OPERATING CONDITIONS
PLEASE CHECK ALL THAT APPLY
*HOW OFTEN DOES IT OCCUR?*
( )ALWAYS
( )FEW SECONDS ( )FEW MINUTES
( )FEW HOURS ( )FEW DAYS
( )FEW WEEKS ( )FEW MONTHS
( )VARIOUS TIMES
( )UNKNOWN
( )ONLY DURING EVENT
( )EVERY ______ TO ______KMS
( )SINCE NEW
( )JUST STARTED
( )GETTING BETTER
( )GETTING WORSE
*WHEN DOES IT OCCUR?*
( )COLD ( )WARM ( )HOT
( )ALL THE TIME
( )ONLY AT THE WARM UP
( )OTHER {EXPLAIN}___________________________
____________________________________________
*DRIVING CONDITIONS*
THROTTLE
( )LIGHT ( )MEDIUM ( )HARD
( )STARTING ( )IDLE ( )DECEL.
( )OVER BUMPS ( )SHIFTING ( )TURNING
( )BRAKING
( )CRUISING STEADY AT _________KM
( )BETWEEN ______KM AND ______KM
( )ANY TIME ( )UP OR ( )DOWNHILL
( )HIGHWAY ( )CITY ( )TOWN
( )STOP GO
( )ONLY WITH A/C ON