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Drivability Concern Worksheet Form

Drivability Concern Worksheet

Your Name*

Phone*

Email*

Vehicle Details - Year / Make / Model *

The issue occurs... AlwaysSometimesRarely

Are there Warning Lights On? YesNo

Please List Them

The issue occurs during... First start of the dayAfter sitting a few hoursLight to medium accelerationHard accelerationCruisingDecelerationBrakingTurningWhen in 4WDAir Conditioning onHot daysHumid / rainy daysCold daysVery Cold Days

Please select all that apply.

Did the issue occur... SuddenlyGraduallyRecentlySince I got the vehicleAfter an abnormal occurrence (ex. pot holes, curb impact, etc.)Other

Please select all that apply.

At what "engine" temperature does the issue occur ColdWarmHot

Please check all that apply.

Does the engine "crank"? YesNo

Does the engine start? YesNo

If yes, how long does it take to start? Starts NormalSeems to take a bit longerCranks over for 10 plus secondsGas Pedal to the Floor

Is the vehicle equipped with a remote starter system? YesNo

Is the engine idle... RoughUnsteadyLowHighSurging

Does the engine quit immediately after starting? YesNo

Please describe the vehicle's engine performance problem(s). Hesitates or stalls on accelerationStalls on deceleration or quick stopsLacks powerMisses under load'Pings' or 'knocks'Backfires (popping noise)Speed changes without touching acceleratorCheck Engine Light Is FlashingOther

Please select all that apply.

Is the issue evident now? YesNo

Can you recreate the concern if required for the tech? YesNo

Does the issue occur when the gear is in... P (park)R (reverse)N (neutral)D (Drive)

Please select all that apply.

Between what gear position(s) does the issue occur? 1 and 22 and 33 and 4 (overdrive)

Please select all that apply.

Did this happen shortly after something was done to the vehicle? YesNo

Please explain what was done to the vehicle.

Have you done any repairs to try and correct this concern? YesNo

Please explain what was done

Additional Information if Required

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ADCO Tire & Auto Inc
655 Vinden Street Midland,
ON L4R 1A1

Phone: 705-526-2213

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Drivability Concern Worksheet

Request AnAPPOINTMENT

Call Us705-526-2213