Air Conditioning Questionnaire Invoice

How often does this issue act up?Constant (Can duplicate in the shop)
Intermittent (Can consistently duplicate under certain conditions)
Random (Sporadic can not duplicate consistently)

Does The A/C system cool without issue?Yes
No
Sometimes

Does The Fan/Blower Work?Yes
No

Does the Fan/Blower work properly at all speeds?Yes
No

Is the Fan/Blower of the A/C System Noisy?Yes
No

Do all controls on the dashboard work as intended?Yes
No

Does the vent system function properly on both sides of the dash?Yes
No

Can you feel air on your feet?Yes
No

Can you feel air on your face?Yes
No

Does the Windshield Defroster work?Yes
No

Is your car equipped with Dual Zone Climate Control?Yes
No

Does it work on both sides?Yes
No
N/A

If No, please explain below: (Please type N/A if not applicable)

Is your car equipped with Rear AC/Heat?Yes
No

Does it work properly?Yes
No
N/A

If No, please explain below: (Please type N/A if not applicable)

Does anything unusual happen as soon as the A/C is turned on?Yes
No

Related to the question above, do you notice any noise?Yes
No

Please explain the noise below: (If there is no unusual noise, please type "No unusual noise")

Are there engine performance issues, stalling, idle, etc.?Yes
No

Please explain the issue: (Please type N/A if not applicable)

Do you hear any clicking coming from the dash area?Yes
No

Does your car overheat?Yes
No

Please explain what causes and/or how often your car overheats: (Please type N/A if not applicable)

Has the cabin air filter ever been replaced?Yes
No

When first turning on the A/C or Heater, does it have an odor?Yes
No

When was the A/C System serviced last?3 Months or less
3 Months to 1 Year
Over 1 Year
Don't Know

Have you had any work done to repair this issue in the past?Yes
No

If yes, please explain below: (Please type N/A if not applicable)

Have you ever had any repairs or services performed on the air conditioning system since owning the vehicle? Adding freon, adding dye for leak detection?Yes
No

If yes, please explain below: (Please type N/A if not applicable)

Additional Comments: