1. Describe your problem:
     ____________________________________________

     2. Now, describe your 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. 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__