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/help file/used google? Yes__ No__

11. Are you sure you've read the manual/help file/google? Yes__ No__

12. Are you absolutely certain you've read the manual/help  file/google? 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__