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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.  Strange Smell__

 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 had a friend who knows all about computers
      try to fix it for you?                                  Yes__  No__

 11.  Did they make it even worse?                                  Yes__

 12.  Have you read the manual?                                Yes__ No__

 13.  Are you sure you've read the manual?                   Maybe__ No__

 14.  Are you absolutely certain you've read the manual?             No__

 15.  If you read the manual, do you think you understood it?  Yes__ No__

 16.  If Yes, then explain why you can't fix the problem yourself.
 __________________________________________________________
 __________________________________________________________

 17.  What were you doing with your computer at the time the problem 
      occurred?
 __________________________________________________________
 __________________________________________________________

 l8.  If you answered nothing, then explain why you were logged in?
 __________________________________________________________
 __________________________________________________________

 l9.  Are you sure you aren't imagining the problem?           Yes__ No__

 20.  Does the clock on your home VCR blink 12:00?
                                                    Yes__ What's a VCR?__


 21.  Do you have a copy of PCs for Dummies?                   Yes__ No__

 22.  Do you have any independent witnesses to the problem?    Yes__ No__

 23.  Do you have any electronics products that DO work?       Yes__ No__

 24.  Is there anyone else you could blame this problem on?    Yes__ No__

 25.  Have you given the machine a good whack on the top?      Yes__ No__

 26.  Is the machine on fire?                             Yes__ Not Yet__

 27.  Can you do something else instead of bothering me?            Yes__

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