Brake Performance Worksheet Brake Performance Sheet Name Phone Number Email Vehicle Year / Make / Model Mileage What is the vehicle doing? Something you HEAR Something you FEEL Both hear and feel Vehicle stopping concern Brake warning light concern How often does it happen? Every drive Frequently Sometimes Rarely Only once so far How noticeable is the concern? 1 2 3 4 5 6 7 8 9 10 1 = Very slight / barely noticeable. 10 = Extremely noticeable / severe. How confident do you feel driving the vehicle? Feels normal Slight concern Concerned while driving Feels unsafe When did you first notice it? Suddenly Gradually over time Recently Since a repair/service Since hitting something (pothole, curb, debris, etc.) Since replacing brakes or tires Additional details If a technician drove your vehicle RIGHT NOW, what would they need to do to experience the concern? Light braking Medium braking Hard braking Highway braking City driving First brake application Repeated braking Long downhill braking Turning while braking Backing up Wet weather Cold start / first drive of day After driving awhile Other driving condition At approximately what speed does it occur? Below 20 km/h 20–40 km/h 40–60 km/h 60–80 km/h 80–100 km/h Above 100 km/h Only while stopped All speeds What does the vehicle DO while braking? Steering wheel shakes Brake pedal pushes back or vibrates Vehicle shakes or vibrates Seat or floor vibrates Vehicle pulls left Vehicle pulls right Vehicle feels unstable Vehicle takes longer to stop Vehicle feels like ABS is activating Vehicle feels like brakes are sticking or holding back Vehicle jerks or grabs suddenly Brake pedal feels unusually soft Brake pedal feels unusually hard Brake pedal travels too far Brake pedal feels normal Other vehicle behavior description What does it SOUND like? Like metal scraping metal Like a squeak or squeal Like grinding bicycle brakes Like something rubbing Like a clicking noise Like something loose rattling Like a humming noise Like a scraping noise Like a grinding noise Like a thump or knock Like a vibration or buzzing noise Other sound description Where do you notice it MOST? Front of vehicle Rear of vehicle Steering wheel Brake pedal Seat Floor Whole vehicle Unsure The concern becomes Worse when braking harder Worse at highway speeds Worse after driving awhile Worse when cold Worse in wet weather Worse while turning Worse going downhill Better after vehicle warms up Stays the same all the time Does anything STOP or REDUCE the concern? Brake warning lights ABS Light Brake Warning Light Traction/Stability Light Other Warning Light No warning lights Have you added brake fluid recently? Yes No Unsure If yes, how often? Once only Monthly Weekly Frequently Is there anything else you think would help us duplicate or understand the concern? What do YOU think the concern might be? Example: brakes, tires, suspension, wheel bearing, etc. Captcha Submit If you are human, leave this field blank. Δ
