Interview Sheet Sample

WARNING: This page is about a different car, the 2018 Nissan Titan XD and 2018 Nissan Titan. 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		□ Does not operate (___) function
		□ Warning lamp for (___) turns ON.
		□ Noise □ Vibration
		□ Other (___)
First occurrence		□ Recently □ Other (___)
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 (°F)]
	Relative humidity	□ High □ Moderate □ Low
Road conditions		□ Urban area □ Suburb area □ Highway □ Mountainous road (uphill or downhill) □ Rough road
Operating condition, etc.		□ Irrelevant □ When engine starts □ During idling □ During driving □ During acceleration □ At constant speed driving □ During deceleration □ During cornering (right curve or left curve) □ When steering wheel is steered (to right or to left)
Other conditions
Memo