1. Describe your problem: __________________________________________
2. Now, describe the problem accurately:_______________________________
3. Speculate wildly about the cause of the problem:
________________________________________________________________________
4. Problem Severity:
5. Nature of the problem:
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__