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Questionnaire template

IT Service Request

Employees log an IT problem or new need with its type, affected systems, impact and urgency for service-desk triage.

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Other · Request forms. All Other templates

Questions in this template

About You

  1. Use this form to report an IT problem or ask for something new. Clear answers help the service desk route and prioritise your request.

  2. Which department do you work in?

    Choose one from a list:

    • Finance
    • Human resources
    • Operations
    • Sales and marketing
    • IT
    • Other

  3. Where do you usually work?

    Choose one:

    • On site
    • Remote
    • Hybrid

  4. How would you like us to contact you about this request?

    Choose one:

    • Email
    • Phone
    • Chat
    • In person

Your Request

  1. What kind of request is this?

    Choose one:

    • Hardware fault
    • Software fault
    • Account or access
    • Network or connectivity
    • New equipment
    • New software
    • Other

  2. Please describe the kind of request.

    Condition: Only when 'Other' was chosen

    Open answer

  3. Describe the problem or what you need in as much detail as you can.

    Open answer

  4. When did the problem start?

    Condition: Only for faults and access problems

    Choose one:

    • Today
    • In the last 3 days
    • Within the past week
    • More than a week ago

  5. Which devices or systems does this involve? Select all that apply.

    Choose any that apply:

    • Laptop or desktop
    • Mobile phone
    • Printer
    • Email
    • Business applications
    • Shared drives
    • Other

Impact and Urgency

  1. Who is affected?

    Choose one:

    • Only me
    • My team
    • My department
    • The whole organisation

  2. How does this affect your work right now?

    Choose one:

    • I cannot work
    • My work is seriously slowed
    • It is a minor inconvenience
    • No effect yet

  3. Do you have a temporary way to work around the problem?

    Condition: Only for faults and access problems

    Choose one:

    • Yes
    • No
    • Not sure

  4. By when does this need to be resolved?

    Choose one:

    • As soon as possible
    • Within one working day
    • Within a week
    • No fixed deadline

Approval and Notes

  1. Has your manager approved this purchase?

    Condition: Only for new equipment or software

    Choose one:

    • Yes, it is approved
    • Requested but not yet approved
    • Not yet requested

  2. Is there anything else the service desk should know?

    Open answer