Name: *

First

Last

Vehicle Year, Make, Model: *

License # and State: *

Approx. Mileage:

Do Any Of These Pertain To You Recently? *

Entertainment System Replacement
Alarm System Install
Past Heating Or Air Conditioning Repairs
Vehicle Modifications / Conversions
Major Mechanical Repairs
No, None Of These Apply To Me

Select All That Pertain

Does The A/C System Turn On? *

Yes
No
Not Sure

Describe Your Condition; *

It's Cold, Then Hot
Not Enough Air Flow
It's Just Not Cold Enough
It's Always Hot

Does The A/C System Keep You Cool Enough? *

Yes
No

Do You Have Dual Zone Air? *

Yes
No
Not Sure

Do All Vents Blow Cold Air? *

Yes
No
Not Sure

Which Ones Don't? *

Which Does Not Work? *

Fresh Air (Outside)
Recirculating Air
Not Sure

Select All That Apply

Do All Vents Work Properly? *

Yes
No
Not Sure

Which Ones Don't Work? *

Does The Rear System Turn On? *

No Rear System
Yes
No
Not Sure

Do You Hear The Fan / Blower Working? *

Yes
No
Not Sure

Does The Fan Blower Make Noise?

Yes
No

Describe Is The Noise(s)? *

Is The A/C Noisy When Turned On?

Yes
No
Not Sure

Describe The Noise(s) *

Are There Dash Noises When Changing The Controls? *

Yes
No
Not Sure

Describe The Noise(s) *

Does The Car Stall When You Turn A/C On? *

Yes
No
Not Sure

Does Your Car Overheat When You Turn On A/C? *

Yes
No
Not Sure

Do You Smell Musty Or Foul Odors Inside The Vehicle? *

Yes
No
Not Sure

When Was The Last Time The A/C System Was Serviced? *

What Was Done? *

What Is The Outside Condition(s) When The Problem Occurs? *

Warm (51/80F)
Hot (80+)
Humid

Select All That Apply

What Speed Are You Driving? *

Select All That Apply

If Another Shop Worked On This Problem, What Did They Find?

What Was The Last Service Performed On The Vehicle?

Additional Information:

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Diagnostic Form – Air Conditioning

Please take a moment to fill out this form.
We created it to help you help
us to better determine your vehicle’s concern.
Please fill it out to the best
of your ability to save us time and you $!

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Diagnostic Form – Air Conditioning

Please take a moment to fill out this form.We created it to help you helpus to better determine your vehicle’s concern.Please fill it out to the bestof your ability to save us time and you $!

Join Our Customer Care & Rewards Program!

Call Us

Visit Us

Hours

Please take a moment to fill out this form.
We created it to help you help
us to better determine your vehicle’s concern.
Please fill it out to the best
of your ability to save us time and you $!