Interview Sheet Sample
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Interview sheet |
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Customer name |
MR/MS |
Registration number |
Initial year registration |
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Vehicle type |
VIN |
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Storage date |
Engine |
Mileage |
km/Mile |
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Symptom |
Does not operate () function |
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Warning lamp for () turns ON |
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Noise Vibration |
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Other () |
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First occurrence |
Recently Other () |
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Frequency of occurrence |
Always Under a certain conditions of Sometimes (time/day) |
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Climate conditions |
Irrelevant |
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Weather |
Fine Cloud Rain Snow Others () |
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Temperature |
Hot Warm Cool Cold Temp. [Approx. deg.C (deg.F)] |
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Relative humidity |
High Moderate Low |
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Road conditions |
Urban area Suburb area Highway Mountainous road (uphill or downhill) Rough road |
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Operating condition, etc. |
Irrelevant When engine starts During idling During driving During acceleration At constant speed driving During deceleration During cornering (right curve or left curve) When steering wheel is steered (to right or to left) |
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Memo |
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