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Vibration & Ride Quality — Client Questionnaire

Thank You For Choosing Gearhead Automotive! Shakes And Rough Rides Can Come From Several Places — Wheels, Tires, Driveline, Or Suspension. The Details Below Help Our Technician Zero In Fast, Which Saves You Time And Money. Please Fill This Out Before Your Appointment.

About You And Your Vehicle

What Is Your Name?

Best Phone Number

Email Address

Vehicle

Are You The Primary Driver Of This Vehicle?

A
B

What Are You Experiencing?

Which Best Describes What You're Experiencing?

A
B
C
D

In Your Own Words, Describe What You Are Experiencing

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

Upload A Video Of The Concern (Optional)

How Severe Is It?

Barely NoticeableVery Severe

How Often Does It Happen?

A
B
C
D

When & Where It Happens

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

It Happens During: (Check All That Apply)

At Approximately What Vehicle Speed Does It Occur? (Check All That Apply)

Specific Speed Range If You Know It (Optional)

At What Engine Speed (RPM) Does It Occur?

A
B
C
D
E

What Is The Engine Temperature When It Occurs?

A
B
C
D
E

Road Conditions When It Occurs: (Check All That Apply)

History & Tires

When Did This First Start?

A
B
C
D

Additional Details About When Or How It Started (Optional)

Have The Tires Been Balanced Recently?

A
B
C
D

Have The Tires Been Rotated Recently?

A
B
C
D

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

A
B
C

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

A
B
C
D

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