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