Please fill out the following form as thourough as possible so we have the best idea possible what is wrong:

Name

Phone Number

Year/Make/Model

Miles:

When did the problem first occur?
Please Select Just Started Last Week Last Month Over a Month

Is it a Starting Problem?
Please Select Will Not Crank Cranks but Will Not Start Starts but Takes a Long Time

Engine Quits or Stalls?
Please Select Right After Starting When Put Into Gear During Steady Speed Driving Right After Vehicle Comes to Stop When Idling During Acceleration When Parking

Poor Idling?
Please Select Is Too Slow at Times Is Too Fast at Times Intermittently Fast or Slow Is Rough or Uneven Fluctuates Up and Down

Poor Running Conditions?
Please Select Runs Rough Lacks Power Bucks and Jerks Poor Fuel Economy Hesitates or Stumbles on Acceleration Backfires Misfires or Cuts Out Engine Knocks, Pings, Rattles Surges Dieseling on Run-On

Auto Transmission Problems?
Please Select Improper Shifting (Early/Late) Changes Gears Incorrectly Vehicle Does Not Move When in Gear Jerks or Bucks

Usually Occurs?
Please Select Morning Afternoon Anytime

Engine Temperature?
Please Select Cold Warm Hot

Driving Conditions During Occurrence?
Please Select Short - Less Than Two Miles 2 - 10 Miles Long - More Than 10 Miles Stop and Go While Turning While Braking At Gear Engagement With A/C Operating With Headlights On During Acceleration During Deceleration Mostly Downhill Mostly Uphill Mostly Level Mostly Curvy Rough Road

Driving Habits?
Please Select Mostly City Driving Highway Park Vehicle Inside Park Vehicle Inside

How Many Miles Per Day?
Please Select Less Than 10 Miles 10-50 Miles Over 50 Miles

Gasoline Used?
Please Select 87 Fuel Octane 89 Fuel Octane 91 Fuel Octane More Than 91 Fuel Octane

Temperature When Problem Occurs: Check Engine Light/Dash Warning Light?
Please Select 32-55 F Below Freezing 32 F Above 55 F Light On Sometimes Light On Always Light Never On

Smells?
Please Select Hot Gasoline Oil Burning Electrical

Noise?
Please Select Rattle Knock Squeak Other

Please list any service your vehicle has had in the last six months, along with any other information you can provide.