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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 mile (km)
Symptom □The steering wheel position (center) is in the wrong position.
□Warning lamp turns ON.
□Noise□Vibration
□Others
()
First occurrence □Recently□Others ()
Frequency of occurrence □Always□Under certain conditions □Sometimes (time(s)/day)
Climate conditions   □Irrelevant
Weather □Fine□Cloudy□Rain□Snow□Others ()
Temperature □Hot□Warm□Cool□Cold□Temperature [Approx.°F (°C)]
Relative humidity □High□Moderate□Low
Road conditions □Urban area□Suburb area□Highway
□Mountain road (uphill or downhill)□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