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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.
□ EPS warning lamp turns on.
□ 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
Operation conditions, etc. □ Irrelevant
□When engine starts □During idling
□During driving □During acceleration □At constant speed driving
□During deceleration □During cornering (right curve or left curve)
□During steering
Other conditions  
Memo