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 OKYes
No
Sometimes

Does The Fan/Blower WorkYes
No

Does the Fan/Blower Work At All Speeds?Yes
No

Is the Fan/Blower Noisy?Yes
No

Do All The Dash Controls WorkYes
No

Does The Vent System Function Property 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

If No, Explain

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

Does it work properly?Yes
No

If No, Explain

Does Anything Abnormal Happen When AC is Turned OnYes
No

Any Noise?Yes
No

Explain

Engine Performance issues, stalling, rough idle?Yes
No

Explain

Do you hear any clicking coming from the dash areaYes
No

Does Your Car OverheatYes
No

Explain

Has Cabin Air Filter Ever Been ReplacedYes
No

If, Yes When3 Months
6 Months to 1 Year
Over 1 Year
Don't Know

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

When Was The A/C System Serviced Last?3 Months
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

Explain

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

Explain

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