Driveability Questionnaire

Your Information

Full Name *

Phone

Appointment Date

Work Order # (office use)

Year *

Make *

Model *

Mileage

Preferred Contact

Describe the Problem

What is happening with your vehicle? *

Please note the time of day and whether this happens on a cold start.

How long has this been happening?

Problem is:

How often does it occur?

Can the problem be recreated?

3 Symptoms & Warning Lights

Starting:

No start (won’t start at all) Cranks but won’t start Hard to start

Which warning lights? Other details:

When & Conditions

Engine temperature:

Cold / first start of day Fully warmed up Overheating

Weather / conditions:

Cold weather Hot days Humid / rainy Air conditioning on

If turning, which direction?

Turning Left Turning Right

After how long driving does it start? (time or distance)

Fuel type used:

Gear position when it occurs:

Service History & Planning

Please describe any recent work or incidents:

Anything else for the technician?

Who usually services the vehicle?

Dealer Independent shop I do it myself Other

If other, please specify:

If this concern is best identified during a road test with a technician, please plan to leave a bit of extra time at your appointment so we can ride along and confirm the symptoms.

By submitting, you confirm the information is accurate. A copy will be sent to contact@osmw.ca.

“We may be the only repair shop on the planet that does not want to see your car show up on a tow truck…”

Driveability Questionnaire

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