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Check In Date
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Location
Omaha
Papillion
How Did the Customer Hear of Us? Be Specific.
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Name
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First
Last
Address
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Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
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Email
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Make and Model of Computer
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Logon Password
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Accessories Left with Computer
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No AC Adapter
Nothing
AC Adapter
Carrying Bag
Box Or Packaging
Mouse
Keyboard
Flash Drive
Software
Speakers
Bluetooth Receiver
USB Receiver or Dongle
Other (Please Notate)
Customer Description of Problems
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What is the Last Thing That Happened Before it Malfunctioned?
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How Long Have These Issues Been Happening? Days, Weeks, Months?
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What OS Are They Using?
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Unknown
Windows 10
Windows 8.1 or 8
Windows 7
Windows Vista
Windows XP
macOS 10.14: Mojave
macOS 10.13: High Sierra
macOS 10.12: Sierra
OS X 10.11: El Capitan
OS X 10.10: Yosemite
OS X 10.9 Mavericks
OS X 10.8 Mountain Lion
OS X 10.7 Lion
OS X 10.6 Snow Leopard
OS X 10.5 Leopard
OS X 10.4.4 Tiger
Linux
Other (Please Note)
What Do They Use the Computer Primarily For?
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Home Use
School Use
Work Use
Other (Please Note)
Did They Make Any Recent Hardware or Software Changes to the Computer? Install Updates?
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What is Their Goal for the Computer Service?
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Check & Advise
Save Files Only
Repair the Computer
Other (Please Notate)
What Applications are Installed on the Computer?
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OS Pre-Installed Software Only
MS Office
MS Outlook
MS Outlook Calendars
MS Outlook Contacts
Adobe Photoshop
Intuit QuickBooks
Quicken
Turbo Tax
Carbonite
iTunes
DropBox
Other (Please Notate)
Are Their Files Backed Up?
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Yes
No
Uknown
What Files Do They Care About Saving? If Anything.
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Everything
Nothing
Photos
Videos
Documents
Data from an Application
Calendars
Contacts
Other (Please Notate)
Anything Else That We Should Know Prior to Service that Would Help Us Save Time, Diagnose, Save Files, Fully Understand This Situation?
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Service & Amount Quoted at Check In, If Any
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