Vibration

Customer Diagnostic Survey Form

First name*

Last name*

Email*

Vehicle Make & Model

License Number

VIN

Describe the speed at which the problem occurs (vehicle speed in MPH)*

Engine Speed*

If you selected "other", please describe.

The Problem Started*

Odometer Reading

The Problem Occurs*

Have the tires ever been balanced?*

Yes

No

Where any repairs performed prior to the condition occurring?*

Yes

No

Please select the option that best describes the vibration you "feel".*

Please select the option that best describes where you "feel" the vibration.*

If none of the above, please describe where the vibration seems to be coming from.