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
__ Shot
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 read the manual?
__ Yes
__ No
11. Are you sure you've read the manual?
__ Yes
__ No
12. Are you absolutely certain you've read the manual?
__ No
13. Do you think you understood it?
__ Yes
__ No
14. If "yes" then why can't you fix the problem yourself?
__________________________________________
15. How tall are you? Are you above this line? __________________
16. What were you doing with your computer at the time the problem occurred?
__________________________________________
17. If "nothing" explain why you were logged in.
__________________________________________
18. Are you sure you aren't imagining the problem?
__ Yes
__ No
19. How does this problem make you feel?
__________________________________________
20. Tell me about your childhood.
__________________________________________
21. Do you have any independent witnesses of the problem?
__ Yes
__ No
22. Can't you do something else, instead of bothering me?
__ Yes
