Transmission Concern — Client Questionnaire

Thank You For Choosing Gearhead Automotive! Transmission Concerns Cover Shifting, Slipping, Noises, And How The Vehicle Moves. The Details Below Help Our Technician Understand What's Happening Before Your Vehicle Arrives, Which Saves You Time And Money. Please Fill This Out Before Your Appointment.

About You And Your Vehicle

Approximate Kilometers

Are You The Primary Driver Of This Vehicle?

About The Transmission

What Type Of Transmission Does Your Vehicle Have?

Manual (Has A Clutch Pedal)

In Your Own Words, Describe What Your Transmission Is Doing

If You Can Safely Capture It On A Video — Especially A Clip Showing The Shifter, Dash, Or Speedometer While It Happens — It Helps Our Technician A Lot. Upload It Below If You Can.

Upload A Video Of The Concern (Optional)

How Often Does This Concern Happen?

Rarely - Hard To Reproduce

Sometimes - Happens Every Few Days

Often - Happens Most Drives

Always - Every Time I Drive

Does This Vehicle Regularly Pull A Trailer Or Carry Heavy Loads?

What Is The Transmission Doing?

Which Of The Following Best Describes The Concern? (Check All That Apply)

Slipping - Engine Revs Up But Vehicle Doesn't Accelerate Properly

Harsh Or Hard Shift - Jarring Clunk Between Gears

Delayed Engagement - Hesitation Before The Vehicle Moves After Selecting A Gear

Shifts Too Early - Upshifts At Very Low RPM

Shifts Too Late - Holds A Gear Too Long Before Shifting Up

Won't Shift Out Of A Gear - Stuck In Gear

Shudder During Shift - Vibration Or Shake As It Changes Gear

Torque Converter Shudder - Vibration At Light Throttle While Cruising

Won't Go Into Reverse

No Movement In Any Gear

Unusual Noise During Shifting - Clunk, Bang, Or Grind

Jerking Or Bucking While Driving

Whining Or Humming Noise

Other - See My Description

Which Gears Or Directions Are Affected? (Check All That Apply)

Both Forward And Reverse

Does The Vehicle Move Normally In Reverse?

Yes - Reverse Is Fine

No - Reverse Is Also Affected

Is Your Check Engine Light Or Any Other Warning Light On?

When & Where It Happens

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

The Concern Happens During: (Check All That Apply)

Light To Medium Acceleration

Deceleration - Coasting In Gear

Deceleration - Coasting Out Of Gear

Cruising At Constant Highway Speed

At Low Speed - City Driving

When Fully Warmed Up - Hot

When Cold - First Start

While Towing A Trailer Or Heavy Load

When Shifting Into Drive From Park

When Shifting Into Reverse

Doesn't Seem To Matter

Does It Happen When The Transmission Is Cold, Warm, Or Both?

Cold - First Few Minutes Of Driving

Warm - After Driving A While

Doesn't Seem To Matter

At What Approximate Speed Or Gear Does The Concern Occur? (Optional)

Is It Worse On Any Of These Road Conditions? (Check All That Apply)

Doesn't Seem To Matter

Have You Noticed Any Transmission Fluid Leaks Or Low Fluid?

Yes - Red Or Pink Fluid

When Was The Transmission Fluid Last Serviced?

Within The Last 50,000 km

50,000 - 100,000 km Ago

More Than 100,000 km Ago

Never - It Has Not Been Serviced

I Was Told It Has "Lifetime" Fluid That Never Needs Changing

If You Know The Approximate Mileage Of The Last Service, Enter It (Optional)

When Did This Concern First Start?

It Started Suddenly

It Started Gradually And Has Gotten Worse Over Time

It Has Been There Since I Bought The Vehicle

It Started After A Specific Event - Accident, Repair, Cold Weather

Any Additional Details About When Or How It Started (Optional)

Has This Vehicle Had Any Performance Modifications Or Tuning?

Were Any Repairs Or Changes Made Around The Time This Started?

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

Yes - Friend / Family

Transmission Concern — Client Questionnaire

About You And Your Vehicle

What Is Your Name?

Best Phone Number

Email Address

Vehicle

Approximate Kilometers

Are You The Primary Driver Of This Vehicle?

About The Transmission

What Type Of Transmission Does Your Vehicle Have?

In Your Own Words, Describe What Your Transmission Is Doing

Upload A Video Of The Concern (Optional)

How Often Does This Concern Happen?

Does This Vehicle Regularly Pull A Trailer Or Carry Heavy Loads?

What Is The Transmission Doing?

Which Of The Following Best Describes The Concern? (Check All That Apply)

Which Gears Or Directions Are Affected? (Check All That Apply)

Does The Vehicle Move Normally In Reverse?

Is Your Check Engine Light Or Any Other Warning Light On?

When & Where It Happens

The Concern Happens During: (Check All That Apply)

Does It Happen When The Transmission Is Cold, Warm, Or Both?

At What Approximate Speed Or Gear Does The Concern Occur? (Optional)

Is It Worse On Any Of These Road Conditions? (Check All That Apply)

Fluid & History

Have You Noticed Any Transmission Fluid Leaks Or Low Fluid?

When Was The Transmission Fluid Last Serviced?

If You Know The Approximate Mileage Of The Last Service, Enter It (Optional)

When Did This Concern First Start?

Any Additional Details About When Or How It Started (Optional)

Has This Vehicle Had Any Performance Modifications Or Tuning?

Were Any Repairs Or Changes Made Around The Time This Started?

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

Is There Anything Else You'd Like Our Technician To Know About The Transmission Concern?