Worksheet Sample
| Question sheet | |||||
|---|---|---|---|---|---|
| Customer's name | MR/MS | Registration number | Initial year registration | YearMonth day |
|
| Vehicle type | Chassis No. | ||||
| Storage date | YearMonth day |
Engine | Mileage | km/Mile | |
| Symptom | □ Vehicle does not start (□ R position □ D position □ L position) | ||||
| □ Upshifting does not occur □ Downshifting does not occur | |||||
| □ Lock-up malfunction | |||||
| □ Shift point is too high □ Shift point is too low | |||||
| □ Shift shock (□ N → D□ Lock-up □ R, D and L position) | |||||
| □ Slip (□ N →D□ Lock-up □ R, D and L position) | |||||
| □ Noise□ Vibration | |||||
| When selector lever position is shifted, shift pattern does not change. | |||||
| □ Other () |
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| First occurrence | □ Recently (as from month of year) | ||||
| Frequency of occurrence | □ Always □ Under certain conditions □ Sometimes [ time(s)/day] | ||||
| Climate conditions | Irrelevant | ||||
| Weather | □ Clear□ Cloud□ Rain□ Snow□ Other () | ||||
| Temperature | □ Hot□ Warm□ Cool□ Cold□ Temp. (Approx.°C/°F) | ||||
| Relative humidity | □ High□ Moderate□ Low | ||||
| Transaxle condition | □ In cold-start □ During warm-up (approx. °C/°F)□ After warm-up □ Engine speed: RPM |
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| Road conditions | □ Urban area□ Suburb area□ Highway □ Mountainous road (uphill or downhill) |
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| Operating condition, etc. | Irrelevant □ When engine starts□ During idling□ During driving □ During acceleration□ At constant speed driving□ During deceleration □ During cornering (RH curve or LH curve) |
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| Other conditions | |||||