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Lincoln auto repair
See what your friends and family say about us! - 2384
Monday - Friday: 7:30 AM - 5:30 PM
131 Russwood Pkwy
,
Lincoln, NE 68505
Call Us:
(402) 486-9880
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Brake Fluid Flush
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Coolant Flush
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Differential Fluid Exchange
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Engine Oil Flush
Engine Tune Up
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Every Visit Questionnaire
Every Visit Questionnaire
Is this your first time visiting us?
Yes
No
Do you work from home?
Yes
No
Retired
Student
Who is your employer?
Are you an AAA member?
Yes
No
How long have you had the vehicle for?
How long are planning on keeping the vehicle, time or mileage? (What are you looking to get out of this vehicle?)
What do you use the vehicle for?
How often is the vehicle driven?
How many miles are driven (average) per day?
Do you travel regularly on gravel roads?
Yes
No
Do you use this vehicle to tow?
Yes
No
If yes for towing, please enter the approximate weight for vehicles commonly towed:
Does your vehicle have locking wheel nuts?
Yes
No
Where is the key located?
Do you transport children on a regular basis in this vehicle?
Yes
No
Is this your only vehicle?
Yes
No
If no, please describe your other vehicles:
Has the vehicle been in an accident within the last 12 month?
Yes
No
If yes, where was the damage and what was replaced?
Has this vehicle been modified in any way?
Yes
No
If yes, what was modified?
Remote Start/Alarm
Interlock Device
Interior Electrical
Exterior Electrical
Engine/Transmission
Fuel System
Suspension/Tires
Trailer/Tow package
Vehicle has been lifted
Vehicle has been lowered
What work has been completed on this vehicle since you've owned it?
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