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: (Select one)  | 
 Minor  Very minor  Very, very minor  Trivial  | 
|   5.  Nature of the problem: (Select all applicable)  | 
 Locked Up  Frozen  Hung  Smoke  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 he/she 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?
l8. If you answered "nothing", then explain why you were logged in:
| l9. 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 |