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