Form - PAK Computer Service, Inc.

PAK Computer Services, Inc.- Customer Intake Form

Date:

Preferred Appointmant Date/Time (if known):

Full Name:

Company:

Phone:

Email:

Preferred Contact Method:

Street:

City:

State:

Zip:

Device Type

Operating System

Brand & Model

Issue / Service Requested

Describe the problem or task you need help with:

(e.g., “Computer running slow,” “Won’t boot,” “Email not syncing,” “Network setup,” “Virus removal,” “Upgrades,” “Data backup,” etc.)

Details:

History of the Issue

When did the problem start?

Has anything changed recently (updates, new programs, power outage, drop/spill)?

Data & Backup

Do you have important files on the device?

Have your files been backed up recently?

Is data recovery required?