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DRIVABILITY

Customer Name: _________________

Date:____________ RO#: __________

Please check all applicable boxes and fully describe the condition that applies to your vehicle:

1. THIS IS THE PROBLEM

2. IT OCCURS AS FOLLOWS

__ Hard starting
__ Engine cranks
__ No crank
__ Idle is rough
__ Idle is high
__ Idle fluctuates
__ Engine hesitates or stumbles
__ Engine backfires or makes popping noise
__ Engine missfires or skips
__ Poor MPG
_________ MPG before ________ MPG now
__ Other, please describe ___________________
_________________________________________

The problem occurs


__ Always
__ Sometimes (once or twice a week)
__ Rarely ( once or twice a month)
__ Just started
__ Has happened since the car was new

2. CHECK ENGINE LIGHT IS ON

Outside temperature was


__ Cold
__ Warm
__ Hot
__ Humid or raining
__ Other, please describe ___________________
_________________________________________

__ Check engine light is on


__ Check engine light was on during the past
month
__ Check engine light goes on and off
What was the last service performed on the car?
_________________________________________
Has the check engine light been on before?
__ Yes __ No
If so, when? __________________________date

Engine temperature
__ Cold
__ While warming up
__ Normal operating temperature
__ Hot

__ All of the above

Driving conditions
__ Accelerating
__ Hard __ Medium __ Light
__ Decelerating
__ Cruising
__ Cornering

Additional Information__________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

__________

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