Interview Sheet Sample

WARNING: This page is about a different car, the 2019 Nissan Armada and 2018 Nissan Armada. 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 turns ON. □ or ? or ? ? □ Other (____)
		□ Noise (Location: ____) □ Vibration (Location: ____)
		□ 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		□ Ordinary road □ Highway □ Mountainous road (uphill or downhill) □ Rough road
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)
Other conditions	VDC OFF switch operation	□ Yes □ No
	Use of other functions (ex. ICC)	□ Yes □ No (______)
	Presence of non-genuine parts installation	□ Yes □ No (____)

Memo