Noise(s) Customer Diagnostic Survey Form
Customer Name *
Date *
MM
/
DD
/
YYYY
License Plate #
VIN
Type of sound(s)
If other, please explain
Location of sound(s)
Description of noise location
Concern is Occurring...
Clear selection
When does the concern occur?
Vehicle speed (km/hr)
Engine speed (RPM)
Engine temp
Clear selection
What accessories are on when noise occurs?
Does any action stop / change the noise?
When did the noise start?
MM
/
DD
/
YYYY
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