Computer Repair Diagnostic Form Heaven Technology Computer Repair Diagnostic Form Heaven Technology Professional Computer Repair & Diagnostic Services Please fill out this form carefully to help our technicians quickly diagnose and service your device. Client Information Full Name Contact Number Email Address Address How did you hear about Heaven Technology? -- Select -- Google Search Social Media Friend / Family Recommendation Advertisement (Online / Print) Returning Customer Other Device Information Device Type -- Select Device Type -- Desktop PC Laptop MacBook Server Other Brand / Model Serial Number / Asset Tag Operating System Issue Details Issue Category -- Select Issue Type -- Hardware Software Network Performance Virus / Malware Power Failure Other Describe the Issue When did you first notice this issue? Any recent changes before the issue occurred? Has this issue been repaired before? If yes, please specify details. Optional Services I would like to request a **Paid Data Backup** service (fee may apply). I would like to request **Data Transfer** to another device or external drive. Please clean internal components and fans during the service (maintenance charge may apply). Authorization and Agreement I confirm that I have backed up my data or take full responsibility for potential data loss during diagnostics. I authorize Heaven Technology technicians to diagnose and provide repair estimates. Digital Signature (Type Full Name) Date Technician Use Only Received by (Technician Name) Initial Diagnosis / Notes Estimated Repair Cost Submit Diagnostic Form