Interview sheet sample
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Interview sheet |
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Customer name |
MR/MS |
Registration number |
Initial year registration |
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Vehicle type |
VIN |
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Storage date |
Engine |
Mileage |
km (Mile) |
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Symptom |
The steering wheel position (center) is in the wrong position. |
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Power steering warning lamp turns on. |
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The vehicle pulls to one direction. |
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Steering effort fluctuates (Not smoothAbruptlyIncreasedDecreased) |
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NoiseVibration |
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Others () |
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First occurrence |
RecentlyOthers () |
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Frequency of occurrence |
Always Under a certain conditions of Sometimes (time(s)/day) |
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Climate conditions |
Irrelevant |
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Weather |
Fine Cloud Rain Snow Others () |
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Temperature |
Hot Warm Cool Cold Temperature [Approx. deg.C(deg.F)] |
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Relative humidity |
High Moderate Low |
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Road conditions |
Urban area Suburb area High way Mountain road (uphill or down hill) Rough road |
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Steering mode settings |
Infiniti drive mode selector (), Steering mode setting () |
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Operation conditions, etc. |
Irrelevant When engine starts [Steering wheel angle (deg.), Tilt level (High / Mid /Low)] During drivingAt constant speed driving During idling During acceleration During deceleration Traveling straight During cornering (right curve or left curve) During steering [Steering wheel angle (deg.), Steering speed (High / Mid /Low), Steering effort (Heavy / Light)] Fully steered right or left (Road condition:) |
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Other conditions |
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Memo |
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