Please check all symptoms that apply to your vehicle

Name: VEHICLE INFORMATION Make Year Mileage Model Engine Vehicle Identification Number Time: Distance: Speed: Glows steadily     Glows intermittently Morning Less than 2 miles Idle Never comes on Midday From 2 to 10 miles Low speed While operating the starter, my vehicle Evening More than 10 miles Stop & go Night Conditions: Will not crank Cranks slowly Cranks normally Highway (Cruise) Uphill Acceleration While starting, my vehicle Downhill Deceleration Will not start    Frequency of Conditions Starts and dies Starts normally Always Since new Intermittently After miles Is difficult to start when Hot Cold Environmental Conditions While idiling, my vehicle Cold Weather      Wet/Raining Fog Will not idle Idles too slow Snow Dirt/Dust Idles rough Idles too high Engine Conditions Surges (up & down) Backfires While Turning      Idles normally Engine Hot   While Braking While driving, my vehicle All temperatures With Headlights ON    With A/C ON      Backfires Pings (spark, knock, detonation) Driving Habits Runs too hot Runs too cold Start cold engine and drive immediately Start cold engine and allow to warm up Smokes excessively Black Blue White Mostly highway driving Has a fuel or gas odor Surges Mostly city driving Hesitates Stumbles Misses Park in garage Lacks power (sluggish)   Cuts out Stalls when slowing or stopping Stalls Fuel Quality Average miles driven per day Vibrates excessively Type of fuel used Other Symptoms Shifts too late Brand of fuel Shifts too soon Octane Rating   Greater than 91 Normally Poor fuel mileage Last fill-up date   Miles   Other (Please explain)