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Customer Name
Email Address
Phone #
Vehicle (Make)
Vehicle (Model)
Year
Where on the dipstick is your oil showing?
?
Mileage Today
?
PLEASE SIT IN YOUR CAR WITH THE A/C, HEATER, RADIO, BRAKE ASSIST, AND LIGHTS
OFF
.
PUT YOUR FOOT ON THE BRAKE AND PRESS THE START BUTTON.
*DO NOT PRESS THE GAS PEDAL*
(
Then please keep accurate time for the following questions
):
What does the vehicle do when first started?
Quiet
Engine is running
Does not turn on
How long does the vehicle stay in this “mode”?
?
How long does the vehicle stay quiet (during a 5-minute period)?
What were you doing when the lights came on?
(Please use descriptive answers such as: “driving up a hill at 20mph”, “stopping at a light”, “turning it on from the night before to go to work”, etc.)
Does your car have a hard time accelerating?
- None -
Yes
No
Is the fan “on” in the back of the vechicle?
- None -
Yes
No
Have you had any recent work done on the vehicle? If so, what and when?
If there are ANY non-hybrid codes present when HB911 comes out or hybrid mode is running, there will be up to a $350 CHARGE and no change-out.
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