Driveability Worksheet

 

Print, fill out and bring to First Choice Automotive.

Customer Name: _______________________ Date: __________ Repair Order # __________ Rep: ____________
 
Starting Problems: Cranks but won't start WIll not crank Starts, but takes a long time
Engine quits / Running Problems:
Quits:
Right after starting While idling When parking During acceleration
  When put in gear During steady speed driving Right after vehicle comes to a stop
Poor idling conditions:
Idle Speed:
Is too slow at all times Is too slow with A/C on Is rough or uneven
  Is too fast Fluctuates up and down
Poor running condition: Runs rough Lacks Power Back-fires Bucks and jerks
Fuel, gas or sulfur smell Engine light on sometimes Engine light always on
Misfires or cuts out Poor fuel economy Engine knocks, pings, rattles
Dieseling or run-on Surges and / chuggles Hesitates or stumbles on acceleration
Auto-transmission problems: Improper shifting (early / late) Changes gears randomly on it's own
Vehicle does not move when in gear
Poor handling: Pulls to one side Hard steering Vehicle shakes and/or vibrates while moving
Noise problems: (explain) ________________________________________________________________________
Odor problems: (explain) _________________________________________________________________________
Problem frequency: Always Often Occasionally
Usually occurs: Morning Afternoon Evening
Engine temperature: Cold Warm Hot
Vehicle speed: Low Cruising High
Driving Conditions: Short - less than 2 miles Less than 10 miles Long - more than 10 miles
During Occurrence: Stop and go While turning While braking At gear engagement
  With A/C operating With headlights on During acceleration During decceleration
  Rough road Mostly uphill Mostly downhill Mostly level Mostly curvy
Driving habits: Drive hard before engine is warmed Allow engine to warm
  Mostly city driving Highway Park vehicle inside Park vehicle outside
Outside weather: Cold Warm Hot Wet/rainy Fog Snow/hail Dust/dirt Dry Humid
Additional notes and comments:
 
 
 
901 County Line Road Huntingdon Valley, PA 19006 ~ MON-FRI: 8AM-5:30PM SAT: By Appointment
Phone: (215) 953-1034 ~ Fax: (215) 396-7976 ~ Call: (215) 355-6111 for our 24 Hour Towing