Engine Drivability Customer Diagnostic Survey Allow us to expedite the repair of your vehicle in a more timely manner: Engine Drivability Customer Diagnostic Survey Form * Customer Name: * Date: R/O# * Year: *Make: * Model: * LIC# The Concern Occurs (All That Applies) *AlwaysSometimesRarely * Check Engine Light:OnOff Driving Performance Engine idles rough/unsteadyEngine idles too fastHesitatesStallsLacks PowerMisfiresPings or KnocksRuns on after key is turned offBackfires (popping noise)Speed changes without touching accelerator Fuel Mileage Changed: Other: When the concern occurs * Light to medium accelerationHard accelerationDecelerating (Foot off accelerator)Cruising (constant or highway speed)Braking slowlyBraking suddenlyTurning Other: Air Conditioning OnOff Engine Temperature: ColdWarmHot Outside Temperature: ColdModerateHotWetDry Concern Started (All That Applies) (date/ODO) Since the vehicle was newSince the vehicle was serviced lastImmediately after fueling Type of Fuel Used * RegularMid gradePremium Brand of Fuel: Date Filled up: Driving Habits Are the principal driver?YesNo Drive hard before engine warm? YesNo Allow the engine to warm Mins Vehicle Parked:InsideOutside Driving:CityHighway Drive less than 15km or 15 mins/dayDrive 15-18km or 15-60 mins/dayDrive more than 80km or 1hr/day Additional Comments FacebookTwitterGoogle+LinkedInPin It
