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Overheating - Coolant System Diagnostic Form

Overheating - Coolant System Diagnostic Form

Your Information

*

**

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It is important for us to be able to duplicate the concern to perform concrete diagnosing on your vehicle. If symptoms are not easily duplicated repeatedly, a more timely, advanced diagnosis may be required with the use of advanced tooling and multiple extended test drives.

Was the symptom present on the way to Glenwood Auto Service Today?

Yes

No

*

Coolant Leak Location

Driver Side

Passenger Side

Center engine bay

Rear of vehicle

In Cabin

Coolant Smell

Engine Temperature Gauge/Light

Normal

Temperature Light on

Below Normal

Above Normal

Check Engine Light Came On with Concern

Coolant Top Up?

When was the coolant topped up last?*

How much coolant was added?

Liters

*

How long has the coolant been leaking?

Days

*

Weeks

*

Months

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When was the last time the vehicle overheated?*

Overheating Occurs...

No Overheating

Idling

Extended Driving

Short Trips

On Highway

Slow Traffic

After Vehicle Shut

A/C On

Pulling a Trailer Only

Only when Vehicle is Loaded

Speed of Vehicle When Overheating

Approx Vehicle Speed kms/h

*

Approx Engine Speed RPMs

*

Vehicle is Usually Driven On

Lots of Highway

Some Gravel

Lots of Gravel

4x4 Conditions

Outside Temperature

Cold

Warm

Hot

Humid

Rain

How Often Does the Problem Occur

Does the vehicle need to be driven for an extended period of time? Please specify how the vehicle needs to be driven and all criteria, driving conditions, etc, to duplicate concern.*

Were any repairs performed prior to the condition occurring?

Yes

No

*Please provide a list of work/invoices*

Your vehicle will require test driving. Is there a minimum of a 1/4 tank of fuel in your vehicle?

Yes

No (Fuel charges may apply)

*

Is there any other information you can provide us to better help us DUPLICATE the concern to save time and money?*

Submitting request ...