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Connectivity Fault Report Form
Fault Report Form
To assist us in resolving any problems you are experiencing, please describe briefly and concisely the error messages invloved and the problem you are having.

This information is assist us in improving our service, please only provide the required information. If you require a response please email support@broadsurf.co.uk
Fault Report Details
Please enter only relevant information.
User Details
  Name :  
Email Address :  
Dialup UserName :  
Service details
Is the telephone working?  Yes No
Number Dialling From (including prefix):  
Is it a BT Line?  Yes No
Number Dialling To:  
Does your phone have an Indirect
Access No (IDA) or an auto dialler?		  Yes No
Do you have a Carrier Pre Select (CPS)?  Yes No
Do you receive a Windows error message?  Yes No
What does it say?  
Do you receive a voice announcement?  Yes No
What does it say?  
Computer Details
   
Have you restarted your computer:  Yes No
Is software compression disabled? (info)  Yes No
Can you ping a URL? (info)  Yes No
Can you ping an IP address? (info)  Yes No
What is your default gateway (info)  
Is your dns pointing to our dns servers? (info)  Yes No
Operating System:  
Date of Last Successful Connection: / /
Time Last successful Connection:   eg 15:30
Date of Problem: / /
Time of Problem:   eg 15:30
Do you have a firewall software?  Yes No
Do you have a or antivirus software?  Yes No
Modem Type:  
Do you have ISDN?  Yes No
Is the power on your Modem?  Yes No
Connection Speed:  
Description
   
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