Computer Problem Report Form

Describe your problem:

Now, describe the problem accurately:   

Speculate wildly about the cause of the problem:   

Problem Severity:
Minor
Minor
Minor
Trivial

Nature of the problem:
Locked up
Frozen
Hung
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