Level
1 Computer Technical Support
Request Form
Instructions: Please
answer all questions as accurately as possible.
- Describe
your computer problem:
___________________________________________________
___________________________________________________
- Now,
describe your computer problem accurately:
___________________________________________________
___________________________________________________
- Now,
just take a wild guess what the cause of the problem is:
___________________________________________________
___________________________________________________
- If
you could blame the cause of the problem on something, what would it
be?:
___________________________________________________
___________________________________________________
- If
you could blame the cause of the problem on someone, who would it be?:
___________________________________________________
___________________________________________________
- Problem
Severity:
A.
Minor B. Non critical
C. Trivial
D. Not severe
- Problem
Urgency:
A.
Not urgent
B. Not important
C. Trivial
D. Non critical
- Nature
of the problem:
A.
Locked up
B. Frozen C.
Hung D. Not
responding E: Strange
smell
- Is
the computer plugged in?:
Yes
____ No _____
- Do
you know what a plug is?:
Yes
____ No _____
No Comment ____
- Is
the computer turned on?:
Yes ____ No
_____
- Do
you know how to turn it on?:
Yes
____ No _____
No Comment ____
- Have
you tried to fix it yourself?:
Yes
____ No _____
- Is
it now worse?:
Maybe
_____ Yes _____
Of course _____ No
comment _____
- Have
you had “a friend” who “knows all about computers” try to fix
it?:
Yes ____ No
_____
- Is
it now worse?:
Maybe
_____ Yes _____
Of course _____ No
comment _____
- Have
you read the computer instructions?:
Yes
____ No _____
- Are
you sure you read the computer instructions?:
Yes ____ Maybe
_____ No Comment ____
- Are
you 100% absolutely certain you read the computer instructions?:
No ____ No
Comment ____
- Can
you read?:
Yes
____ No _____
Not sure ____
- If
you read the manual did you understands it?:
Yes
____ No _____
Maybe ____
- If
“YES” then explain why you can’t fix the problem yourself?:
___________________________________________________
___________________________________________________
- Have
you ever read “PC’s for Dummies” or “PC’s for Stupid
Idiots”?:
Yes
____ No _____
Didn’t help any _____
- What
were you doing with your computer at the time the problem occurred?:
___________________________________________________
___________________________________________________
- What
were you REALLY doing with your computer at the time the problem
occurred?:
___________________________________________________
___________________________________________________
- Have
you ever abused an electronic device?:
Yes
____ No _____
No Comment _____
- Have
you ever taken your anger out on an electronic device?:
Yes
____ No _____
No Comment _____
- Do
you have a independent witness who can validate the cause of the
problems?:
Yes ____ No
_____
- Would
you rather have a typewriter than a computer?:
Yes
____ No _____
Don’t know yet _____
- Do
you have any sick or vacation days you can take in case your computer
does need repair?:
Yes ____ No
_____
- Would
you want a brand new super fast computer as a replacement?:
Yes ____ No
_____
- Would
you allow us to dock your pay for the cost of this new super fast
computer?:
Yes
____ No _____
-
- 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.
- Can
you list every serial number found on the front, back and side of your
computer, monitor, keyboard and mouse?:
___________________________________________________
___________________________________________________
- Is
it possible for you to reboot your computer right now?:
Yes
____ No _____
Don’t know how _____
- Now
can you turn it off completely and then turn it back on right now?:
Yes
____ No _____
Don’t know how _____
- 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 _____
- 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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