1. Describe your problem:
__________________________________________________________________________
__________________________________________________________________________

2. Now, describe the problem accurately:
__________________________________________________________________________
__________________________________________________________________________

3. Speculate wildly about the cause of the problem:
__________________________________________________________________________
__________________________________________________________________________

4. Problem -- Severity:

____	Minor
____	Minor
____	Minor
____	Trivial

5. Nature of the problem:

____	Locked Up
____	Frozen
____	Hung
____	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?
__________________________________________________________________________
__________________________________________________________________________

18. If you answered, nothing then explain why you were logged in?
__________________________________________________________________________
__________________________________________________________________________

19. Are you sure you aren't imagining the problem? Yes____No____

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

21. Do you have a copy of PC's 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 for this problem? 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. Will you pack up your computer in the original box and send it back? Yes____

28. Can you do something else instead of bothering me? Yes____