TECHNICAL SUPPORT FORM

Due to the current backlog of tech 
support requests, we have implemented a 
new Information form to help speed the 
diagnosis and resolution of your 
computer related problem. 

Please fill out the following form: 
       
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 up  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. Your signature___________________ 



28. Your Manager's       
    signature___________________ 



29. Your Social Security number 
    #___-__-____ 



30. You credit card number (Visa,    
    Mastercard only-       
    Please)__________________________    
    Exp. Date __/__/____ 



31. Do you expect your PC to be returned 
    to you? Yes__ No__ 



32. Do you expect it returned to you in  
    the next 30 days? Yes__ No__ 



33. If you answered Yes to # 32, Do you  
    take heavy medication? Yes__