Repair Section
2
–
95
(1) Questionnaire
Q002316E
CRS Troubleshooting Questionnaire
Vehicle Model
Previous Vehicles Driven:
Other Customer Information
Indications from the Customer
Questioning
Results
System Conditions
Driving Conditions
Road Surface
Other
Frequency of Occurrence
MIL Illumination No / Yes ( )
Main Area and Purpose of Use
Receiving Date
Date Registered
Occurrence Date
Service History
No / Yes ( times)
Registration No.
Odometer Reading
Frame No.
Occurrence Speed
( ) km/hr
Shift Position
( ) Range
At Start-Up
Directly after Start-Up
Up to ( ) Minutes after Start
Up to ( ) Minutes into Driving
When Cold
When Warm
During Operation
Other ( )
During Take-Off
While Cruising
When Accelerating
When Decelerating
When Braking
When Turning
When Stopped
No Relationship
Other ( )
Flat
Uphill
Downhill
Dry, Sealed road
Wet, Sealed Road
Unsealed Road or
Rough Road Surface
Snow-Covered or Icy Road
Potholes, Manholes, etc.
Other ( )
Accelerator
Opening
( ) %
Outside Air
Temperature
( ) C
Weather
( )
Normal
Only Once
Occasionally
( ) Times per Day
( ) Times per Week
( ) Times per Month
Reoccurrence
Conditions
Occurs Regularly
Occurs Occasionally
Continues to Appear
After One Occurrence
Does Not Reoccur
Malfunction Details: Time of occurrence, place and driving conditions during reoccurrence.
Fuel Pressure when Engine is Stopped
1 Minute after Turning Engine OFF
DTC Normal
Abnormal DTC (All Codes)
Illuminated
No Yes
DTC Check
Inspection
Results
Additional Items
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