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__