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:
       __ Minor
       __ Minor
       __ Minor
       __ Trivial
    5. Nature of the problem:
       __ Locked up
       __ Frozen
       __ Hung
       __ 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