Computer Problem Report Form (we'd like to see)

Computer Problem Report Form:

Your Name: __________________________

Your Login Name: ____________________

The date? __/__/__

The date the problem first occurred (if different?) __/__/__


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? 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. Is the equipment unexpectedly noisy? Yes___ No ___

17. If 'Yes", what sort of noise?
Grinding ___
Rattling ___
Whirring ___
High Pitched Whine ___
Sound of disk head scouring disk ___
Strange, out of tune whistling or humming ___

18. Is there a smell of burning? Yes___ No ___

19. If "Yes", is the equipment on fire? Yes___ No ___

20. Is the fault repeatable? Yes___ No ___

21. What were you doing with your computer at the time the problem
occurred?

_______________________________________________________________

22. If `nothing', explain why you were logged in.

_______________________________________________________________

23. Are you sure you aren't imagining the problem? Yes__ No__

24. How does this problem make you feel? ____________________________

25. Tell me about your childhood. ___________________________________

26. Do you have any independent witnesses of the problem? Yes__ No__

27. Where do you think the fault lies?
Communications ___
Disk ___
Base Unit ___
Network ___
Keyboard ___
Screen ___
Mouse ___
Everything ___
Don't Know ___

28. Can't you do something else, instead of bothering me? Yes_

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