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 |
Vehicle does not enter 4WD mode. |
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4WD warning lamp turns on. |
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Heavy tight-corner braking symptom occurs |
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NoiseVibration |
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Others (_____) |
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First occurrence |
Recently Others (_____) |
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Frequency of occurrence |
AlwaysUnder a certain conditions of Sometimes (time(s)/day) |
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Climate conditions |
Irrelevant |
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Weather |
FineCloudRainSnowOthers (_____) |
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Temperature |
HotWarmCoolColdTemperature [Approx. deg. C (deg.F)] |
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Relative humidity |
HighModerateLow |
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Road conditions |
Urban areaSuburb areaHigh way Mounting road (uphill or down hill)Rough road |
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Operation conditions, etc. |
Irrelevant When engine startsDuring idling During drivingDuring accelerationAt constant speed driving During decelerationDuring cornering (right curve or left curve) |
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Other conditions |
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Memo |
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