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Diagnostic Work Sheet

Description 

INTERVIEW SHEET SAMPLE 

Interview sheet
Customer name MR/MS Registration number   Initial year registration  
Vehicle type   VIN  
Storage date   Engine   Mileage Mile (km)
Symptom □ Does not operate () function
□ Warning lamp for () turns ON.
□ Noise□ Vibration
□ 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. °F (°C)]
Relative humidity □ High □ Moderate □ Low
Road conditions □ Urban area □ Suburb area □ Highway□ Mountainous road (uphill or downhill) □ Rough road
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)
Other conditions  
Memo