Interview Sheet Sample

2015 Nissan-Datsun Juke SL, 4WDSECTION Interview Sheet Sample
Interview sheet
Customer name MR/MS Registration number   Initial year registration  
Vehicle type   VIN  
Storage date   Engine/traction Motor   Mileage km (Mile)
Symptom □ Does not operate () function
□ Warning lamp turns ON.
□ or □ or □□
□ Other ()
□ Noise (Location:) □ Vibration (Location:)
□ 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 □ Ordinary road □ Highway □ Mountainous road (uphill or downhill) □ Rough road
Operating condition, etc. □ Irrelevant
□ When engine/traction motor starts □ During idling
□ During driving □ During acceleration □ At constant speed driving
□ During deceleration
□ Immediately before stop [Vehicle speed: Approx. km/h (MPH)]
□ During cornering (right curve or left curve)
□ When steering wheel is steered (to right or to left)
Other conditions VDC OFF switch operation □ Yes □ No
Use of other functions
(ex. ICC)
□ Yes □ No ()
Presence of non-genuine parts installation □ Yes □ No()
 
Memo
RENDER: 1.0x

NO RELATED

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When to See a Mechanic

Stop DIY work and contact a certified mechanic immediately if any of the following apply:

  • You smell fuel, burning insulation, or see smoke.
  • Brakes feel soft, pull hard to one side, or make grinding noises.
  • The engine overheats, stalls repeatedly, or misfires under load.
  • You are missing required tools, torque specs, or safe lifting equipment.
  • You are not confident in the next step or safety outcome.