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PC Technical Support Survey

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Name:	*
Company
E-mail Address:	*
Address:
City:	*
Country:	*
ZIP:
Phone:	*

Are you aware of Remote PC Repair service? Yes No

Please check all the PC symptoms that apply:
	Will not turn on (no lights)
	Will not boot but will turn on
	Freezing / Locking up
	Errors / Blue screen
	Operating slower than normal (basic operations or internet functions)
	Multiple pop-up's / Browser hijacks
	Virus that cannot be removed or quarantined
	New noises such as clicks, whines, grinding, etc.
	Strange or erratic behavior
	Password locked
	Software not Upgraded
	Unwanted Programs
	Slow Internet

Use the space below to give us more specific information about the problems you are having. List specific programs or functions that are causing errors but not error codes or numbers. List symptoms that are not covered above in this area also.


Manufacturer:
Assembled Compaq Dell Gateway IBM Mac Other

Computer Type:
Destop Notebook Server

Operating System:
Windows 95 98 ME 2000 XP
Linux Mac OS 9 Mac OS 10

Anti-Virus:
Vendor: Norton McAfee Other None
Status: Up-to-date Expired or Unknown

Choose the best options available for repair service from us.

Per Incidence Plan [Home]. Annual Plan [Home].
Per Incidence Plan [Small Biz]. Annual Plan [Small Biz]*.

Thank you for your interest in our services!

*Small Biz plans include support for up to 5 computers.

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