Diagnostic Form

Customer Name:

RO#:

Date:

Year:

Make:

Mileage:

VIN#:

Vehicle System/
Components:

Problem Area:

Okay

Scale

Technician:

Exterior:

Paint:

Body:

Trim:

Glass:

Weatherstrip:

Tires:

Lights:

Parking:

Turn Signals and Flashers:

Headlights & Fog Lamps:

Brake/Third Brake:

Interior Lights:

Instrument Panel & Controls:

Accessories:

Radio/Tape Player:

CD Player:

Alarm:

Power Windows:

Fluid Levels/Condition:

Engine Oil:

Transmission Fluid:

Coolant:

Washer Fluid:

Brake Fluid:

Power Steering Fluid:

Belt/Hose Condition:

Serpentine Belt:

Radiator Hoses (Upr/Lwr):

Power Steering:

Heater & AC Hoses/Lines:

Fuel Lines & Hoses:

Vehicle System/
Components:

Problem Area:

Okay

Scale

Technician:

Engine:

Oil/Coolant Leaks:

Spark Plug Wires:

Fuel Injectors:

PCV Valve:

Valve Covers:

Water Pump:

Radiator:

Air Filter:

Intake Manifold:

Battery:

Brakes:

Master Cylinder:

Calipers:

Brake Pads:

Rotors:

Parking Brake:

Anti-Lock System (ABS):

Steering & Suspension:

Steering Rack:

Power Steering Pump:

Tie Rods:

Control Arms:

Bushings:

Control Arms:

Shocks:

Ball Joints:

Wheel Bearings:

Front:

Rear:

Transmission/Clutch:

Exhaust System:

Exhaust Pipes:

Catalytic Converter:

Brackets: