ca automotive ac repairs md

Air Conditioning Questionnaire

Please take a moment to complete our pre-appointment Air Conditioning Questionnaire. The questions below offer us insight to your symptoms, your driving habits and any previous repairs. They are used to help us locate and repair your vehicle's concerns, saving you time and money.  

Personal Information

Is This Your First Time Visiting With Us?
Are You The Primary Driver?
Thank you. Any change in address?
Preferred Method Of Contact *
May We Update Your Repair Status Via Text?

Current Address

Vehicle Information

How Long have You Owned This Vehicle?
Do You Have Wheel Locks Installed?
Is This Vehicle Used For Commercial Purposes?
0/255 characters

Vehicle History

Do Any Of These Pertain To You Recently?

Vehicle A/C Symptoms

Does The A/C System Keep You Cool Enough?
Describe Your Condition
Please Select The Best Answer To These Questions
 YesNoNot Sure
Do You Have Dual Zone Air?
Do All Vents Blow Cold Air?
Do All Vents Work Properly?
Does The A/C System Turn On?
Does The Rear System Turn On?
Do You Hear The Fan/Blower Working?
Is The A/C Noisy When Turned On?
Are There Dash Noises When Changing The Controls?
Does The Car Stall When You Turn A/C On?
Does The Car Idle Funny When You Turn On A/C?
Does Your Car Overheat When You Turn On A/C?
Do You Smell Musty Or Foul Odors Inside The Vehicle?
When Was The Last Time The A/C System Was Serviced?

Other Services And Coupons Available

May We Help You With Other Services During Your Visit? (Check all that apply)

What Time Will You Arrive?(After hour drop off can use our secure key drop)
 Early AMMid MorningMid-DayEarly PMAfter Hours
Drop Off Time
Do You Require Shuttle Service?
To Where?
Please click the SUBMIT BUTTON below to send us your information.
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