Example Of Question Sheet
WARNING: This page is about a different car, the 2015 Infiniti Q70. However, it is still accessible from the selected car via links, so may be relevant.
| Question sheet | ||||||||
|---|---|---|---|---|---|---|---|---|
| Customer's name | MR/MS | Registration number | Initial year registration | Year Month Day | ||||
| Vehicle type | Chassis No. | |||||||
| Storage date | Year Month Day | Engine | Mileage | km | ||||
| Symptom | □Warning lamp activated () □Vehicle not READY □Poor starting □Engine stall □Rough idle □Idling stop does not occur. □Poor driving control □Overheating □Abnormal noise, gear noise □Shock □Vibration (judder) □Slipping □Poor shifting □Fixed shift position □Poor operating feel □Does not shift. □Shifting is heavy. □Gear slipout □Switch malfunction □Driving not possible □Other |
|||||||
| Details of problem | ||||||||
| Noise description | ||||||||
| Date of malfunction | □>From when car is new □Recent (approx. date:, km) | |||||||
| Frequency of occurrence | □Always □Once only □Occasionally (times in past) □Other () | |||||||
| Location of malfunction | □Not applicable □Ordinary road □Expressway □Mountain road (ascending / descending) □Rough road □Flat road □Turning (right / left) □Other () |
|||||||
| Engine speed | □Not applicable □Cold □During warm-up □Warm □Other () | |||||||
| Climate conditions | □Not applicable | |||||||
| Weather | □Clear □Overcast □Rain □Snow □Other () | |||||||
| Temperature | _□Hot □Warm □Cool □Cold □Temp. (approx. °C) | |||||||
| Relative humidity | □ High □ Medium □ Low | |||||||
| Selector lever position | □Not applicable □P □ R □N □D □L □S □3 □2 □1 □ M mode () □1st □2nd □3rd □4th □5th □6th □ 7th |
|||||||
| Condition of shift lever operation | □Not applicable □ AT select () → () □ MT shift operation () → () □Shift-up () → () □Shift down () → () □Other () |
|||||||
| Driving pattern | □Not applicable □At engine start □Idling □ Stopped, D position □Starting from stop □Accelerating □Constant-speed driving □Decelerating □Just before stopping □Just after stopping □Engine stopped □ A/C ON □ P/S turned □Engine driving □Motor driving □Shifting () → () □Cruise control ON □ ECO mode ON □ SPORT mode ON □ SNOW mode ON □Other () |
|||||||
| □ ENG speed: RPM □Vehicle speed: km/h □TH position: | ||||||||
| When is malfunction corrected? | □Is not corrected. □While idling □While engine is running □During motor driving □When ignition is turned OFF □When shift lever is operated □When clutch pedal is operated □Other () |
|||||||
| Other conditions | ||||||||
| Customer comments | ||||||||