Interview Sheet Sample
| Interview sheet | |||||
|---|---|---|---|---|---|
| Customer name | MR/MS | Registration number | Initial year registration | ||
| Vehicle type | VIN | ||||
| Storage date | Engine/traction Motor | Mileage | km (Mile) | ||
| Symptom | □ Does not operate () function | ||||
| □ Warning lamp turns ON. □ □ Other () |
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| □ Noise (Location:) □ Vibration (Location:) | |||||
| □ Other () | |||||
| First occurrence | □ Recently □ Other () | ||||
| Frequency of occurrence | □ Always □ Under a certain conditions of □ Sometimes (time(s)/day) | ||||
| Climate conditions | □ Irrelevant | ||||
| Weather | □ Fine □ Cloud □ Rain □Snow □ Others () | ||||
| Temperature | □ Hot □Warm □ Cool □ Cold □ Temperature [Approx. °C (°F)] | ||||
| Relative humidity | □ High □ Moderate □ Low | ||||
| Road conditions | □ Ordinary road □ Highway □ Mountainous road (uphill or downhill) □ Rough road | ||||
| Operating condition, etc. | □ Irrelevant □ When engine/traction motor starts □ During idling □ During driving □ During acceleration □ At constant speed driving □ During deceleration □ Immediately before stop [Vehicle speed: Approx. km/h (MPH)] □ During cornering (right curve or left curve) □ When steering wheel is steered (to right or to left) |
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| Other conditions | VDC OFF switch operation | □ Yes □ No | |||
| Use of other functions (ex. ICC) |
□ Yes □ No () | ||||
| Presence of non-genuine parts installation | □ Yes □ No () | ||||
| Memo | |||||