ROCHESTER FORD

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

Heater or Air Conditioner

 

Describe the Problem:

 

_____________________________________________

 

 

_____________________________________________ 

 

 

_____________________________________________

 

Exactly what are the symptoms?                      

 

____ Heater does not work properly.

 

Do you get any hot air?     ____ Yes               ____ No

 

If yes, how long does it take to heat the vehicle? 

 

___________ minutes

 

Does the gauge for engine temperature move off

 

“Cold”?     ____ Yes               ____ No

 

Other symptoms: _________________________

 

_______________________________________

 

____ Air conditioner does not work properly.

 

        Do you get any cool air?    ____ Yes               ____ No

 

If yes, how long does it take to cool the vehicle?

 

___________ minutes

 

How long has it been since you used the air

 

conditioner?  ___________ days

 

Other symptoms: __________________________

 

________________________________________     

 

Hot or cool air does not flow from these outlets:         

____       Center                         ____       Driver’s Side 

 

____       Passenger’s Side      ____       Defrost 

 

____       Floor

 

____ Temperature or airflow changes back and forth.

 

Temperature controls do not work at:

 

____       “Floor” (to direct warm air to floor)

 

____       “Defrost” (to direct warm air to windshield)

 

____       “Normal” (to pull in fresh air from outside)

 

____       “Max AC” (to recirculate air inside vehicle)

 

Heater or AC causes unusual odors:

 

____       Oily odors             ____       Musty odors

 

____       Chemical odors

 

____       Other odors: ___________________________

 

Heater or AC makes unusual noises, such as:

 

____________________________________________

 

____________________________________________

 

When do you notice the noises?

 

____       Heater is running

 

____       Air Conditioner is running

 

____       I move lever to change air outlet

 

____       Engine speed increases (on tachometer)

 

How often do the symptoms show up?

 

____       Always                  ____       Sometimes

 

____       Rarely

 

When did the problem begin?

 

____       Just started

 

____       When car or truck was new

 

____       Suddenly, at ______________ miles

 

____       Gradually, between _________

 

miles and _______________ miles

                ____       After a repair

 

What type of repair?          

 

____ Electrical             ____ Collision                     

 

____ Mechanical

 

____ Can't Recall / Not Sure

  

Has the problem been worked on before?

 

____ Yes               ____ No

 

How long ago? ________________________________

 

Where? _____________________________________

 

Any other comments?

 

 

___________________________________________________

 

 

___________________________________________________

 

 

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