SOFTWARE PROBLEM REPORT FORM
  1. Describe your problem:
    ______________________________________________
  2. Now, describe the problem accurately:
    __________________________________
  3. Speculate wildly about the cause of the problem:
    __________________________
  4. Problem Severity:
    1. Minor__
    2. Minor__
    3. Minor__
    4. Minor__
  5. Nature of the problem:
    1. Locked Up__
    2. Frozen__
    3. Hung__
    4. 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__



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