I.T. DEPARTMENT COMPUTER PROBLEM SELF-REPORT FORM 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. What were you doing with your computer at the time the problem occurred? ________________________________ 16. If `nothing,' explain why you were logged in: ___________________ 17. Are you sure you aren't imagining the problem? Yes__ No__