Customer’s name

Date of purchase

Date of repair

Transmission model

Transmission

V.I.N.

Odometer reading

km (miles)

Frequency

Continuous      Intermittent (         times a day)

Weather

Fine      Cloudy      Rainy      Snowy

Others

(                                )

Place

Highland      Suburbs      Inner city      Uphill      Rough road

Others

(                                )

Ambient air temperature

Hot      Warm      Cool      Cold

Vehicle speed

km/h (MPH)

AT warning light (ATF temperature warning light)

Blinks continuously

Does not blink

Select lever position

P      R      N      D      SPORT mode

Driving condition

Not affected

At racing

While decelerating

At starting

While accelerating

While turning ( RH/ LH)

While idling

While cruising

SPORT mode

ON OFF

Symptom

No up-shift

No down-shift

No kick down

Vehicle does not move ( Any position      Particular position)

Lock-up malfunction

Noise or vibration

Shift shock or slip

Select lever does not move

Others

(                                )