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 a certain conditions of Sometimes (time (s)/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 Temperature [Approx. |
deg.C (deg.F)] |
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Relative humidity |
High MODE rate 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 setting |
On Off |
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Use of other functions (ex. ICC) |
Yes No ( |
) |
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Presence of non-genuine parts installation |
Yes No ( |
) |
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Memo |
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