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 for () turns ON. | |||||
| □ Noise□ Vibration | |||||
| □ Other () |
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| 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 | □ Urban area □ Suburb area □ Highway □ Mountainous road (uphill or downhill) □ Rough road |
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| Operating condition, etc. | □Irrelevant □When traction motor 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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| Other conditions | |||||
| Vehicle equipment | |||||
| Memo | |||||