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Interview Sheet Sample

Interview sheet
Customer name MR/MS Registration number   Initial year registration  
Vehicle type   VIN  
Storage date   Engine   Mileage km (Mile)
Symptom □The steering wheel position (center) is in the wrong position.
□Power steering warning lamp turns on.
□The vehicle pulls to one direction.
□Steering effort fluctuates (□Not smooth□Abruptly□Increased□Decreased)
□Noise□Vibration
□Others
()
First occurrence □Recently□Others ()
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□High way
□Mounting road (uphill or down hill)□Rough road
Steering mode settings Infiniti drive mode selector (), Steering mode setting ()
Operation conditions, etc. □Irrelevant
□When engine starts [Steering wheel angle (°), Tilt level (□High / □Mid /□Low)]
□During driving□At constant speed driving □During idling
□During acceleration□During deceleration
□Traveling straight□During cornering (right curve or left curve)
□During steering [Steering wheel angle (°), Steering speed (□High / □Mid /□Low),
Steering effort (□Heavy / □Light)]
□Fully steered right or left (Road condition:)
Other conditions  
Memo