Repair work order questionnaire:

Circle the best answers. Slim PSP repairs cost an average of only $10 extra.

        
(1) Does the unit power on? Yes  No  Sometimes

(2) Does the LCD screen work? Yes  No  Sometimes

(3) Does the backlight work on the LCD screen? Yes  No  Sometimes

(4) Does the battery take & hold a good charge? Yes  No  Sometimes

(5) Does the headphone jack work? Yes  No  Sometimes

(6) Does the analog joystick work properly? Yes  No  Sometimes

(7) Are you experiencing disk read errors? Yes  No  Sometimes

(8) Are you experiencing wi-fi/network problems? Yes  No  Sometimes

(9) Are you able to connect your PSP to your computer via USB? Yes  No  Sometimes

(10) Does it freeze after playing for a while? Yes  No  Sometimes

(11) Does it get hot & overheat? Yes  No  Sometimes

(12) Have you had water damage? Yes  No

(13) If your PSP is too costly to repair, would you be interested in a refurbished unit? Yes  No

(14) Would you be interested in a salvage offer? Yes  No

PSP Information:
If unknown than please leave blank.

Model# : x_______________________
Serial# : x_______________________
License Plate# : x________________

Contact information:

Name:  ____________________________
Email: ____________________________
Phone: [        ]        -

Address:___________________
        ___________________
        ___________________

I hereby authorize repair work and promise that the answers provided to the questions above are true and accurate to the best of my knowledge. I also understand that by providing incorrect information and answers I may delay the repair process. I also agree to be bound to the terms and conditions outlined on the website.

Date:     /      /2009 
Signature:    X_____________________________
Printed Name: X_____________________________

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