Interview Sheet Sample

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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 lamp turns on.
		□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. deg. C)
	Relative Humidity	□High □Moderate □Low
Road Conditions		□Urban Area □Suburb Area □Highway □Mountain 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