Starting Problems

__Cranks, But Won't Start   __Will Not Crank   __Starts, but Takes a Long Time

Engine Quits/

Running Problems

QUITS:        __Right after Starting        __While Idling         __When Parking
                   __During Steady Speed Driving    __Right after Vehicle Comes to a Stop
                   __When Put in Gear                               __During Acceleration

Poor Idling Conditions

Idle Speed:          __Is Too Slow at All Times                     __Is too Slow With A/C On
                            __Is Rough or Uneven       __Is Too Fast       __Fluctuates Up and Down

Poor Running Condition

__Runs Rough            __Lacks Power                 __Back-Fires                   __Bucks and Jerks
__Fuel, Gas, or Sulfur Smell    __Engine Light on Sometimes    __Engine Light Always On
__Misfires or Cuts Out     __Poor Fuel Economy              __Engine Knocks, Pings, Rattles
__Dieseling or Run-On __Surges and/or Chuggles __Hesitates or Stumbles on Acceleration

Auto-Transmission Problems

__Improper Shifting (Early / Late)                      __Changes Gears Randomly On It's Own
__Vehicle Does Not Move When in Gear

Poor Handling

__Pulls to One Side             __Hard Steering    __Vehicle Shakes and / or Vibrates While Moving

Noise Problems

Explain:

Odor Problems

Explain:

Problem Frequency

__Always                                __Often                                   __Occasionally

Usually Occurs

__Morning                              __Afternoon                            __Evening

Engine Temperature

__Cold                                    __Warm                                  __Hot

Vehicle Speed

__Low                                     __Cruising                             __High

Driving Conditions During Occurence

__Short- Less Than 2 Miles          __Less Than 10 Miles         __Long -More Than 10 Miles
__Stop and Go Mile Turning              __While Braking
__At Gear Engagement                      __With A/C Operating           __With Headlights On
__During Acceleration                        __During Deceleration        __Rough Road
__Mostly Uphill     _Mostly Downhill                 __Mostly Level       __Mostly Curvy

Driving Habits

__Drive Hard Before Engine is Warmed         __Allow Engine to Warm
__Mostly City Driving           __Highway             __Park Vehicle Inside          __Outside
Drive Per Day: __Less Than 10 Miles             __10-50 Miles        __More Than 50 Miles
Fuel Octane: __87               __89        __91        Brand:

Do You Maintain Your Vehicle Regularly?

If Yes When was the Last Maintenance Performed?

Outside Weather

__Cold   __Warm __Hot       __Wet/Rainy           __Fog      __Snow/Hail          __Dust/Dirt

__Dry      __Humid