What is the type of computer that you own?

  Please Select Your Computer Type PC (IBM Compatable) Macintosh (Apple) Unix (Linux)

What operating system is on the computer? 

  Please Select One OS8 (or variable of) OS9 (or variable of) OS 10 (or variable of) Jaguar Windows 3.1 Windows 95/98/98SE or ME Windows NT (any version) Windows 2000 (professional or server) Windows XP Home Windows XP Professional Vista Windows 7 32bit Windows 7 64bit Windows 2003 Server

Has the computer been experiencing constant problems that have simply gotten worse or has something suddenly gone wrong?  Select as many as apply from the list below.  Hold Ctrl for multiple selections while clicking your left mouse button.

  Problem has been persistant since ownership of computer Problem is not consistant. It comes and goes. Problem seems to have started recently without any change to programs installed. Problem seems to have come without any changes to software or hardware. Problem seems to have come after installing operating system service packs. Problem seems to have started upon upgrading video card. Problem seems to have started after installing new sound card. Problem seems to have come after installing new motherboard. Problem started after installing new or more memory. Problems have gotten worse over time.

Have there been any recent changes to the computer?  Examples of this would be upgrades of memory, video cards, audio cards or even hard drives. 

  Please Select Yes, I have upgraded hardware but this is not the problem. Yes, I have updated the hardware and it may be part of the problem. There is no way my hardware upgrade has anything to do with this problem. No, there have been no changes to my computer hardware since ownership. No, there have been hardware changes but no recent changes. NO hardware changes of any kind at any time.

Would you like someone to come to your location and diagnose the problem or would you like to bring the computer to us?  Some customers would rather bring the computer to our repair facility.  Our house call fee is $65 and our bench check-in is $35.  In both cases the initial fees are applied to any repair or configuration work done.

  Please Select Yes, please contact me to arrange pickup Yes, please contact me to arrange possible fix onsite. Yes, please schedule a shop visit. Yes, I would like to drop my computer off for diagnosis this week. Yes, I want to drop my computer off today. Please call me for directions.

Is there any requirement of when you need your computer repaired by? 

  No huge hurry but cannot take any undue delay. No priority needed. I can be without my computer for a few days. I can only be without my computer for a day without a nervous breakdown. I can be without my computer for a day if absolutley necessary without consulting a physician. I cannot be without my computer for more than 24 hours.

Do you have your data backed up? 

 NO

What was the most recent program installed on this computer? 

List the programs used on this computer. 

Do you have the original software to the programs listed above?  Most important is your operating system software.  Please list the programs that you have the original software and licenses for below.

Your Email Address

Your Telephone Number

Your Name