Remke's Garage - Vehicle Symptom Questionnaire

Vehicle Symptom Questionnaire

Our technicians want to make sure your vehicle is fixed right the first time. Just like when you visit the doctor, communication is an important part of the diagnosis process. The more you can tell us about your vehicle's recent 'behavior' the better.

Tips for great communication...

Note any changes in how your vehicle sounds, smells or handles.

When a problem occurs, pay attention to - and write down - as many details and conditions that you can remember.

Don't be embarrased to tell us that you've worked on the vehicle yourself, taken it to another repair facility, or that the repair needed is long overdue.

Tell Us What You're Hearing...

and When You Hear It....

How fast were you traveling when the noise occured?

Boom - A sound like a drum roll or distant thunder.

Buzz - A low-pitched sound, like a bee.

MPH

Chatter - Rapidly repeating metallic sound.

What was the weather like (heavy rain...)?

Chirp - High-pitched, rapidly repeating sound, like a bird.

Click - A light sound, like a ball point pen being clicked.

Does your vehicle make the noise when...

Clunk - A metal-to-metal sound, like a hammer striking steel.

Turning in either direction while moving?

Grind - An abrasive sound, like a grinding stone.

Yes

Hiss - Like air escaping from a balloon.

Hum - Like a wire humming in the wind.

If yes, turning the steering wheel to the...

Knock - Like a knock on the door.

Left

Right

Both

Rattle - A sound like marbles rolling around in a can.

You're braking?

Roar - Deep, prolonged sound like high winds or ocean waves.

Yes

Rumble - Low, heavy, continuous sound, like thunder.

You're accelerating?

Squeak - A sound like rubbing a clean window.

Yes

Squeal - A high-pitched sound, like fingernails across a chalkboard.

If yes, what type of acceleration?

Tap - A crisp, dull sound, like tapping your fingers on a table.

Whine - A high-pitched sound, like an electric motor or drill.

Normal

Hard

Both

Whistle - A Shrill sound like wind passing through a small opening.

The A/C or heat was...

Off

Describe in your own words the noise(s) you hear...

The vehicle is parked/idling?

Yes

The vehicle is parked and you are turning the wheel to the...

Left

Right

Both

Other Symptoms. Check all that apply.

Misses or runs rough

Hesitates or backfires

Engine stalls or dies

Is sluggish/low on power, but not rough

Is hard to start, but cranks ok

Engine cranks, but won't start

Stalls after starting

Fluid leaks...

Green

Reddish

Black

Brownish

Clear

Exhaust smokes excessively...

White

Blue/Grey

Black

Gas

Rapidly consumes...

Oil

Both

Shakes or vibrates - felt through...

Steering Wheel

Seat

Brake Pedal

Describe in your own words any other symptoms you are experiencing...

It Does It When...

The engine is:

Cold

Lukewarm

Fully warmed up

I've driven about

miles

Engine is being started

Just after the engine has started

I'm driving at about

mph

If there is anything else you feel we should
know about, please explain below...

Accelerating:

Hard

Normal

Decelerating to a stop:

Hard

Normal

Going up a hill

Turning:

Left

Right

Tell us a little about you and your vehicle...

Name:

Phone:

Vehicle Make:

Vehicle Model:

Vehicle Year:

E-mail Address: