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Drivability Level 1 Worksheet
To provide a quick, complete and accurate diagnosis of your vehicle our technicians need a thorough description of the problem. Please take a few minutes to complete this worksheet to the best of your ability. The information you provide will be a tremendous aid to the technician.
* Empty Signature
* You must accept
Email (we will keep it completely private)
Please provide the below information about your vehicle.
Vehicle Year
*
Vehicle Make
*
Vehicle Model
*
SYMPTOMS- in your own words:
(Please Print)
*
Are there any other problems or conditions with the car, related or unrelated?
(don't roll the window down, jiggle the key to start etc ... )
*
When was the last time someone worked on your car?
*
What did they do?
(Can you provide an invoice showing what was perfonned?)
*
Did the condition exist before their repair?
*
Yes
No
COMMENTS:
*
My vehicle's "CHECK ENGINE" light
*
Never comes on
Glows steadily
Flashes
Comes on intermittently
Are there any other warnings or indicator lights coming on:
*
None
Brake
Temperature
Traction Control
ABS (Anti-Lock Break System)
SRS (Air Bag)
Oil Pressure
Battery
Coolant
Low Air Pressure
While Starting My Car It:
*
Starts Normally
Starts And Dies
Will Not Crank
Makes A Noise
Cranks Slowly
Other
Explain:
*
While Idling, My Vehicle:
*
Idles Normally
Idles Too Low
Backfires
Will Not Idle
Idles Too High
Idles Rough
Surges (Up & Down)
Other
Explain:
*
Conditions of Occurrence:
TIME:
*
Always
Morning
Midday
Evening
Night
SPEED:
*
Any Speed
Idle
Low Speed
Stop & Go
Highway(Cruise)
High Speed
Acceleration
Deceleration
DISTANCE:
*
Any Distance
Less Than 2 Miles
2 To 10 Miles
More Than 10
ENVIRONMENTAL CONDITION:
*
Any Condition
Cold Weather
Hot Weather
Wet
Other
Explain:
*
Uphill
Downhill
Level Ground
Other
Explain:
*
ENGINE CONDITION:
*
All Conditions
Engine Cold
During Warm Up
Operating temperature
Other
Explain:
*
Does your engine overheat?
*
Yes
No
When does this happen?
*
FUEL QUALITY USED:
Type Of Fuel Used
*
Octane Rating
*
Last Fill Up Date
*
Current Miles
*
The process for diagnostics and repair can become time consuming. Part of that process is being able to reach the customer in a timely manner. Some diagnostic processes can be as high as $364 with the average repair cost being around $600. If you are comfortable with preauthorizing a dollar amount in an effort to speed the repair process forward please fill in an amount below:
I authorize Parkway Automotive services to both diagnose and repair my vehicle not to exceed $ without contacting me further. If the repair cost after diagnostics will exceed the amount preauthorized I request that contact be made before any part is installed.
The diagnosis and repair of my vehicle should not exceed $
Signed:
*
Service advisor
*
*
I accept
Parkway © 2010
Parkway Automotive: 708 Kirk Rd. Little Rock, AR. 72223
Hours of Operation: M-F 7:30- 5:30