Your Name: *


Your Email: *


Subject:


1. Does A/C system cool OK?
--Select-- Yes Sometimes No

2a. Does the fan/blower work?
--Select-- Yes No

2b. Does the fan/blower work at all speeds?
--Select-- Yes No

3. Is the fan/blower noisy?
--Select-- Yes No

4. Do all the dash controls work OK?
--Select-- Yes No

5. Do the vent, heater and defroster work OK?
--Select-- Yes No

6. Is A/C noisy when turned on?
--Select-- Yes No

7. Does car stall or idle funny when A/C is on?
--Select-- Yes No

8. Does your car overheat?
--Select-- Yes No

9. Has the A/C filter/dryer ever been replaced?
--Select-- Yes No

10. When was the A/C system serviced last?
--Select-- Never 3 months 6 months 1 year Longer

11. Does A/C or heater smell?
--Select-- Yes No

12. Other problems:


13. Comments: