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/Traction Motor |
Mileage |
km (Mile) |
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Symptom |
□ Does not operate (_____) function |
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□ Warning lamp turns ON. □ □ Other (_____) |
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□ Noise (Location:) □ Vibration (Location:) |
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□ Other (_____) |
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First occurrence |
□ Recently □ Other (_____) |
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Frequency of occurrence |
□ Always □ Under certain conditions of □ Sometimes (time(s)/day) |
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Climate conditions |
□ Irrelevant |
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Weather |
□ Fine □ Cloudy □ Rain □ Snow □ Others (_____) |
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Temperature |
□ Hot □ Warm □ Cool □ Cold □ Temperature [Approx. deg. C (deg. F)] |
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Relative humidity |
□ High □ Moderate □ Low |
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Road conditions |
□ Ordinary road □ Highway □ Mountainous road (uphill or downhill) □ Rough road |
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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 |
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Use of other functions (e.g. ICC) |
□ Yes □ No (_____) |
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Presence of non-genuine parts installation |
□ Yes □ No (_____) |
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Memo |
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