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Front Wheel Drive Analysis
Customer Diagnostic Survey Form
First name
*
Last name
*
Email
*
Vehicle Make & Model
License Number
VIN
It Happens When...
Vehicle Operation
*
Vehicle is not moving (engine running)
Vehicle is moving (please answer "Vehicle Operation (Vehicle in Motion)")
Vehicle Operation (Vehicle in Motion)
Light to Medium Acceleration
Hard Acceleration
Deceleration (coast in gear)
Deceleration (coast out of gear)
Cruising (constant highway speed)
Braking
Turning
SPEED OF VEHICLE
Describe the speed at which the problem occurs (vehicle speed in MPH)
Engine Speed
Please Select
Idle
Medium
High
Engine Speed (RPM)
Road test indicated the following:
Engine Check
Engine Accessory Check
Wheel and Tire Check
Engine Mount Check
Drive Train Check
Body Check
Other
If you selected "other", please describe.
Define The Problem...
The Problem Started
*
Please Select
Suddenly at ____ (odometer reading)
Gradually at ____ (odometer reading)
Just started ____ (odometer reading)
Since the vehicle was new
After abnormal occurrence (i.e. pot hole, curb impact)
Odometer Reading
The Problem Occurs
*
Please Select
Rarely
Sometimes
Always
NOISE/VIBRATION
Are there any unusual noises?
*
Yes
No
Is there any vibration?
*
Yes
No
If yes, please describe the noise and/or vibration and where it seems to be coming from. (Some noises may be accompanied by vibration)
Submit