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:
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 to this problem?
Yes____No_____
22.Can't you do something else instead of bothering me? Yes_____

Systems Administrator


Last modified July 29, 1997
Page created by Dayl Brinkman.
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