On-Line Air Conditioning/Heating System Questionnaire

On-Line Air Conditioning/Heating System Questionnaire


Your Contact Information
Full name:
Daytime phone:
Evening phone:
Email address:

Your Vehicle Information
Year:
Make:
Model:
Engine size:

Service Information
Does the A/C cool the car?	Yes No Sometimes
Does the fan/blower work?	Yes No
Does it work at all speeds?	Yes No
	If no, which speeds work?

Is the fan/blower noisy?	Yes No
Do all the dash controls work?	Yes No
Do the vent, heater and defroster work normally?	Yes No
Is the A/C nosy when turned on?	Yes No
Does the car stall or idle funny with the A/C on?	Yes No
Does the car run with the temperature gauge above normal?	Yes No
Does the heater warm the car?	Yes No
Will air flow change between the vents?	Yes No Sometimes

Which vents do not work?	Left (driver) Center Right (passenger) Floor Defrost Air intake cannot be changed

Are there any unusual odors present?	Yes No Sometimes