Customer Diagnostic Worksheet

CUSTOMER DIAGNOSTIC WORKSHEET

To assist us in making a fast and accurate diagnosis of your vehicle’s condition, we ask that you complete the following:
Engine Driveability
Symptom When does it occur?
⁭no crank, no start ⁭When the vehicle is not moving (engine is idling)
⁭engine cranks (starter operates) but won’t start ⁭After the vehicle is parked for several hours
⁭hard starting (but does start) ⁭During acceleration deceleration while turning
⁭idle is rough Does it ⁭ hard ⁭ medium ⁭light
⁭idle is too high/low/surges During braking
⁭engine hesitates or stumbles or cuts out Does it ⁭ hard ⁭ medium ⁭light
⁭engine pings or knocks ⁭Other ____________________________________
⁭engine light/malfunction indicator light
(MIL)/service engine soon on or flashing
⁭speed fluctuates without using the accelerator Engine temperature at
⁭engine backfires (popping noise) ⁭Cold ⁭warm-up ⁭normal ⁭all the time
⁭poor gas mileage _______mpg_______ use to be ⁭Other ____________________________________
⁭other ___________________________________________
____________________________________ Weather conditions
What type of fuel? ⁭Only on hot days ⁭only on cool or cold days
Regular mid-grade premium ⁭Only when wet/rainy ⁭other ________________
What brand of fuel? ______________________ How often does it occur?
At what speed does it occur? __________mph ⁭Always ⁭sometimes ⁭rarely
At what engine speed (RPM)?__________rpm
When did the incident start occurring?

Transmission ⁭automatic ⁭ manual

Vehicle does not shift properly ⁭When the vehicle is not moving (engine is idling)
⁭A sharp shock during shift ⁭vibration during ⁭After the vehicle is parked for several hours
shift ⁭During acceleration deceleration while turning
⁭Slippage, engine speed ⁭shift is delayed Does it ⁭ hard ⁭ medium ⁭light
increases (shift speed too high) During braking
⁭Will not shift at all ⁭shift is slow Does it ⁭ hard ⁭ medium ⁭light
⁭Transmission malfunction between gears Other ____________________________________
Light is on
⁭Unusual noises- please describe: whine, rattle,
growl, clunk, etc. (see next page for definitions) Engine temperature at
_______________________________________ ⁭Cold ⁭warm-up ⁭normal ⁭all the time
Will not shift into over drive ⁭Other ____________________________________
⁭Oscillates in and out of overdrive ___________________________________________
⁭Other __________________________________ Weather conditions
When does it occur? ⁭Only on hot days ⁭only on cool or cold days
When the gear selector is in: ⁭Only when wet/rainy ⁭other ________________
⁭P ⁭R ⁭ N ⁭D ⁭OD ⁭ S ⁭ L How often does it occur?
Manual shift mode ⁭Always ⁭sometimes ⁭rarely
When gear selector moves from: When did the incident start occurring?
⁭P/N to R ⁭P/N to D At what speed does it occur? __________mph
When shifting: At what engine speed (RPM)?__________rpm
⁭1&2 ⁭2&3 ⁭3&OD ⁭Other
When Overdrive switch is:
⁭On ⁭Off ⁭Both
Heating and Air Conditioning (HVAC)
Automatic Air Conditioning ⁭When the vehicle is not moving (engine is idling)
⁭Low/no heat ⁭After the vehicle is parked for several hours
⁭Low/no cold air ⁭During acceleration deceleration while turning
⁭Defrosting issues Does it ⁭ hard ⁭ medium ⁭light
⁭Noises During braking
⁭Uneven/incorrect air distribution Does it ⁭ hard ⁭ medium ⁭light
Other ____________________________________
Manual Air Conditioning
⁭Low/no heat
⁭Low/no cold air Engine temperature at
⁭Defrosting issues ⁭Cold ⁭warm-up ⁭normal ⁭all the time
⁭Noises ⁭Other ____________________________________
⁭Uneven/incorrect air distribution ___________________________________________
Weather conditions
Where is the air coming from or not from? ⁭Only on hot days ⁭only on cool or cold days
Please circle the vents with issues: ⁭Only when wet/rainy ⁭other ________________
How often does it occur?
⁭Always ⁭sometimes ⁭rarely
At what speed does it occur? __________mph
At what engine speed (RPM)?__________rpm
At what control setting does it occur? __________
Electrical
What system is having the problem? ⁭When the vehicle is not moving (engine is idling)
I.e.: wipers, radio, lights, cruise control, wipers, ⁭After the vehicle is parked for several hours
windows, locks, etc.________________________ ⁭During acceleration deceleration while turning
Symptom Does it ⁭ hard ⁭ medium ⁭light
⁭System will not turn on/off During braking
⁭System is completely inoperative Does it ⁭ hard ⁭ medium ⁭light
⁭Other Other ____________________________________
___________________________________
What type of noise if any? (see definitions below)
⁭Hum ⁭Hiss ⁭Whine ⁭Pop ⁭Click ⁭Rumble Engine temperature at
⁭Whistle ⁭Cold ⁭warm-up ⁭normal ⁭all the time
⁭Other ⁭Other ____________________________________
___________________________________ ___________________________________________
Location of noises: ________________________ Weather conditions
⁭Only on hot days ⁭only on cool or cold days
⁭Only when wet/rainy ⁭other ________________
⁭Always ⁭Sometimes ⁭Rarely
⁭Ever since: ⁭Always ⁭sometimes ⁭rarely
_______________________________ When did the incident start occurring?
⁭Problem just started At what speed does it occur? __________mph
⁭Other At what engine speed (RPM)?__________rpm
___________________________________
Any other conditions when the problem occurs or gets worse? (Please be specific)
________________________________________________________________________
________________________________________________________________________
Client’s name and phone number: __________________________________________

Year, make, and model of vehicle: __________________________________________
Has any work or service been performed on the vehicle recently? ⁭Yes ⁭No If so,
what was done?
________________________________________________________________________
Definitions of noise:
Boom A sound like a drum roll or distant thunder
Buzz Like a bumble bee
Click A light sound like a ball point pen being clicked
Clunk A metal to metal sound like a hammer striking steel
Creak Like walking on an old wooden floor
Grind An abrasive sound, like a grinding stone
Growl A low sound, like an angry dog
Hiss The sound that a leak in a tire makes
Hum A low pitch steady sound like the note of an organ
Knock Like a knock on a door
Pop A sound like opening a bottle of champagne
Rattle Like shaking a baby rattle
Rumble A low pitch sound like a bass or kettle drum roll
Squeak Like tennis shoes on a clean floor
Squeal A high pitch sound like finger nails against a chalk board
Thump Heavy, muffled knock noise
Tick Like a clock second hand
Whine A high pitch sound like an electric motor or drill
Whistle A high pitch sound like a note of a flute or piccolo
Wiggy Waggy Just checking to see if you were paying attention

Customer Diagnostic Worksheet

Uploaded by

Copyright:

Available Formats

Customer Diagnostic Worksheet

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Customer Diagnostic Worksheet

Uploaded by

Copyright:

Available Formats

CUSTOMER DIAGNOSTIC WORKSHEET

Transmission ⁭automatic ⁭ manual

Client’s name and phone number: __________________________________________

You might also like