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Engine Driveability - Client Questionnaire

Thank you for choosing Gearhead Automotive! The more detail you can share about your vehicle's concern, the less time our technician spends tracking it down — and the less it costs you. Please fill this out as completely as you can before your appointment.

About You And Your Vehicle

Your Name

Best Phone Number

Email Address

Vehicle

Approximate Kilometers

Are You The Primary Driver Of This Vehicle?

A
B

Describe Your Concern

In Your Own Words, What Is Your Vehicle Doing?

How Often Does This Happen?

A
B
C
D

Starting and Warning Lights

Answer What Applies - Skip Anything That Doesn't Relate To Your Concern(s)

When You Turn The Key / Press Start, Does The Engine Crank?

A
B

Does The Engine Actually Start And Run?

A
B

Does The Engine Stall Or Die Shortly After Starting?

A
B

Is Your Check Engine Light On, Or Has It Been On Recently?

A
B
C
D

Have The Diagnostic Codes Been Cleared Recently?

Clearing codes erases history our technicians need for testing.
A
B
C
D

Are There Any Other Warning Lights On?

A
B

Is The Vehicle Equipped With A Remote Starter?

A
B

Is The Vehicle Equipped With An Aftermarket Alarm System?

A
B

When Does This Concern Happen?

This Concern Happens During: Check All That Apply

A
B
C
D
E
F
G
H
I
J
K
L

The Concern Happens Most When The Outside Temperature Is?

A
B
C
D

The Concern Happens Most When The Engine Is:

A
B
C
D

In What Weather Does This Concern Happen?

A
B
C
D

What Does It Feel Or Sound Like?

Check Everything That Describes Your Concern (Check All That Apply)

A
B
C
D
E
F
G
H
I
J
K
L

History & Fuel

When Did This Concern First Start Happening?

A
B
C
D

Any Additional Details About When It Started?

What Type Of Fuel Do You Normally Use?

A
B
C
D
E
F

Where Do You Usually Fill Up?

Roughly When Did You Last Fill Up?

A
B
C
D

Has This Vehicle Been To Another Shop or Place For This Same Concern?

A
B
C
D

What Work Was Done Or Diagnosed?

Has This Vehicle Had Performance Modifications Or Software / Delete Tuning?

A
B
C

Is There Anything Else You'd Like Our Technician To Know?