If you are having starting and running problems with your car, print out this form, fill it out and take it to your auto repair center. This information will help them find out what is wrong with your vehicle quicker, which will save you money!

Contact Information

Name: ________________________________________________________________

Year: ___________      Make: ________________      Model: ___________________

License Plate number: __________    Current Mileage: ____________________

Phone number you can be reached at: __________________________________

Email address (if best way to reach you): _________________________)_____

When was the last time you had any engine performance work done on your car? (tune-up / new spark plugs)

____ 0-3 months         ____ 3-9 months        ____ 1 year         ____ 2 years        ____ longer

The starting problem happens when:

____ 1st start of the day ¨  1st start after sitting for a while

____ When engine is hot ¨  Always

Starting Problems:

____    The engine is cranking very slow, but will eventually start

____   The engine is cranking very slow, and won’t start at all

____   Have to jump start the car to get it started

____   The engine is cranking fine, but is hard to start when cold

____   The engine is cranking fine, but is hard to start when hot

____   The engine is cranking fine, but is always hard to start

____   The engine makes a weird clicking noise

Running Problems:

___   The engine stalls when cold ¨  The engine stalls when hot

____   The engine stalls with A/C on ¨  It stalls all the time

____   Runs rough when engine is cold ¨  Runs rough when engine is hot

____   Runs rough driving slowly ¨  Runs rough when driving fast

____   Runs rough when idling

Other Symptoms:

____   Smells like rotten eggs ¨  Makes pinging noise

____   Makes a backfire pop ¨  Makes a backfire sputter

____   Gets poor gas mileage ¨  Smoke coming out of the rear

Dash lights that are on:

____   Check engine light ¨  Alternator light

____   Temperature gauge light

© Auto Craftsmen Ltd  * 326 State Street, Montpelier, VT 05602   *   (802) 223-2253