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Level 1  Computer Technical Support Request Form

 

 

Instructions: Please answer all questions as accurately as possible.

 

 

  1. Describe your computer problem:

___________________________________________________

___________________________________________________

 

  1. Now, describe your computer problem accurately:

___________________________________________________

___________________________________________________

 

  1. Now, just take a wild guess what the cause of the problem is:

___________________________________________________

___________________________________________________

 

  1. If you could blame the cause of the problem on something, what would it be?:

___________________________________________________

___________________________________________________

 

  1. If you could blame the cause of the problem on someone, who would it be?:

___________________________________________________

___________________________________________________

 

  1. Problem Severity:

A. Minor   B. Non critical        C. Trivial        D. Not severe

 

  1. Problem Urgency:

A. Not urgent     B. Not important     C. Trivial        D. Non critical       

 

  1. Nature of the problem:

A. Locked up           B. Frozen    C. Hung     D. Not responding   E: Strange smell    

 

  1. Is the computer plugged in?:

Yes ____    No _____

 

  1. Do you know what a plug is?:

Yes ____    No _____   No Comment ____

 

  1. Is the computer turned on?:

            Yes ____    No _____

 

  1. Do you know how to turn it on?:

Yes ____    No _____   No Comment ____

 

  1. Have you tried to fix it yourself?:

Yes ____    No _____

 

  1. Is it now worse?:

Maybe _____  Yes _____  Of course _____  No comment _____

 

  1. Have you had “a friend” who “knows all about computers” try to fix it?:

            Yes ____    No _____

 

  1. Is it now worse?:

Maybe _____  Yes _____  Of course _____  No comment _____

 

  1. Have you read the computer instructions?:

Yes ____    No _____

 

  1. Are you sure you read the computer instructions?:

           Yes ____    Maybe _____ No Comment ____

 

  1. Are you 100% absolutely certain you read the computer instructions?:

            No ____    No Comment ____ 

 

  1. Can you read?:

Yes ____    No _____  Not sure  ____

 

  1. If you read the manual did you understands it?:

Yes ____    No _____  Maybe  ____

 

  1. If “YES” then explain why you can’t fix the problem yourself?:

___________________________________________________

___________________________________________________

 

  1. Have you ever read “PC’s for Dummies” or “PC’s for Stupid Idiots”?:

Yes ____    No _____  Didn’t help any _____

 

  1. What were you doing with your computer at the time the problem occurred?:

___________________________________________________

___________________________________________________

 

  1. What were you REALLY doing with your computer at the time the problem occurred?:

___________________________________________________

___________________________________________________

 

  1. Have you ever abused an electronic device?:

Yes ____    No _____  No Comment _____

 

  1. Have you ever taken your anger out on an electronic device?:

Yes ____    No _____  No Comment _____

 

  1. Do you have a independent witness who can validate the cause of the problems?:

            Yes ____    No _____

 

  1. Would you rather have a typewriter than a computer?:

Yes ____    No _____  Don’t know yet _____

 

  1. Do you have any sick or vacation days you can take in case your computer does need repair?:

            Yes ____    No _____ 

 

  1. Would you want a brand new super fast computer as a replacement?:

            Yes ____    No _____

 

  1. Would you allow us to dock your pay for the cost of this new super fast computer?:

Yes ____    No _____

-

  1. Then sorry, we don’t just replace computers, but would you like yours dusted off?:

Yes* ____    No _____                              *If “Yes” then we will send over a feather duster.

 

  1. Can you list every serial number found on the front, back and side of your computer, monitor, keyboard and mouse?:

___________________________________________________

___________________________________________________

 

  1. Is it possible for you to reboot your computer right now?:

Yes ____    No _____  Don’t know how _____

 

  1. Now can you turn it off completely and then turn it back on right now?:

Yes ____    No _____   Don’t know how _____

 

  1. If you answered “I don’t know” on the last two questions, have you considered getting a job at McDonalds?:

             Yes ____    No _____   Maybe _____  Still don’t know  _____

 

  1. If your computer still isn’t working please submit the “Level 2 Computer Technical Support Request Form” to start the next phase of technical support escalation. We are happy to be at your assistance.

 

IT Department

 

 

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