FixVault

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 km (Mile)
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. °C (°F) ]
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