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__