AC form

1. Does A/C system cool OK? Yes
Sometimes
No

2a. Does the fan/
blower work? Yes No

2b. Does the fan/
blower work,
At All Speeds? Yes No

3. Is the fan/blower noisy: Yes No

4. Do all the dash
controls work OK? Yes No

5. Do the vent, heater
and defroster work OK? Yes No

6. Is A/C noisy
when turned on? Yes No

7. Does car stall or idle
funny, when A/C is on? Yes No

8. Does your car overheat? Yes No

9. Has the A/C filter/dryer
ever been replaced? Yes No

10. When was the A/C
system serviced last?

11. Does AC or heater smell? Yes No

12. Other problems:

13. Comments: