Driveability Worksheet
Vehicle Information
| Date: | Name: | Invoice Number: |
| Year: | Make: | Engine: |
| Mileage: | Model: | VIN: |
Driveability Symptoms
Please check all symptoms that apply to your vehicle
My vehicle's "Check Engine" light
| Glows steadily | Glows intermittently | Never comes on |
While operating the starter, my vehicle
| Will not crank | Cranks slowly | Cranks normally |
When starting, my vehicle
| Will not
start Starts and dies |
Starts
normally Is difficult to start: |
Hot Cold |
When idling, my vehicle
| Will not
idle Idles rough Surges (up and down) |
Idle
too low Backfires |
Idles
too high Idles normally |
When driving, my vehicle
| Backfires Pings (Spark knock, detonation) Smokes excessively Black Blue White Has a fuel or gas odor Hesitates |
Stumbles Runs too hot Stalls Surges Lacks Power (sluggish) Misses |
Runs
to cold Stalls when slowing or stopping Vibrates excessively Cuts Out |
Other Symptoms
| Transmission
shifts Too soon Too late Normally |
Poor
fuel mileage Other |
Emissions
test failure or rotten egg odor |
Conditions of Occurrence
| Time: Morning Midday Evening Night |
Speed: Idle Low speed Stop and Go Highway (Cruise) High Speed Acceleration Deceleration |
Distance: Less than 2 miles From 2 to 10 miles More than 10 miles Conditions: |
Frequency of Conditions
| Always Intermittently |
Since
New After _______ miles |
Environmental Conditions
| Cold weather Hot weather |
Wet/Raining Snow |
Fog Dirt/Dust |
Engine Conditions
| Engine Cold Engine Hot All Temperatures |
When
Shifting While Turning While Braking |
With Headlights ON With A/C ON |
Driving Habits
Start
cold engine and drive immediately
Start cold engine and allow to
warm up
Mostly
highway driving
Mostly
city driving
Park in garage
Average miles driven per day _____________
Fuel Quality
Type of fuel
used ________________
Octane Rating
87
89
91
Greater than 91
Brand of fuel
__________________
Last fill-up date
______________ Miles _______________