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__ 
 
 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_