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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Warning lamp turns ON. |
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NoiseVibration |
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Others () |
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First occurrence |
RecentlyOthers () |
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Frequency of occurrence |
AlwaysUnder certain conditions 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, 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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