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Name (required)

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Address

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Vehicle Make

Year

Model

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License Plate

Mileage

SERVICES

Oil & Filter Change

Tire Rotation

Alignment

Brake/Inspect

Battery/Inspect

Flat Tire/Low Pressure

Tires

Wipers

Shock/Strut

Transmission

Belts & Hoses

Fluid Leaks

Cabin Filter

Tire Balancing

Engine Light

Engine Air Filter

Warning Dash Light

Head/Tail Lights

30/60/90 Schedule Maintenance

Timing Belt

Other/Noise/Odor

SYMPTOMS (Check all that apply)

Hard to start

Will not start

Start but stalls

Pings or knocks

Idle speed is unsteady

Idle speed is too high

Vibrations

Pulsations

Grinding

Hesitates or stalls on acceleration

Stalls on deceleration or quick stop

Continues to run after turned off

Backfires

Speed changes for no reason

Poor Gas Mileage (MPG)

Odor

Leak

SYMPTOMS OCCUR

Accelerating

De-accelerating

Cruising

Braking

Speed

SYMPTOMS OCCUR WHEN ENGINE IS

Cold

Warming Up

Normal

Hot

All Temps

SYMPTOMS OCCUR DURING

Sometimes

All the time

Low Speed

Higher Speeds

Other

THE SYMPTOMS STARTED

Suddenly

Gradually at (mileage)

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Description


	VIDEO INDEX	Click URL To Copy & Paste Video
AC Service
Alignment
Battery Service
Brake Fluid
Brakes
Cabin Filter
Coolant
Differential Fluid
Engine Air Filter
Evap Service
Fuel Injection
Steering Fluid
Shock/Struts
Tire Balance
Transmission Fluid
Worn Tires