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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 km (Mile)
Symptom □Vehicle does not enter AWD mode.
□AWD warning icon/display is displayed.
□Heavy tight-corner braking symptom occurs
□Noise □Vibration
□Others
(____)
First occurrence □Recently □Others (____)
Frequency of occurrence □Always □Under a certain conditions of □Sometimes (time(s)/day)
Climate conditions   □Irrelevant
Weather □Fine □Cloud □Rain □Snow □Others (____)
Temperature □Hot □Warm □Cool □Cold □Temperature (Approx.°C)
Relative humidity □High □Moderate □Low
Road conditions □Urban area □Suburb area □High way
□Mounting road (uphill or down hill)□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)
Other conditions  
Memo