Contact Boulevard Auto Repair

Fill out this form to make an appointment. If you need service today or tomorrow, please call (818) 989-6028 to schedule.

Driveability Appointment:
* Denotes Required field

Name *

Phone *

Please call me at:*

Vehicle Info:

Year*

Model*

Mileage

Please explain the problem you are having:

To expedite the drop off of your vehicle, please fill out this brief questionnaire and help to diagnose your vehicles problem. Please check all that apply to your vehicle:

Driveability Symptoms

My vehicles "CHECK ENGINE" light:

Glows Steadily

Glows intermittently

Never comes on

While operating the starter, my vehicle:

Will not crank

Cranks slowly

Cranks normally

When starting my vehicle, my vehicle:

Will not start

Starts normally

Starts and dies

Is difficult to start when:

Hot

Cold

When idling, my vehicle:

Will not idle

Idles too low

Idles too high

Idles rough

Surges (up and down)

Backfires

Idles normally

While driving, my vehicle:

Backfire

Pings (spark knock, detonation)

Smokes excessively

Runs too hot

Runs too cold

Black Smoke

Blue Smoke

White Smoke

Has fuel or gas odor

Hesitates

Stumbles

Stalls

Surges

Lacks power (sluggish)

Misses

Cuts out

Stalls when slowing or stopping

Vibrates

Other Symptoms:

Transmission shifts:

Too soon

Too late

Normally

Poor fuel mileage

Emissions test failure or "rotten egg" odor

Other (please explain)

Conditions of Occurrence

Time:

Speed:

Distance:

Morning

Idle

Less than 2 miles

Midday

Low Speed

From 2-10 miles

Evening

Stop and go

More than 10 miles

Night

Highway (cruise)

Conditions:

High speed

Uphill

Acceleration

Downhill

Deceleration

Frequency of Conditions

Always	Since new
Intermittently	After Miles

Environmental Conditions
Cold weather	Wet/Raining	Fog
Hot weather	Snow	Dirt/Dust