Save Time and Help Us Service Your Car Correctly...
By gathering some preliminary information about your vehicle and your concerns, our technicians can be better prepared to diagnose and repair your Subaru. Simply print this form and provide information that relates to your concerns regarding your Subaru.
Engine Performance
1.Is the Check Engine Light on? YesNo
2.What grade of fuel do you use?87 Octane89 Octane91 or Better
3.Circle your engine's symptoms? Runs roughHesitatesBucksSurges
Idle goes up/downIdles highIdles Low
4.When do symptoms appear?When first startedAfter warm-up
After driving 1/2 hr or moreOccasionallyAlways
5.Weather conditions when symptoms occur?Cold Hot Wet/Rainy
6.How long have you been experiencing these issues?DaysWeeksMonths
7.Has any Engine work been performed on your Subaru recently? YesNo
Brake Performance
1.Grinding noise?YesNo
2.Does the steering wheel or brake pedal shake when applying the brake?Yes No
3.If Yes at what speed does the shaking occur? ________ MPH
4.Does it pull when braking?Yes NoWhat direction?LeftRight
5.Has any Brake work been performed on your Subaru recently? YesNo
Suspension System Performance
1.The steering : Pulls WandersTo the:LeftRight
2.Does steering wheel vibrate?YesNoAt what speed? _________MPH
Cooling System Performance
1.Temperature gauge indicates "Hot"YesNo
2.Does it occur instop & go traffic?YesNoHighway speed?YesNo
3 Do you have to add anti-freeze?Yes NoHow often? ____________________________
4.Did you see evidence of leakage?YesNo
5.Has any Coolant System work been performed on your Subaru?YesNo