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:
    __ Minor
    __ Minor
    __ Minor
    __ Trivial
 5. Nature of the problem:
    __ Locked up
    __ Frozen
    __ Hung
    __ 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