RealAge Help Desk Questionnaire

This questionnaire was designed for RealAge members who are experiencing technical difficulties on the RealAge Web site. If you have a comment or question that is not related to the technical function of the site, you don’t need to fill out this form. You can e-mail us at info@RealAge.com.
In order for us to most accurately detect your technical difficulty and resolve it, we will need the following information:
1. Which e-mail address did you use to register?


2. What page is this regarding?


3. Where on the site did you encounter technical difficulties, and what were you trying to do at that time?


4. At what date and time did you have the technical difficulty?


5. If you received a specific error message, what did the error message say? (Copy and paste error message if possible.)


6. What type of computer are you using?
PC (Such as Gateway, Dell, Compaq)
Macintosh (Such as Apple, iBook, iMac, eMac)

7. Which Internet browser do you use?
Explorer
Netscape
AOL
Other:  

8. Which version is your browser? (For example, Explorer 6.1)

[To find browser version, open browser and click on Help, scroll down to About Internet Explorer or About Communicator.]

9. If there is any other information you can supply us, please enter it here:


Please click Submit below.