

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
at the time the problem
occurred?
__________________________________________________________
__________________________________________________________
18. If you answered 'nothing' then explain
why you were logged in?
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__________________________________________________________
19. Are you sure you aren't imagining the
problem? Yes___ No___
20. Does the clock on your home 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 electronics products
that DO work? Yes___ No___
24. Is there anyone else 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___
27. Can you do something else instead of
bothering me? Yes___
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