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. 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__

Thank you for taking the time to fill out our Computer Problems Form. Please allow 1-week response time so that the problem will resolve its self or you will reboot your computer, most likely resolving the issue.