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If you really want to reimage, just slave that drive in another PC and copy the data off it.
I would run Adaware from Lavasoft to look for MALWARE(it is likely the problem)
How much space does he have left on HDD? If it is getting low, it will run extremely slow as well.
Run Checkdisk, look for disk errors.
I'd bet Adaware will find a crap load of stuff and speed things up if he has lots of space avaialbe on the drive.
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MeTaL who??
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