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__