WebForms

Activity Request

2500 Townsgate Rd., Unit I

Westlake Village, CA 91361

805-371-4400

   
Date:   (00/00/00)         
Customer:   (Required)
Contact:    (Required)
E-Mail Address: (Required)
Phone:   999-999-9999
Reported Problem: (Required)
Requested Priority:
Server Down:

 

Computer Problem Report

 

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?

a. Yes_____ b. No_____

7) Is it turned on?

a. Yes_____ b. NO_____

8) Have you tried to fix it yourself?

a. Yes_____ b. NO_____

9) Have you made it worse?

a. Yes_____

10) Have you had "a friend" who "Knows all about computers" try to fix it for you?

a. Yes_____ b. NO_____

11) Did they make it even worse?

a. Yes_____

12) Have you read the manual?

a. Yes_____ b. NO_____

13) Are you sure you've read the manual?

a. Maybe_____ b. NO_____

14) Are you absolutely certain you've read the manual?

a. NO_____

15) If you read the manual, do you think you understand it?

a. Yes_____ b. 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?

 

18) If you answered "nothing" then explain why you were logged in?

 

19) Are you sure you aren't imaging the problem?

a. Yes_____ b. NO_____

20) Does the clock on your home VCR blink 12:00?

a. Yes_____ b. What's a VCR_____

21) Do you have a copy of "PCs for Dummies"?

a. Yes_____ b. NO_____

22) Do you have any independent witnesses to the problem?

a. Yes_____ b. NO_____

23) Do you have any electronics products that DO work?

a. Yes_____ b. NO_____

24) Is there anyone else you could blame this problem on?

a. Yes_____ b. NO_____

25) Have you given the machine a good whack on the top?

a. Yes_____ b. NO_____

26) Is the machine on fire?

a. Yes_____ b. NO_____