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COMPUTER PROBLEM REPORT FORM
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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 if 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 __ Yes __
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?
No __ Yes__
19. How does this problem make you feel?
__________________________________________
20. Tell us 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 us?
Yes __ No __
...kinda looks like one of our forms...
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