Customer Diagnostic Survey Form
FRONT WHEEL DRIVE ANALYSIS
Client Name: ____________________________ Date: ____________________
Car Make/Model:____________________________ Licence #: ________________
VEHICLE OPERATION THE PROBLEM STARTED
__ Vehicle is not moving (engine running) __Suddenly at ________ (odometer)
__ Vehicle is moving during the following __Gradually at _______ (odometer)
operation(s) __ Just started _______ (odometer)
__ Light to medium acceleration __ Since the vehicle was new
__ Hard acceleration __ After abnormal occurrence (i.e.
__ Deceleration (coast in gear) pot holes, curb impact)
__ Deceleration (coast out of gear)
__ Cruising (constant highway speed) THE PROBLEM OCCURS
__ Braking
__ Turning __Rarely __Sometimes __ Always
__ With vehicle occupants (or heavy load)
NOISE/VIBRATION
SPEED OF VEHICLE Are there any unusual noises?
Describe the speed at which the problem ___ yes ___ no
Occurs:
Vehicle speed ______________ km/h Is there any vibration? __yes __no
Engine speed If yes, please describe the noise
__ Idle __ Medium __ High and/or vibration and where it
seems to be coming from.
ROAD TEST
Describe the speed at which the problem occurs ____________________________
Vehicle speed _____________ km/h
____________________________
Vehicle RPMs ________
Road test indicated the following: ____________________________
__ Engine check
__ Engine accessory check ____________________________
__ Wheel and Tire check
__ Engine Mount check
__ Drive Train check
__ Body check
__ Other