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Automatic Transmission Performance & Symptoms Client Concern Questionnaire
Please answer all of the questions to give us a better understanding of the issues you are having with your transmission
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Email
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Your email
Customer Information: Please include name, email, phone number, as well as year, make, model, mileage and license plate of the vehicle.
*
Your answer
Describe the position of the gear selector (Check all that apply)
P (Park)
R (Reverse)
N (Neutral)
D (Drive 1-4 gear)
D (Drive 1-2 gear)
D1 (Drive 1st gear only)
Between which gear position(s) does the probem occur?
1 & 2
2 & 3
3 & 4 (Overdrive)
When does the problem occur?
Light to medium acceleration
Hard acceleration
Deceleration (foot off accelerator)
Braking
2wd on
4wd on
Other:
What is the engine speed when the issue occurs?
Idle
Medium
High
What is the Engine speed (RPM's) when problem occurs?
Your answer
What is the Engine temperature when concern occurs?
Cold
Warm
Hot
Other:
What is the Outside temperature when concern occurs?
Cold
Warm
Hot
Other:
How long does the vehicle have to be operating before the condition occurs? Please stipulate Minutes or Hours
Your answer
When did the probelm start? Other being approximate odometer reading
Suddently
Gradually
Just Started
Since the vehicle was new
Other:
Has your Transmission been previously repaired?
Yes - if yes, please explain further in other details
No
Other:
Does the transmission/transaxle shift properly?
Yes
No
Clear selection
Describe how the problem "feels" (check all that apply
Slow, mushy or early shift
Rough, harsh or delayed shift
Slippage (engine speed increases at initial takeoff or when shifting)
No upshift
No downshift
Will not shift at all
Other:
Does the engine start when the selector lever is not in the "P" (park) or "N" (neutral)?
Yes
No
Clear selection
How often thes the concern occur?
Rarely
Sometimes
Always
Other:
Are there any unusual noises with the concern?
Yes - If yes please describe the noise under the other option
No
Other:
Describe at what speed the vehicle is travelling at when the issue occurs in Km/h?
Your answer
Is this vehicle used for towing?
Yes
No
Clear selection
If used for towing what is the size/weight of the trailer?
Your answer
Any other information you can leave us that might assist in diagnosing your vehicle?
Your answer
Have you already book an appointment? If not please feel free to use our online booking system at
Butterworth's Online Booking System
Your answer
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