Diagnostic Form

Owner Information



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Vehicle Information






Diagnostic Information










Left FrontRight FrontLeft RearRight Rear

Cool or cold tempuraturesWarm or hot tempuraturesMorningAfternoonAfter driving 10 minutes or moreAll the timeTrunk emptyWhen brakingFuel tank emptyFuel tank fullPassenger seat occupiedPassenger seat emptyBack seat occupiedBack seat emptyWhen deceleratingIn drive (D)In reverse (R)At idleAt slow speedsAt highway speedsWhen acceleratingEntering / Exiting drivewaysOver large bumpsOver smooth roadsOver rough roadsIn cross windsTurning rightTurning LeftTrunk fullOthers


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