Electrical / Accessory Worksheet Electrical / Accessory Sheet Name Phone Number Email Vehicle Year / Make / Model Mileage What Is The Vehicle Doing? Please check all that apply: Battery goes dead/discharged Vehicle sometimes will not start Lights flicker or dim Power windows/locks act up Wipers behave unexpectedly Radio/infotainment issue Screen goes black/freezes/restarts Backup camera concern Warning messages appear intermittently Accessories stop working randomly USB/charging ports not working Interior lights behave unexpectedly Exterior lights concern Vehicle loses electrical power briefly Concern happens intermittently Vehicle drives normally otherwise Unsure Other electrical/accessory concern details How often does it happen? Every drive Frequently Sometimes Rarely Only once so far How noticeable is the electrical/accessory issue? 1 2 3 4 5 6 7 8 9 10 1 = Very slight inconvenience | 10 = Severe electrical problem How confident do you feel driving the vehicle? Feels normal Slight concern Concerned about reliability Feels unreliable Concerned vehicle may not restart Feels unsafe When Is The Concern MOST Likely To Happen? First start of the day After sitting overnight During rain/wet weather Cold weather Hot weather While driving While idling During highway driving During short trips After vehicle warms up After using accessories/features Randomly / no pattern noticed Other timing/pattern details What BEST Describes The Concern? Like the battery is weak Like the vehicle loses power briefly Like the screen/radio resets Like accessories stop responding Like the vehicle “acts weird” electronically Like lights dim or flicker Like switches/buttons don’t respond normally Like warning lights/messages appear randomly Like something drains the battery overnight Like features work sometimes but not others Other concern description Does Anything CHANGE The Concern? Worse in cold weather Worse in wet/rainy weather Worse after sitting Worse after driving awhile Worse with accessories on Better after restarting vehicle Better after charging/boosting battery Stays the same all the time Did Anything Happen BEFORE The Concern Started? Battery replacement Boost/start assistance Recent repair/service Remote starter/alarm installation Dead battery previously Water leak/moisture noticed Recent accident/impact No noticeable event Unsure Additional details about what happened before the concern started Warning Lights / Messages Battery/Charging Warning Check Engine Light ABS/Stability Light Airbag Warning Security/Immobilizer Message Multiple warning lights No warning lights Unsure Can The Concern Be Reproduced Consistently? Every drive Only occasionally Hard to duplicate Mostly after sitting Mostly during wet weather Mostly after vehicle warms up Random/no pattern noticed Additional Information - Is there anything else you think would help us duplicate or understand the concern? Optional - What do YOU think the concern might be? Example: battery issue, wiring issue, module issue, charging issue, etc. Submit If you are human, leave this field blank. Δ
