Kiosk Performance Report Form
Report issues and observations related to kiosk performance quickly and accurately.
Kiosk Location or ID
*
Your Name
Date and Time of Report
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of Issue
*
Please Select
Hardware malfunction
Software error
Network/connectivity issue
Performance slowdown
Display/screen problem
Other
Describe the Issue or Observation
*
Observed Symptoms
Urgency Level
*
Critical (kiosk unusable)
High (major disruption)
Medium (partial disruption)
Low (minor issue)
Actions Taken (if any)
Attach Photo or File (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Report
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