Worksheet Sample

WARNING: This page is about a different variant/trim than selected.

Question Sheet
Customer name MR/MS		Engine #	Manuf. Date
Incident Date			VIN
Model & Year	In Service Date
Trans.	Mileage		km/Mile
Symptoms		Vehicle does not move (Any position Particular position)
		No upshift (1GR -> 2GR 2GR -> 3GR 3GR -> 4GR 4GR -> 5GR 5GR -> 6GR 6GR -> 7GR)
		No downshift (7GR -> 6GR 6GR -> 5GR 5GR -> 4GR 4GR -> 3GR 3GR -> 2GR 2GR -> 1GR)
		Lock-up malfunction
		Shift point too high or too low
		Shift shock or slip
		Noise or vibration
		No kick down
		No pattern select
		Others

Frequency		All the time	Under certain conditions		Sometimes (times a day)
Weather conditions	Not affected
Weather		Fine	Clouding	Raining	Snowing	Other ()
Temp.		Hot	Warm	Cool	Cold	Temp. Approx. deg.C/ deg.F
Humidity		High	Middle	Low
Transmission conditions		Not affected
		Cold	During warm-up		After warm-up
		Engine speed (rpm)
Road conditions		Not affected
		In town	In suburbs	Freeway	Off road (Up/Down)
Driving conditions		Not affected
		At starting	While idling	While engine racing		At racing	While cruising
		While accelerating		While decelerating		While turning (Right/Left)
		Vehicle speed [ km/h (MPH)]
Other conditions