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Interview sheet sample

WARNING: This page is about a different car, the 2020 Infiniti QX50. However, it is still accessible from the selected car via links, so may be relevant.

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

NoiseVibration

Others

()

First occurrence

RecentlyOthers ()

Frequency of occurrence

AlwaysUnder a certain conditions ofSometimes (time(s)/day)

Climate conditions

Irrelevant

Weather

FineCloudRainSnowOthers ()

Temperature

HotWarmCoolColdTemperature (Approx. deg.C)

Relative humidity

HighModerateLow

Road conditions

Urban areaSuburb areaHigh 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