Noise / Vibration Concern Worksheet Form

When did you notice the concern? SuddenlyGraduallyRecentlySince a service or repair was done

Suddenly? Gradually? Recently? Since New? After an abnormal instance (ex. Pot holes, curb impact, etc)?

When does the concern occur? Light to medium accelerationHard accelerationDecelerationCruising (consistent speed)BrakingTurningIn reverseFirst thing in the morningNormal roadDriving in a parking lotRough roadGoing over bumpsWet roadWith vehicle occupantsCold weather

Please check all that apply.

Where is it felt / heard? Front Of VehicleRear Of VehicleSteering WheelFloorSeatMirrorsInstrument Cluster (Dash)ConsoleBrake PedalClutch PedalAccelerator PedalGear Shift Lever

Please check all that apply.

Which type of noise fits your concern? Engine NoiseBrake NoiseVibration NoiseWind NoiseSuspension NoiseInstrument Panel NoiseInterior Noise