Interview Sheet Sample

WARNING: This page is about a different car, the 2018 Infiniti Q60. However, it is still accessible from the selected car via links, so may be relevant.

Interview sheet
Customer name	MR/MS	Registration number	Initial year registration
		Vehicle type	VIN
Storage date	Engine, Traction motor		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. deg.C (deg.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 traction motor 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
Vehicle equipment
Memo