Your name *

Email *

Phone *

Which service did you book?

Appointment date (if you know it)

What device needs help? *

Brand and model, if known (e.g., Dell Inspiron, HP Pavilion)

Operating system

Roughly how old is the computer?

Does it turn on and reach the Windows/desktop screen? *

Describe the problem in your own words — what happens, and when did it start? *

Any error messages or pop-ups? What do they say?

Did any of these happen shortly before the problem started?

Do you have a backup of your important files? *

Any files you couldn't stand to lose? (photos, documents, tax records, QuickBooks…)

Do you know the computer's login password? *

Anything about the location we should know? (gate code, dogs, parking, best door)

Will someone be home during the visit?

Anything else Mike should know before the visit?

Pre-Visit Intake Form

1. About you