Computer Problem Report Form

Describe your problem: ____________________________________________ 
Now, describe the problem accurately: 
___________________________________________________________________ 
Speculate wildly about the cause of the problem: 
___________________________________________________________________ 
Problem Severity:
A. Minor__
B. Minor__
C. Minor__
1/1/04D. Trivial__ 
Nature of the problem:
A. Locked Up__
B. Frozen__
C. Hung__
D. Shot__ 
Is your computer plugged in? Yes__ No__ 
Is it turned on? Yes__ No__ 
Have you tried to fix it yourself? Yes__ No__ 
Have you made it worse? Yes__ 
Have you read the manual? Yes__ No__ 
Are you sure you've read the manual? Yes__ No__ 
Are you absolutely certain you've read the manual? No__ 
Do you think you understood it? Yes__ No__ 
If `Yes' then why can't you fix the problem yourself? 
___________________________________________________________________ 
How tall are you? Are you above this line? _______ 
What were you doing with your computer at the time the problem occurred? 
___________________________________________________________________ 
If `nothing' explain why you were logged in. 
___________________________________________________________________ 
Are you sure you aren't imagining the problem? Yes__ No__ 
How does this problem make you feel? 
___________________________________________________________________ 
Tell me about your childhood ____________________________________________ 
Do you have any independent witnesses of the problem? Yes__ No__ 
Can't you do something else, instead of bothering me? Yes__