Survey Form -- Trip to the Shop
This is just a sample of the survey form. The actual form can only be accessed using an encoded link within an email TrueDelta sends to the owners of surveyed cars.
Fill out this survey each time your car requires a repair.
Trip 1 in June - your car***Complete this top section for only one repair trip at a time*** |
| 1. Odometer, end of June, rounded to nearest 1,000 |
| ,000 miles |
| 2. Who did you take the car to? |
| Dealer Other shop Self / other non-mechanic |
| 3. Did the car have to be towed? |
| No Yes |
| 4. Did you have an appointment? |
| No Yes |
| 5. Did the trip also include maintenance, wear items, or "mods"? --wear items listed in the sidebar |
| No Yes |
| 6a. Amount the car owner paid for repairs --for entire trip, not per problem --do not include maintenance or wear items (list in sidebar) --best guess okay, exact amounts not necessary --no idea? enter -1 (negative one) --numbers only, no currency symbols or words |
| 6b. Amount a warranty or manufacturer assistance paid --same instructions as 6a --again, if you have no idea, enter -1 |
| 7. Number of days in the shop --number of hours if self-repaired |
| days |
If the repair work took one hour or less, select zero days. Count every day the shop was open, up to the day repair work was completed. |
Problem 1, Trip 1 in June - your car***Complete this bottom section for only one problem at a time*** Check the list of wear items in the sidebar. These never count as problems. |
| 1. Was Problem 1 old or new? |
| Old problem written up during an earlier repair trip but not successfully repaired, for whatever reason, during that trip |
| New problem |
| 2. How was Problem 1 first discovered? |
| Recall notice |
| TSB (Technical Service Bulletin) |
| Preventative maintenance -- no signs of failure yet |
| Check Engine Light or another warning light came on |
| Mechanic discovered the problem when car in the shop for something else |
| The person who usually drives the car noticed the problem |
| Friend or family member of the usual driver noticed the problem |
| 3. Source of Problem 1? |
| Present at new car delivery -- manufacturing defect |
| Present at new car delivery -- damaged during shipping or at the dealer --includes incomplete dealer prep |
| Damaged by shop during a repair trip |
| None of the above - neither present at delivery nor damaged by shop |
| 4. Could the car have been dependably driven for another week with Problem 1? |
| No Yes |
| 5. Outcome for Problem 1 during Trip 1? |
| Parts ordered but not installed --separately report another trip to install parts the month after it occurs |
| Told not a problem, "could not replicate," or "they all do that" --includes reset warning light or replaced a fuse if nothing else was done |
| Decided not to repair because of cost or other reasons - living with problem |
| Decided to sell, trade, donate, or junk the car instead of repairing this problem |
| Unsuccessful repair --shop admits problem exists, but does not or cannot fix it |
| Successful repair - only updated software with reflash |
| Successful repair - no parts replaced: cleaned, lubed, aligned, etc. |
| Successful repair - parts replaced |
--consider a repair "successful" if the problem does not return within a week |
| 6. Who paid at least half of the cost of repairing Problem 1? |
| No repair, so no payment required |
| Original factory warranty |
| Extended warranty, including CPO (certified pre-owned) |
| Manufacturer out-of-warranty assistance |
| Dealer or shop (usually because they caused the problem) |
| None of the above -- car owner paid over half of the cost |
| 7. System Repaired (if unsure, just select "everything else.") |
| Computers and sensors - engine, transmission, and drivetrain |
| Engine: fuel, ignition, intake, and emissions systems; also accessory drives |
| Engine cooling system (radiator, water pump, thermostat, etc.) |
| Exhaust and catalytic converter |
| Engine, other than above |
| Transmission and drivetrain, except computers and sensors |
| Steering and suspension |
| Brakes, except pads and rotors |
| Brakes, pads and rotors |
| Air conditioning and heating |
| Motors for windows, seats, etc. |
| Audio/video/nav |
| Light bulbs - headlight or took more than five minutes to change |
| Electrical, other than above |
| Rattles, squeaks, door/window seals |
| Interior trim, except rattles and squeaks |
| Paint or other exterior cosmetic issue |
| Everything else |
Briefly describe Problem 1 of Trip 1Characters remaining: |
