Technical Support Questionnaire

Please fill out this questionnaire in order for us to better assist you in finding a solution to your computer needs.
    Make of Computer:


    Computer Type:
    Desktop Laptop

    Operating System:
    WIN 98 WIN ME WIN 2000 WIN XP
    MAC OS9 MAC OS 10/10.2 (Jaguar)
    MAC OS 10.3 (Panther)
    MAC OS 10.3 (Tiger)

    Age of Computer:
    1-2yrs 3-4yrs 5+

    Current Internet Provider (ISP):


    Internet Connection:
    Dial-Up DSL Modem Cable Modem

    Is your computer on a network:


    Do you connect wirelessly:


    Have you backed up your files and documents:


    What type of computer problems are you experiencing?



    Any other information we should know?



    Name:

    Address:

    Home Phone:

    Cell Phone:

    Email:

    Today's Date: