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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
Can the vehicle be driven?
Yes
No
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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