Locked Up__
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
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.