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Noise / Vibration Concern Worksheet Form

Noise / Vibration Concern Worksheet Form

Your Name*

Phone*

Email*

Vehicle Details - Year / Make / Model *

The Concern Occurs AlwaysSometimesRarely

Is this a Noise or Vibration Concern NoiseVibrationBoth

At what speed does the Concern occur? In km/h

When did you notice the concern? SuddenlyGraduallyRecentlySince a service or repair was done

Suddenly? Gradually? Recently? Since New? After an abnormal instance (ex. Pot holes, curb impact, etc)?

If since a previous service or repair, please describe what was done.

When does the concern occur? Light to medium accelerationHard accelerationDecelerationCruising (consistent speed)BrakingTurningIn reverseFirst thing in the morningNormal roadDriving in a parking lotRough roadGoing over bumpsWet roadWith vehicle occupantsCold weather

Please check all that apply.

Where is it felt / heard? Front Of VehicleRear Of VehicleSteering WheelFloorSeatMirrorsInstrument Cluster (Dash)ConsoleBrake PedalClutch PedalAccelerator PedalGear Shift Lever

Please check all that apply.

Which type of noise fits your concern? Engine NoiseBrake NoiseVibration NoiseWind NoiseSuspension NoiseInstrument Panel NoiseInterior Noise

Describe the noise Bang (Any brief, loud and sharp sounds almost like a gun firing.)Buzz (A constant sound that can also be felt through the steering wheel or vibrations through the floor.)Click (A light sound, like a ball-point pen being clicked.)Clunk (An abrasive sound, like a grinding stoned.)Grind (A harsh metal-on-metal scraping noise.)Hiss (It sounds like air or steam escaping from somewhere.)Rattle (The same sound as marbles rolling around in an empty can.)Thump (A loud dull noise)Tinging (A high pitch tone)Squeak (A short shrill cry or noise)Whine (A drawn out higher-pitched noise that usually changes with engine speed.)Wind Noise (A 'whoosh' type of noise)Rhythmic Clunk, Bang, Tap or SquealGrowl (A low sound, like an angry dog)Knock (Like a knock on a door)Hum (Like a wire humming in the wind)Boom (A sound like a drum roll or distant thunder)Boom (A sound like a drum roll or distant thunder)

Please check all that apply.

Does any action stop or change the noise / vibration?

If the noise / vibration occurs in a specific instance and the above questions didn't describe it properly, please tell us how so we can try to recreate it to better identify the issue.

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

Phone: 705-526-2213

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Noise / Vibration Concern Worksheet Form

Request AnAPPOINTMENT

Call Us705-526-2213