DIAGNOSTIC QUESTIONARRE
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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 Octane 89 Octane91 or Better

3.Circle your engine's symptoms?     Runs roughHesitatesBucks        Surges

Idle goes up/down Idles high Idles 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  No     What direction? Left  Right

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 in stop & 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