ROCHESTER FORD

4900 HWY 52 NORTH
ROCHESTER, MN 55901
Phone: 507-288-7564
Fax: 507-252-2532

Check Engine Light /
Starting / Driveability

 

Describe the Problem:

 

__________________________________________________

__________________________________________________

__________________________________________________

 

Does the check engine light come on?

 

____ Yes       ____ No

 

If yes, did the light come on after refueling the vehicle?

 

____ Yes       ____ No

 

How often do the symptoms occur?

 

____ Always                      ____ Sometimes    

 

____ Rarely

 

When did the problem begin?          

 

____       Just Started

 

____       When the vehicle was new

 

____       Suddenly, at _____________ miles

 

____       Gradually

 

____       After Repair

 

If so, what type?

 

____       Collision                               

 

                ____       Electrical             ____       Mechanical

 

Has the problem been worked on before?                

 

____ Yes       ____ No

 

If yes, how long ago?  ________________________________

 

Where?  ___________________________________________

 

When do you notice the symptoms?

 

Engine Conditions:

 

____       Accelerating               ____       Decelerating

 

____       Constant Speed

 

When Engine Temperature Is:

 

____       Cold               

 

____       Hot

 

____       Normal          

 

____       All Temperatures        

 

At What Speed?  ___________________________________

 

Weather Conditions:                          

 

____       Over 80oF

 

____       Below 50oF   

 

____       Below 10oF

 

____       Humid or Rainy          

 

____       Other: _________________________________

 

Symptoms when Starting:

 

____       Turns over too slowly

 

____       Turns over properly but starts hard

 

____       Turns over properly but does not start

 

____       Must turn over too long before starting

 

____       Gas pedal must be pressed to start

 

____       Starts normally, then stalls and won’t run

 

____       Idle speed is rough when engine is cold

 

____       Idle speed is rough when engine is hot

 

____       Other: _________________________________

 

____       No symptoms

 

Symptoms when Driving:

 

____       Hesitates or stalls when I speed up

 

____       Stalls when I slow down or stop fast

 

____       Lacks power or misses

 

____       Knocks or pings

 

____       Keeps running after I turn it off

 

____       Back fires

 

____       Speed changes without touching gas pedal

 

____       Other: _________________________________

 

____       No symptoms

 

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