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Sample Form: چک‌لیست بازرسی خودرو

برای کارشناس یا ناوگان: وضعیت هر بخش، عکس و کیلومتر؛ مناسب تبلت در محل.

6 questions · Free up to 50 responses a month

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About this template

“چک‌لیست بازرسی خودرو” has 6 questions; 4 are required and 2 optional. Question types: License plate (1), Number (1), Single-choice matrix (1), File upload (1), Long text (1), Signature (1). The matrix question “وضعیت” rates 6 items on a 3-point scale from “سالم” to “معیوب”.

In the online version of this template

  • Attached files are stored with the response.
  • Signatures are drawn on the phone or computer screen.
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Questions in this template

  1. 1.

    پلاک *

    (License plate)
  2. 2.

    کیلومتر *

    (Number)
  3. 3.

    وضعیت *

    (Single-choice matrix)

    Items: لاستیک، ترمز، روغن، چراغ‌ها، بدنه، شیشه

    Scale: سالم، نیاز به توجه، معیوب

  4. 4.

    عکس‌ها

    (File upload)
  5. 5.

    یادداشت کارشناس

    (Long text)
  6. 6.

    امضای کارشناس *

    (Signature)

Printable or online?

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you
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Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too
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How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “چک‌لیست بازرسی خودرو”.
  3. Change the questions as you like, publish the form and send the link.

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